Will my veneer have to be a crown after teeth shifting? (photo)

Question

My 2 front teeth shifted recently. I am thinking of getting my veneers replaced soon, at least that one that shifted forward. Will too much enamel have to be removed on that one that it'll need to be a crown? I'd like to preserve as much of my teeth as I can for as long as possible. I don't want to pay $1000+ for orthodontics and then have to replace the veneers anyway in the near future. They are starting to stain around the margins on a couple of them. I've had them for 6.5 years.

Norman Huefner, DDS · Answer

There are two things that you much consider.  First, is that almost all teeth shift or move to some degree throughout life.  If they have already shifted since your veneers were originally placed, why did this happen?  Most likely you have some kind of unstable bite or possibly an oral habit (smoking, biting on a pencil, playing a musical instrument, a number of other reasons are possible).  So, when your new veneers are placed, ask your dentist about something to help stabilize your bite.  A retainer or night guard oftentimes will do the trick.Will you need to have a crown instead of just a veneer?  Possibly.  If the tooth sticks out too far you might even need a root canal.So, your choices as I see them so far are to either get orthodontics first, possibly just Invisalign, and then get the new veneers.  But understanding that you don't want to do that, new veneers or crowns, but have your dentist carefully evaluate your bite, looking particularly at your lower teeth that may be pushing them out, and after your new veneers or crowns and possibly root canal treatment, make sure to get a retainer or night guard to help keep this from continuing to happen.

Charles Sutera, DMD · Answer

Your teeth do appear to have some minor shifting as they are no longer perfectly aligned and leveled. However, the misalignment is very minor. If you replace your veneers due to staining around the margins the new veneers can realign the archform of your teeth without the need for orthodontics. This can be done with little to no loss of your enamel and will not require crowns unless there is decay found under your veneers.

Murray Bruckel, DDS (retired) · Answer

Have the 2 front teeth crowned and splinted.............................................................

Will my veneer have to be a crown after teeth shifting? (photo)

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Will my veneer have to be a crown after teeth shifting? (photo)

Answers (3)

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Everything you need to know about Porcelain Veneers

Our mission is to create a world where every investment in modern beauty is Worth It.