What are dental veneers?
Dental veneers are minimally invasive ceramic laminates usually used on the buccal surfaces of your anterior teeth, preferably on the tooth enamel to improve their anatomy, color and aesthetics.
Sometimes they can be made of dental resin.
Veneers are one of the different types of fixed dentures available today, and the way to install veneers on your teeth is through different bonding techniques.
What differentiates them from dental crowns, whose installation may or may not depend on adhesive techniques.
As I explain in my post on dental crowns, all-ceramic can also be installed using bonding techniques.
If you prefer it on video
If you prefer visual content, I show you what veneers are in this short video by Dr. Edward McLaren :
Indications of dental veneers
When are dental veneers indicated? , Dr. Pascal Magne indicates them in the following scenarios:
- Teeth resistant to teeth whitening treatments.
- When the dentist and the patient deem necessary major morphological (anatomical) changes in the anterior teeth.
- In cases of large restorations in anterior teeth.
Teeth resistant to teeth whitening
- Color changes due to tetracycline in grades III and IV .
- Teeth that do not respond to any type of whitening treatment.
While it is true that if it is possible to achieve a change from heaven to earth in some cases of severe pigmentation with tetracyclines, the truth is that whitening will not all the time be effective on all teeth that suffer from such pigmentation.
Major morphological changes
- Conoid teeth.
- Diastemas and interdental triangles.
- Need to increase incisal length and prominence of teeth
I still see a certain trend, a fashion to believe that a smile design begins and ends with the treatment of veneers.
But Dentistry at the level of Aesthetics is much more .
One of the many scenarios that I always mention in my office in Caracas , is that it will be necessary for the patient to undergo orthodontic treatment.
However, despite the impressive results that this specialty can produce in you, it will not change the shape of your teeth.
And in this scenario, the veneers will supplement the results achieved to make you look more beautiful.
I give you an example, destructive habits such as bruxism or pagophagia could reduce the length of your teeth.
And with it reduce. what we dentists call. the vertical dimension.
In which case, oral rehabilitation could, among other treatments, include veneers to restore your smile.
Types of veneers
We have two types of dental veneers, depending on the material used:
- Made with different types of dental resins . Those made with this material can be direct , made in the same session in the consultation, or indirect , which are carried out in a time other than that dedicated to patient care who will return to another appointment to have them installed.
- Made with different types of dental ceramics . Depending on the type of ceramic, they can be feldspathic or lithium disilicate , and depending on their preparation they can be stratified, pressed or machined (CAD-CAM)
Some dental veneers can be made of a specific ceramic , but that does not imply that they are all of the same type of ceramic as I mentioned in the previous section.
What is the most recommended for you?
I could only tell you after a dental consultation , each case is a different world , in itself the subject of dental ceramics deserves an exclusive post.
For a long time, dentists have used feldspathic ceramic veneers , the veneers can be very thin, almost translucent and with a result that mimics your natural teeth.
In addition to a stability of color and brightness that exceeds that of those made with dental resins .
Besides that they require a minimum preparation of the tooth , if it is necessary, so your tooth enamel can be preserved to the maximum.
Advances in dental materials have led to the development of ceramics such as lithium disilicate, which is a ceramic with greater resistance to compression, and that is one of many available today!
Is it always necessary to carve the tooth? how much?
I answer you by quoting the Quintessence of Dental Technology , one of the most important Journals in Dentistry:
Today, it is unacceptable to sacrifice healthy enamel to create space for artificial restorative materials.
The bonding techniques associated with newer laboratory techniques have evolved significantly to allow maximum preservation of your dental tissues.
Novel Guidelines for Bonded Ceramic Veneers: Part 1. Is Tooth Preparation Truly Necessary? . Victor Clavijo & cols. Quintessence Dental Technology. 2016. Vol 39.
Which means that the dentist will make a minimum carving of your teeth only and exclusively when the case warrants it .
Colleagues have argued that one of the advantages of this type of veneer is that it is less time consuming.
Since by means of the direct technique it is possible to make them in the same appointment.
Here comes the but …
Although in this case it is: however , a veneer treatment requires:
- A prior planning. It is a step that the dentist cannot skip .
- These veneers, like those made with ceramic, require the dentist to take all the time necessary to perform all the previous treatments.
- It is strenuous for the patient to keep the mouth open for an extended period of time while the professional performs the layering of the material, one by one, in a single appointment.
- If they are made by indirect technique then: What is the difference in time with respect to ceramic ones?