Veneers uneven? Is this easily fixable? (Photo)

Question

I recently had porcelain veneers done. Dr took photos of them before cementing. I sat up after he cemented, looked in the mirror and at first glance felt like my front tooth looked snaggled. Like maybe it sticks out more than the other. He assured me they're placed correctly. He has since posted them on his social media before he cemented my teeth and I see my teeth bottom edges were aligned before cementing and not now. Could he have placed them wrong? Is this easily fixable?

YeahSmile - Cancun · Answer

It’s understandable to feel concerned when your veneers don’t look the way you expected after cementing. Here’s a breakdown of what could have happened and your options:
What Might Have Happened:Placement Adjustment During Cementing: Veneers are bonded individually, and slight misalignments can happen if they’re not positioned perfectly during the cementing process. Even a tiny shift can affect the overall look, especially with the front teeth.
Perception Change: The lighting or angles in photos before cementing versus what you see in the mirror can sometimes make small differences appear more noticeable. However, if the bottom edges were aligned before cementing and not after, it’s possible there was a placement issue.
Gum or Tooth Sensitivity Post-Treatment: Sometimes, swelling in the gums can temporarily make teeth look different, but this usually resolves in a few days.
Is It Fixable?Yes, veneers can often be adjusted or even redone if needed:
Minor Adjustments: If the issue is slight, your dentist may be able to polish or reshape the veneer to improve the alignment.Replacement: If the veneer was truly placed incorrectly, it may need to be removed and replaced. While this is more involved, it’s entirely possible to fix.What You Can Do:Express Your Concerns: Share what you’ve noticed with your dentist, especially the differences in the photos. A good dentist will want to address your concerns and make sure you’re happy with your smile.
Ask for an Evaluation: Your dentist can recheck the veneers to ensure they’re placed correctly and aligned with your bite. They might take new photos or X-rays for a closer look.
Consider a Second Opinion: If you’re still unsure or not satisfied, a cosmetic dentist can provide a second opinion to confirm whether adjustments are needed.
It’s important to feel confident in your smile, so don’t hesitate to communicate your concerns with your dentist. Fixing this issue, if necessary, is absolutely possible!
Dr. Miller Vieira Paula

Miller Vieira Paula, DDS · Answer

Based on your description and the images, it does appear that there may be a slight discrepancy in the alignment of your veneers post-cementation compared to the pre-cementation stage.
Here’s what you need to know:
1. Possible Causes:
• Veneers can sometimes shift slightly during the cementation process, especially if the cement is not evenly distributed or the veneer is not properly seated while curing.• Any unevenness in the underlying natural tooth structure might also affect the final placement.
2. Is This Fixable?
• Minor Adjustments: If the unevenness is slight, your dentist may be able to adjust the veneers with fine polishing or reshaping. This is a straightforward and non-invasive fix.• Replacement: If the misalignment is significant, one or more veneers may need to be removed and replaced. This process is more involved but can correct the issue effectively.
3. Next Steps:
• Schedule a follow-up consultation with your dentist to discuss your concerns. Bring up the difference you noticed between the pre- and post-cementation photos.• If you feel your concerns aren’t being addressed, consider seeking a second opinion from a cosmetic dentist experienced in veneer cases.
4. Long-Term Considerations:
• Proper alignment is crucial for both aesthetics and functionality. Uneven veneers can potentially affect your bite or lead to unnecessary stress on certain teeth.
Best regards, Dr. Miller Vieira Paula.

Veneers uneven? Is this easily fixable? (Photo)

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