Cosmetic Dentistry Should Look Natural
You have great questions. I make my recommendations on the age of my patient, the discoloration and goal. If you are younger I strongly suggest" Cosmetic Composite(plastic) Bonding". You will replace the composite bonding and/or veneers at least once, depending on your age.
Veneers are great if you have severe discoloration, spaces or size discrepancy. Otherwise, you should start with bonding-You need a dentist to do a trial smile for you and that will set the template for making your teeth. IF you already have had actual veneer preps, you are pretty much stuck. Take your time to get the right answers. You can have your veneers redone if you don't like them!
What looks more natural, dental bonding or porcelain veneers?
If you've already had your teeth prepared (drilled to proper shape) for porcelain veneers, then you would be best off completing the porcelain veneer process. In general, porcelain veneers look much better than composite bonding. The three advantages of composite bonding is that less tooth needs to be prepared (drilled on), can oftentimes be done in only one visit, and lower cost than porcelain veneers that require a lab fee for the ceramist to make the porcelain veneers.
If you didn't like the veneers that your dentist tried onto your teeth, then your did the right thing by not accepting them at the try in stage. It is much better to put back the temporary veneers and have the lab redo them than to bond them into place and then later have to drill them off to redo them.
Communicate accurately about what you don't like about the way the porcelain veneers were done so that the ceramist can make the appropriate adjustments. Ask your dentist if he/she used a dedicated cosmetic dentistry lab, or an ordinary dental lab that does most everything. Believe it or not, some labs do better cosmetic work than others. Things to discuss with your dentist are the length, shape, color, surface texture, incisal translucency and balance and proportion of all the veneers.
Unfortunately, once you have had porcelain veneers placed, the option of doing bonding on these teeth virtually makes no sense, and is technically very challenging to achieve a good result. The concerns you raise can easily be avoided by having an experienced cosmetic dentist redo the treatment, who knows how to take the proper steps and protocol to ensure you are happy with the result, BEFORE the veneers are permanently bonded.
The temporary veneers can be placed, manipulated, adjusted, etc until you are nearly 100% happy, and then those results duplicated in the permanent veneers. Additionally, the permanent veneers are placed on your teeth (not bonded or cemented) and you should be given as much time you need (in the dental treatment room, with friends or family present to offer their opinion if so desired) to evaluate them before they are permanently luted to your teeth.
Steven M. Goldy, DDS
Porcelain Veneers versus Dental Bonding
I agree with the other responses and correctly placed and designed porcelain veneers can look natural and last a long time. The esthetic results are a combination of the skills of the dentists and his ceramist. Veneers can be designed to appear very natural and esthetic. They can also be designed to be Hollywood White.
Some factors that should be incorporated into naturally appearing veneers are:
-anatomy of the veneer
-shape and contours of the veneers
-glaze or luster of the veneer
-some degree of translucency
-proper embrasure space between the teeth
Perhaps talk to your dentist and discuss what your concerns are to see if he/she can help you with this.
Porcelain Veneers: What's the best option?
When performed by a skillful and experienced cosmetic specialist, porcelain veneers are the best choice for a natural and beautiful smile.
Best of luck.
James Asaf, DDS
Dental Bonding Vs Veneers for More Natural Looking Teeth?
The art of a beautiful smile is a lot more complicated that just putting bonding or porcelain on teeth. You probably need to redo your veneers with a more artistic dentist and dental lab.
If you have veneers an do not like the appearance find a better artist. Many people look for veneers or crowns like shopping at Target and looking for the cheapest price. Ceramic veneers can cost the dentist under $50 in lab fees or may cost several hundred dollars.
Fine art is more expensive. I suggest you find a doctor you trust, tell them what you want and work closely with them to achieve the results you want.
The first step is a diagnostic wax-uo to achieve ideal shape and position of final appearance including evaluating gum levels.
This is transferred to your mouth as provisionals and can be adjusted for ideal esthetics.
The next question is color, but color has multiple considerations.
Value is the "Brightness" of the restoration.
To understand think of a can of blue paint. you can add more and more white paint to the blue and you will have whiter and brighter blue paint.
Chroma is the color or hue, in the above example blue paint.
Translucency vs opaque appearance is another consideration as is natural looking incisal edge translucency.
Depending on the shade of the tooth different opaqueness may be required.
You can try veneers in with non-setting try-in paste to see the effect of the cements in more translucent veneers.
Yesterday, I did a single ceramic crown on a front tooth is an older gentleman. We created a base color for the crown and then my ceramist came and custom fired stains on the crown to make it invisibly fit into the existing smile. There is no way that could be done inexpensively.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Bonding vs Porcelain veneers
It sounds to me like the veneers are not made with the characteristics necessary to make them look like natural teeth. I still think that veneers are a better long term option because, if made beautifully and natural-looking, they will retain their look for much longer. Bonding generally stains over time, while porcelain can't. And it's very difficult to build in the necessary characteristics into bonding while working chairside. You generally can achieve much better results designing porcelain in the lab because you can master the shading and translucency better. The key is communicating with your dentist what you desire and working with a dentist who works with a great dental laboratory. My goal is always to make sure whatever restoration I put in does not look obviously fake, but rather blends with the patients other teeth and with their face.
Dental Bonding Vs Veneers for More Natural Looking Teeth?
So which is more natural that’s a
question that we get…which is more natural directed bonded veneers or porcelain
veneers. And I do have to say that
depending on the artistic skills of the dentist. There have been some unbelievably beautiful
and natural direct bonded veneers. But
it does take some serious artistic skills. So the easier answer to that would certainly be that well-done porcelain
veneers are the more natural and more beautiful alternative. That again depends on the skills of the
ceramist or the laboratory. The fact
that we see a lot of people walking around with fake looking teeth is
because…maybe the laboratories that have been chosen are not of the skill
levels that are expected for instance in my office and uh the direct bonded
veneers also. Its all about shape, its
all about contour, its about texture and anatomy and translucencies and all of
those things that make a tooth look natural need to be built back into it. But you must have people that understand that
and put that into the design.
Bonding versus Porcelain Veneers
Bonding composite veneers can be a wonderful procedure but only in the hands of a skilled cosmetic dentist as it is very technique sensitive.
There are certain short term cost savings also.
Most dentists would prefer porcelain or ceramic over composite for veneering their own teeth as long as it is done gently by removing the minimal amount of tooth structure needed for an excellent result.
In a nutshell I like to use the analogy of (composite is like tupperware while ceramic is like fine china)
Hope this helps
Dory Stutman AAACD FICOI
Porcelain Veneers Better Than Dental Bonding
There is no question that porcelain veneers are a better option than dental bonding for that many teeth. They should not look fake though. A great set of veneers should look extremely natural. They will hold their shine and will not stain. Bonding will dull after a period of time and aesthetically does not compare to porcelain veneers. Communicate with your dentist what you do not like and in the end you should have a fantastic result.