Ryan M Clancy, DMD, MAGD, LVIF

While technically you could place a resin over your veneers, I would not recommend it. It would likely make your teeth look bulky, and over time would slowly chip away. The best solution in your case is to replace your veneers with new ones in a whiter color. 

I recommend finding an experienced cosmetic dentist who can examine your mouth, listen to your concerns, and help you find the best way to accomplish your goals. A cosmetic dentist will be able to remove your composite veneers, but will also be able to look at the condition of your teeth and oral health in order to create a comprehensive treatment plan for you. 

I would need to examine your teeth in person to make a recommendation, but in general, porcelain veneers are a better investment than bonding as they last longer and are more durable. 

As for your question about disadvantages, the main disadvantage to bonding is that it does not always last a long time. It can be prone to chipping and breaking, and you may need to have it replaced often. You cannot bleach bonding, so yes, it is possible for bonded teeth to become stained. Bonding generally does not require much prep of the natural teeth.

Porcelain veneers, on the other hand, can last for a decade or longer if you take proper care of them. The disadvantage in this case is that veneers do require the natural teeth to be shaved down in order to make room for the veneers in the mouth. 

I suggest visiting a cosmetic dentist for an in-person consultation. They can examine your teeth and answer all of your questions to help you decide which procedure to have. 

The cost of veneers varies depending on a number of factors, such as how many veneers you want, the quality of the veneers you choose, the experience of your dentist, and the complexity of your case. 

Porcelain veneers typically have a higher upfront cost than Lumineers, but they are also much higher quality and look much more natural. If you are concerned about veneers looking "fake," porcelain veneers will probably be the best idea, as they can be completely customized to match your existing teeth and mimic the appearance of natural tooth enamel. 

At my practice, we offer dental financing plans to help our patients fit the cost of veneers into their budget. When thinking about cosmetic dental work, don't just try to find the cheapest option available, as that could lead to unnatural or poor quality results that will end up costing you more money in the long run as you try to have them fixed. 

The cost of porcelain veneers will be higher than composite veneers or Lumineers, but in general the quality and longevity of porcelain veneers is much higher as well. Your final cost will take into account how many veneers you are having placed as well as the complexity of your procedure. If your teeth need a lot of prep work, that might affect the cost. 

Although porcelain veneers may seem like an expensive procedure up front, they last a very long time with proper care, so in the end most patients feel the investment is well worth it. Many dentists also offer financing plans that can help you with the upfront costs. 

From your photos, I would recommend straightening your teeth before trying porcelain veneers. It looks like you would be a candidate for Invisalign, just make sure that you visit a dentist who has experience treating cases like yours. Clear braces are also an option. 

Porcelain veneers may not last long due to your bite, so they are not the ideal solution at this time. After your teeth are straightened, you may want to look into veneers to perfect the look of your smile.

While Botox can be used effectively to temporarily treat TMJ symptoms, it doesn't fix the root cause of your TMJ and doesn't always work for everyone. I would suggest visiting a dentist who specializes in TMJ to explore other treatment options and find out why your jaw and neck have gotten worse. 

Jaw pain and headaches are typical signs of TMJ and can be triggered by bite problems. I would advise visiting your dentist and letting them know about your symptoms, so they can properly examine you and decide if you should pause your Invisalign treatments. 

Although it is impossible to say for sure what is causing your headaches without examining you in person, there is a small chance that you may have developed TMJ due to a change in your bite after having the implant placed. I recommend visiting a neuromuscular dentist to have your jaw examined to see if your bite has possibly become misaligned. 

Unfortunately, Medicaid typically does not cover elective dental procedures such as implants. It will probably cover your tooth extractions and fillings, though. It may also cover a basic partial denture. If you really want implants, many dentists offer financing plans that may help you to afford them. 

The best thing to do in your case is probably to find a provider in your area who accepts Medicaid and visit them for a consultation. Their patient coordinator will likely be able to find out exactly what Medicaid will cover and help you to finance any other treatment you may need.