Porcelain veneers are thin coverings, as thin as a “fingernail”, bonded over teeth to improve their appearance. They can be used to straighten smiles, close-up gaps and spaces, replace worn-down teeth and make teeth permanently whiter.
The procedure involves taking impressions of the teeth, any necessary x-rays and photographs. This allows Dr. Goldberg to ensure this restorative option is a great fit for the patient and their lifestyle.
Porcelain veneers procedure:
First, your dentist will examine your mouth, teeth, and “occlusion.” Occlusion refers to your bite, and how your teeth function with respect to each other. In certain cases, it is VERY important to take impressions and for your dentist to study these models with great intensity, and to also discuss your particular situation with the laboratory.
When the study is complete, the next step is to shape your teeth, take a new impression, put temporary veneers onto your shaped teeth, and send the impression to the laboratory. The lab will need anywhere between one and three weeks to fabricate your veneers.
At the following appointment, your dentist will bond the veneers, and your new smile will be complete.
Before and after: Porcelain veneers
Visit the Before & After photos to view some smiles Dr. Goldberg has transformed.
Composite veneers Procedure:
As with the first step for porcelain veneers, your “occlusion” must be examined and addressed. When everything is acceptable, your composite veneers can be started.
Unlike porcelain veneers, composite veneers can be accomplished directly in the dental office. “Composite” is the same material used for “white fillings,” but the process is more involved due to layering, intense shaping, and high polishing. Depending upon the number of veneers desired, the process can be accomplished in one to two appointments: since all patients are different, you’ll have to talk to your dentist about your individual time-frame.
Porcelain veneers vs Composite veneers
Traditionally, porcelain have been the most common material because composites have not been able to provide the same results as porcelain. However, that has significantly changed over the last few years, and today it is difficult to distinguish between the two materials.
Although porcelain veneers are typically problem-free, occasionally they pop off or chip. This can cause patients inconvenience and embarrassment, and then emergency visits to the dentist are required. A veneer that has come off can usually be rebonded, but chips are extremely difficult to repair, and sometimes impossible. Composite veneers don’t pop off like porcelain veneers, and if they do chip, they can be easily repaired.
Another huge difference between porcelain and composite veneers is the laboratory and temporization. With porcelain, a laboratory must fabricate the veneers, and occasionally they don’t fit correctly. This is stressful for both the patient and doctor, since new impressions, temporaries, lab time, and more visits are required. Also, with porcelain veneers the teeth must be temporized for one to three weeks, and occasionally these temporaries can break leading to more emergency visits. With composite, there are no impressions, no laboratories, and no temporaries needed.
How long do they last?
This is highly variable since people subject their teeth to stimuli with varying degrees:
- intensity and amount of clenching and grinding
- placing objects between their teeth such as pins, nails, pencils
- staining foods such as coffee, tea, chocolate and medications
- diet: foods that require more tearing or harder chewing will cause more stress than softer foods.
Typically, veneers should last between 7 and 15 years.
Individuals who have strong bites, heavy restoration work already done, and are teeth-grinders, are not good candidates. Those patients can always consider full crowns as a possible option in achieving the same results as porcelain veneers. When it comes to improving a smile, there are multiple options to most patients who come into Dr. Goldberg’s office. After the initial work-up, he will be able to make the best recommendation based on your personal situation, lifestyle, and budget.
Maintenance and care:
- Daily brushing, flossing, and rinsing is required.
- A DENTIST-made night-guard is a necessity: store-bought mouth guards can cause damage!!!
- Regular dental check-ups are necessary: typically every 6 months.
Daily care and regular checkups are necessary to help prevent decay (cavities) from forming, allow for early detection and treatment of cavities (before they get too large), and to help remove stain build-up.
Schedule a consultation
If you have questions or would like to schedule a consultation with Dr. Ira Goldberg to see if veneers is the right choice for you, contact us at (973) 328-1225 today!