Help. What veneer is best for tetracycline stained teeth? (photo)

Tetracycline staining is actually inside the tooth and it gets darker towards the center of the tooth. Tetracycline stains are a result of taking the antibiotic while the teeth was developing from about age 3 to age 10. In your case combination of teeth whitening and porcelain veneers is a great approach for tetracycline tooth stain but make sure you get treatment from a well experienced cosmetic surgeon because you have two things to be correct i.e. teeth color and shape. 

before you even consider veneers I might recommend orthodontics to correct your crossbite. Doing veneers would  create an effect of your having only 6 front teeth. Properly done your dentist should be able to mask out the tetracycline stain but would recommend finding a dentist who specialize in cosmetic dentistry. If orthodontics is not an option I would recommend extensive whitening to decrease the gray appearance.

Feldspathic veneers in general are much more natural looking than Emax veneers.  However, your dentist will make that decision base on your habits like grinding.  You need to make sure your cosmetic dentist works with a great technician to mask the stainning on your teeth without too much opaquing, as opaquing kills the natural look of beautiful veneers.  

Preparation for a tooth with tetracycline stain can be very complex.  The underlayer is actually much darker than your enamel.  Is your goal to address the shape of your teeth or the color?  If you are solely looking into the color, do some research on Kor whitening, it has remarkable results and would not involve removal of tooth structure.  If you're looking to change the shape of your teeth, be sure you speak with a very experienced cosmetic dentist, based on your photos your case is complex not only for the tetracycline reason but also your bite.  Minimal preparation would be very important for your veneers.  The dentist needs to use an excellent lab that can build in opacity to block the dark tooth.  This may make your teeth appear less natural than a translucent porcelain veneer, but it will address the tetracycline stain you mentioned.  Best of luck to you, do your research.  Smiles, Dr. Shelton

When the enamel is removed from a Tetracycline stained tooth, it actually becomes much, much darker in appearance.  I recommend the minimal preparation veneer technique using thin veneers. I instruct my lab technician to build in more opacity to the porcelain and I then use an opaque cement used in this type of situation.  This prevents drilling away the enamel which makes the dark tooth even more dark which then has to be covered up anyway, so why drill it down?  Also, the bond to dentin is a weak one and the veneers will come loose easier than if they are bonded to the enamel which would never have been removed in the first place if minimal prep veneers are done.  Your teeth may look brighter than a normal case which didn't have the Tetracycline issue, but my patients have been very satisfied with the results I achieved for them when they had lived decades with the dark, striped, stained Tetracycline affected teeth.

Hi:
I have used both Emax and feldspathic Porcelian Veneers to create beautiful Hollywood white smile.  If you are a clencher or grinder I definitely recommend Emax, if not I recommend feldspathic  porcelain veneers since it is more aesthetic.  However, please consult an expert cosmetic dentist since this is not an easy case.  
Best,
Dr. Maddahi

porcelain veneers, when done right by an expert comestic dentist, can be a very good option to mask your stained teeeth.
The key is to find a dentist who works with a lab technician who is able to mask out the darker strains with feldphatic veneers , yet not make them too opaque. Opaque veneers kill the look of a natural smile and look fake. With the right mix of porcelain and underlying masking agent, it will look awesome.

For you to realize an ideal Hollywood smile, you really need to have your teeth realigned and straightened with braces or Invisalign prior to having veneers  placed.   This will help to straighten your gumline and to allow for less tooth reduction in preparation for the veneers .  The best type of veneer to assure blocking out the color of your tetracycline stained teeth would be a zirconia(Bruxzir) veneer that is cut back and layered with porcelain.  Zirconia will mask out all of the discoloration, whereas Emax may not.  For the most beautiful veneer, the choice would be a feldspathic veneer that masks out the tetracycline stain with an inner opaque layer.  However, this type of veneer would not be as strong or durable as a zirconia based veneer.  A bruxzir anterior veneer would be too translucent and would allow the dark color of your teeth to show through.  

The lithium disilicate gets almost unnoticed, as it obtains a natural hue, matching the exact color of the natural tooth and maintaining it for a very long period of time.In your case as you want a smile as white as possible will have to do minimal wear on the enamel to be able to get to what you want,Also some corrections in the contour of the gums will be necessary to achieve your desires, I would like to see more photographs to be able to make a treatment plan as close to reality.I also notice that a metal crown must be changed so that it does not break with harmony because your smile is very wide.In addition to this aesthetic benefit, this material provides durability and is less susceptible to fractures. I hope this helps, we are at your service