Cosmetic dentistry options for me? Are veneers/caps stupid to do if you have quality teeth? How long do they last? (Photo)

If you do want a Hollywood smile then you can entertain the idea of porcelain veneers, which you will need minimal of 10 for your upper teeth! They are irreversible and once you have them, you can not go back to your old teeth! They last a long time, depending on who does them and many other factors...If you are happy with the color and shape of your teeth possibly close the gaps with Bonding, which is very conservative and Dental bonding does have their pros and cons!It is best to consult with an expert cosmetic dentist so he can examine your teeth and give you all the options.

You have already had orthodontics but your spaces have reopened.  This is usually a bite or airway issue.  Not correcting the underlying problem prior to doing veneers can give you problems.  Bonding of veneers is reliable but the can need repair or replacement.  I suggest looking into airway issues and tongue habits.I would address narrow maxilla first to make room for the tongue and eliminate dark buccal corridors and create a full wide healthy smile first.  Then you can consider veneers.  

You could use a combination of Minimal-Prep and No-Prep Veneers to achieve the results you're looking for.  It looks like your 2 front teeth are canted sightly.  From the photo they look like they may be a decent color/brightness.  The side front teeth (your laterals) look to be set back a bit and look a bit darker.  There is significant wear on your canines, and they have gaps behind them.Porcelain veneers (on 8 or 10 teeth) would fix all of these thing -- I would shoot for minimal prep on the 2 front teeth, no prep on the laterals, and minimal prep on the canines and premolars.  I would analyze your bite to discover where the forces are causing the wear and the gaps, and I would redistribute your bite forces to eliminate the heavy forces causing those things.Another approach could be to do no-prep veneers on your laterals, repair the wear on your canines with bonding (and use bonding to try to correct the forces), and use bonding to close the gaps.  Try to reshape your front 2 teeth to reduce the appearance of the cant.  This would not offer a super dramatic change/result, but would give you a nice esthetic result.

Hi:I definitley understand your dentists concern, however, if you want Hollywood smile, your only choice would be at least 10 uppe veneers and either whitening or 10 lower veneers.  You do not need crowns.  The main reason why veneers get replaced are as follow:1.  Gum recession, root of the tooth is showing2.  Chipping 3.  Cavity where the veneer meets the tooth.Best,Dr. Maddahi

Dentists that say that porcelain veneers don't last and require a lot of maintenance are really saying they have no idea how to do them well and may have only seen work from OTHER dentists that don't know how to do them well.  If done well, you can get a nearly perfect smile that will last MANY years.If YOU want a perfect/Hollywood smile, it just means YOU need to find another dentist.