Teeth are moving after veneers. What are my options now? (Photo)

Question

I am a 60 year old woman and I've never had any orthodontic treatment and my teeth were straight. A year ago I had 6 upper and 6 lower porcelain veneers done. In about 9 months my teeth started to move so now I have a visible gap between my 2 front teeth and they're still moving - the gap is getting bigger. The other teeth don't move and I didn't have any extractions. What could be the reason? What are my options now?

Helen Carmenate, DDS · Answer

If your teeth are moving after getting porcelain veneers, it's important to consult with your dentist or an orthodontist for an evaluation. Possible causes might include age-related changes, the impact of veneers on dental stability, oral health issues, or improper alignment of the veneers. Treatment options could involve adjusting or replacing the veneers, orthodontic treatment with clear aligners, and using retainers to maintain teeth position. Proper oral hygiene and regular dental check-ups are also crucial.

Beau Keller, DDS · Answer

One possible explanation for why the space is opening between your two front teeth is the way your upper and lower teeth are contacting when you bite.
If the lower front teeth are hitting the backs of the upper front teeth or veneers with excessive pressure, they can potentially place a forward or outward force on those teeth over time. That could contribute to the upper teeth shifting and a gap developing between the two front teeth.
My first recommendation would be to have your bite carefully evaluated. The dentist should check whether the lower teeth are contacting the backs of the upper veneers too heavily, especially during normal biting and when you move your jaw forward or side to side. If there is excessive contact, the bite may need to be adjusted before trying to close the space.
Once the cause of the movement has been identified and corrected, Invisalign or another clear-aligner treatment could potentially be a conservative way to close the gap without replacing your veneers. That may be preferable to remaking otherwise healthy veneers simply to eliminate the space.
If you do use Invisalign to move the teeth back into position, long-term retention becomes extremely important. I would expect to wear retainers every night indefinitely after treatment. That gives you a much better chance of keeping the front teeth from drifting apart again and maintaining the position of the rest of your teeth.
Because your teeth were previously stable and this movement developed relatively quickly, I would definitely determine why the teeth are moving first, rather than simply closing the gap and hoping it stays closed.

Kerem Turgut Atasoy, DDS, PhD · Answer

Hello. Unfortunately your crowns need to be re-made due to orthodontic movement of supporting teeth. Also possibility of periodontal disease should be eliminated which also may be another cause of movement of teeth

Nevsin Sener, DDS - Account Suspended · Answer

This gap has no relation with crowns. This may be because of bruxism or periodontal disease of your gums. We should plan treatment according to the reason of this situation. If you have a periodontal problem, first of all, you have to get periodontal treatment. If the reason is bruxism, you should use mouth guard for protection.

Teeth are moving after veneers. What are my options now? (Photo)

Answers (4)

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