I severely chipped my two top front teeth. I just had permanent veneers put on both teeth. The front left veneer covers much of the tooth next to it which was not the case when I had my temporary veneers. This makes my tooth look way too big. Is it possible to shave down the veneer (on the side) so its not covering the tooth next to it? Possibly shave the veneer then add bonding?
Answer: Contouring veneers is only for minor changes The best treatment is to remake the veneers. Bonding composite on after the porcelain is shaved down will not last very long at all, so when these get remade, have a diagnostic wax up created. This allows the lab to design the case and let you see it before you start. Not all labs are the same, so it may take some homework from your dentist to find a lab capable.You are right, these could be better.
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Answer: Contouring veneers is only for minor changes The best treatment is to remake the veneers. Bonding composite on after the porcelain is shaved down will not last very long at all, so when these get remade, have a diagnostic wax up created. This allows the lab to design the case and let you see it before you start. Not all labs are the same, so it may take some homework from your dentist to find a lab capable.You are right, these could be better.
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January 24, 2016
Answer: What kind of veneers are these ? #DrSarahThompson #RealSelf100 I have no idea how your teeth looked prior to your veneers, so I can not say for certain that your dentist did a botched job. I would say that you may want to get your veneers redone, considering they appear not match your other teeth enough. I would not recommend shaving them; I would just replace them. Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSt. Louis, MO area (O'Fallon, IL)Real Self 100
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January 24, 2016
Answer: What kind of veneers are these ? #DrSarahThompson #RealSelf100 I have no idea how your teeth looked prior to your veneers, so I can not say for certain that your dentist did a botched job. I would say that you may want to get your veneers redone, considering they appear not match your other teeth enough. I would not recommend shaving them; I would just replace them. Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSt. Louis, MO area (O'Fallon, IL)Real Self 100
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December 21, 2015
Answer: Yes, to a degree porcelain can be contoured in the mouth, but with risk. While it is possible to re-contour porcelain restorations once they are cemented, there is a certain risk of damage to the porcelain occurring and even with great care this can potentially result. The use of high speed rotary diamond instruments can be used to recontour porcelain and these in conjunction with various slow speed polishers can bring a certain amount of the luster back, but it isn't truly the same as the glaze covering the surface which you will be removing (that glaze is the final addition when the porcelain restoration was fired in the oven at well over 1000 degrees Fahrenheit and so can't be replaced in the mouth). Areas of porcelain that do not have glaze, or which are not highly polished, will be more likely to pick up stain. One of the risks is that the porcelain restoration can potentially develop a crack or fracture, and in many cases that would ultimately lead to it needing replacement, and with that the challenges of remaking one restoration to match another (it is much easier when multiple teeth are fabricated simultaneously). Also, without being able to measure how thick the restoration is in the area you are adjusting (and this really is not possible once the restoration has been cemented unless you have access to the original working models that the restorations were made from), there would be a greater risk of perforating the restoration if a substantial change was being made (and so creating a hole in the porcelain in which tooth or cement shows through). From a practicality point of view, it is very difficult, and then at some point not possible, to get these polishing instruments in between the teeth as you approach the area where one tooth touches the neighboring adjacent tooth (we call this area the facial embrasure). So there are limits to what can be done unless someone willingly opens up space between the porcelain restoration and the adjacent tooth which, as you alluded to, would then require adding some sort of restorative material to the adjacent tooth if it is a natural tooth. Ultimately the decision to be made by you is whether the potential for improvement to the shape is worth taking on the risk of damaging the restoration. Perhaps it is if you really are not happy. I hope this information helps in your decision-making. Best of luck! Dr. Geen
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December 21, 2015
Answer: Yes, to a degree porcelain can be contoured in the mouth, but with risk. While it is possible to re-contour porcelain restorations once they are cemented, there is a certain risk of damage to the porcelain occurring and even with great care this can potentially result. The use of high speed rotary diamond instruments can be used to recontour porcelain and these in conjunction with various slow speed polishers can bring a certain amount of the luster back, but it isn't truly the same as the glaze covering the surface which you will be removing (that glaze is the final addition when the porcelain restoration was fired in the oven at well over 1000 degrees Fahrenheit and so can't be replaced in the mouth). Areas of porcelain that do not have glaze, or which are not highly polished, will be more likely to pick up stain. One of the risks is that the porcelain restoration can potentially develop a crack or fracture, and in many cases that would ultimately lead to it needing replacement, and with that the challenges of remaking one restoration to match another (it is much easier when multiple teeth are fabricated simultaneously). Also, without being able to measure how thick the restoration is in the area you are adjusting (and this really is not possible once the restoration has been cemented unless you have access to the original working models that the restorations were made from), there would be a greater risk of perforating the restoration if a substantial change was being made (and so creating a hole in the porcelain in which tooth or cement shows through). From a practicality point of view, it is very difficult, and then at some point not possible, to get these polishing instruments in between the teeth as you approach the area where one tooth touches the neighboring adjacent tooth (we call this area the facial embrasure). So there are limits to what can be done unless someone willingly opens up space between the porcelain restoration and the adjacent tooth which, as you alluded to, would then require adding some sort of restorative material to the adjacent tooth if it is a natural tooth. Ultimately the decision to be made by you is whether the potential for improvement to the shape is worth taking on the risk of damaging the restoration. Perhaps it is if you really are not happy. I hope this information helps in your decision-making. Best of luck! Dr. Geen
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December 20, 2015
Answer: Veneer issues Sorry to hear about your concerns for the veneers that you had placed. There is room for improving these veneers esthetically. The veneers need to be removed and remade. In my office we do a lot of planning for the veneers with a waxup from the laboratory so you know what the teeth look like. I would also suggest making sure you are happy with the results that you have before they are permanently bonded into place. Veneers are done to make your smile esthetically pleasing, unfortunately these do not and need to be remade. Good luck and if I can be of any assistance being in Philadelphia myself please call my office
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December 20, 2015
Answer: Veneer issues Sorry to hear about your concerns for the veneers that you had placed. There is room for improving these veneers esthetically. The veneers need to be removed and remade. In my office we do a lot of planning for the veneers with a waxup from the laboratory so you know what the teeth look like. I would also suggest making sure you are happy with the results that you have before they are permanently bonded into place. Veneers are done to make your smile esthetically pleasing, unfortunately these do not and need to be remade. Good luck and if I can be of any assistance being in Philadelphia myself please call my office
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December 20, 2015
Answer: Over-sized veneer I agree with you. There is room for improving these veneers esthetically. The veneers need to be removed and remade. Next time I would also suggest looking at them before they are bonded. It is much easier to make corrections to veneers before they are bonded. Veneers should blend with all of your other teeth, not call your attention to them. They are meant to enhance your smile. These do not.
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December 20, 2015
Answer: Over-sized veneer I agree with you. There is room for improving these veneers esthetically. The veneers need to be removed and remade. Next time I would also suggest looking at them before they are bonded. It is much easier to make corrections to veneers before they are bonded. Veneers should blend with all of your other teeth, not call your attention to them. They are meant to enhance your smile. These do not.
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