Upper Lip Protrusion. I Have Prepless Veneers on the Top 6 Teeth Could This Be Causing This?

Question

Also when I smile my lip catches the veneers and give an irregular contour to my lip.

Scott Young, DDS · Answer

A majority of the time prepless porcelain veneers look big and bulky. Most experienced cosmetic dentists rarely use this type of veneer for this reason. I would recommend seeing a cosmetic dentist and discuss your concerns with him/her. Good luck.

Mika Miyamoto-Shemali, DDS · Answer

Yes, prep-less veneers are the likely cause of the upper lip protrusion that you noticed.  You may wish to speak to the dentist who placed them for you about options.  He/she might be able to trim them a bit or possibly work with the lab that made them to manufacture another set for you.   Your dentist may ultimately have to use a hybrid type of veneer that would be a cross between no-prep and conventional veneers to achieve the result you seek.  
	
	Please, keep in mind that lip protrusion is not necessarily negative as it can also give you the appearance of 'fuller' lips.  You are the ultimate judge, however.

John Schmid, DDS, LVIF · Answer

Prep-less veneers have a very limited use in my practice.  It is a purely an additive technique which cannot correct many of the issues my patients complain about.  They are very conservative which is nice, however, If we sacrifice esthetics just to be conservative then we have compromised  the case.

	The practitioner has to be careful to not over bulk which creates over contouring.  Not only can this look unsightly but also impinge on lip movement.  I suspect this is what has happened in your case.

	Good Luck,

	John Schmid DDS LVIF

Frank Orlando, DDS · Answer

This is definitely one of the concerns for Prepless Veneers. If you are ONLY adding material to the front of your teeth - your face / lip may not be able to adapt to this new thickness and your lip may then protrude (it is being pushed out). Before any treatment is considered, you need to go over the risk/benefit of the treatment. Not every patient is an ideal candidate for Prepless Veneers. You may be able to get the fronts of the veneers reduced a bit if you do not like how it makes your lip protrude. Good Luck!

Charles Nottingham, DDS, FAGD (retired) · Answer

With prep-less veneers, since the tooth is not being prepped, the result can look more bulky. Therefore, yes, this could cause the upper lip protrusion that you are mentioning. The only way to know for sure is to be seen by a cosmetic dentist (always get a few opinions) so they can examine your case and also look at your bite on the upper arch. This is one of the reasons we typically do not prefer to do prep-less veneers in our office due to the lower quality aesthetic result patient's will have. Porcelain veneers done by a trained cosmetic dentist are generally the best method to insure that the teeth will look natural, beautiful, and not bulky. Best of luck!

Murray Bruckel, DDS (retired) · Answer

No prep veneers definitely add bulk to the teeth they are placed on.  I usually first place them with temporary cement to see how they look and how well the patient tolerates them

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