porcelain veneers Archives

What’s wrong with my porcelain veneer?

September 14, 2021 by Brian Sartin

I ended up getting a porcelain veneer done to fix my damaged front tooth. At first, I really liked it. It blended in perfectly with my surrounding teeth. No one seemed to notice I had any work done. I am wondering what’s wrong with it now? It has only been a couple years and I’m noticing a really dark line along my gums. Should I be concerned? I am starting to feel self conscious when I’m laughing and smiling. Do you know what happened?

-Pam in Missouri

Pam,

From what you have described, it actually doesn’t sound like you have a porcelain veneer. It is more likely that you have a porcelain-fused-to-metal crown. A porcelain veneer is a very thin layer of porcelain that is bonded to the front of a tooth. Typically, a porcelain veneers are used to improve the aesthetics of teeth. For example, minor gaps, discoloration and small chips can be addressed with porcelain veneers. But, a dental crown is used when a tooth is more severely damaged. For example, if a tooth is cracked or chipped, has too large of a cavity to fill or needs to be reinforced structurally, a crown is more effective. A porcelain crown covers the entire tooth, kind of like a cap.

When the framework is made of metal, the gums can recede over time and the metal is visible. That said, a couple years seems like a short time for the metal to be exposed. It is possible you may need to be checked out to rule out any other conditions, like gum disease. That way, the cause can be taken care of before the crown is redone.

Now, this is all based on assumption from what you have explained. It is possible that you did get a porcelain veneer. If so, it doesn’t sound like it was done properly. Or, the cosmetic dentistry may have been done by a dentist that didn’t have the proper expertise and training.

There have been cases where bacteria creeps into the gumline area with porcelain veneers that were not placed seamlessly. If this is indeed the case, you will need to have be seen for a professional exam and cleaning. If bacteria is gathering along the gums, decay will become an issue if it hasn’t already and the bond that holds the veneer in place may be compromised.

Thank you for your question. Hopefully this will give you some guidance as to what your next steps should be.

Fake-looking porcelain veneers.

September 14, 2021 by Brian Sartin

I have been saving up for years to have my smile improved with beautiful porcelain veneers. I feel conned and am so frustrated at how they turned out. I think they look huge when I smile and unnaturally gleaming white. Ugh! In fact, I saw myself in a photo and I think they honestly resemble Chicklets. Will I get used to them? Or do you have any advice? Please help, I’m feeling desperate.

– Rebecca in Idaho

Rebecca,

Sorry to hear that your expectations have fallen short. Porcelain veneers are a large investment and you should in no way have to settle or try to get used to them. Based on your description, it sounds as if you went with no preparation veneers or very little preparation for the teeth. These no prep veneers are appealing but sometimes just don’t work well on everyone. One popular brand of ultra-thin, no prep veneers is Lumineers and sadly, the comments you have made are not uncommon among Lumineer patients.

The bottom line is that porcelain veneers, really any type of cosmetic dentistry, truly is an art. The cosmetic dentist must have the right experience and advanced training in order to do beautiful work. The lab is also a very important competent in achieving beautiful veneers. Have you talked to the dentist? If he or she is a skilled cosmetic dentist, they will not rest until you are satisfied with your smile design. By nature, true cosmetic dentists tend to be perfectionists, so they consider your smile a failure unless you absolutely love it. Hopefully your cosmetic dentist will work with you to make them right. Otherwise, it may be wise to find an expect cosmetic dentist that can address these issues you are unhappy with. Best of luck!

What’s cheaper Lumineers or Durathin veneers?

September 14, 2021 by Brian Sartin

I want to get a smile makeover and have been comparing DURAthinveneers to Lumineers. Which one is cheaper? I think I am gravitating toward the photographs I’ve seen of Durathin. But I’m keeping my options open.

-Amanda in New Jersey

Amanda,

The first question that needs to be asked is, have you consulted with a cosmetic dentist yet? Or have you been searching online looking at pictures? In the day and age we live in, it’s true that we cost compare almost everything, from a new appliance to new shoes. But there is a shift that you need to make when considering porcelain veneers. This isn’t some product that you can return when it doesn’t fit right. The difference in the price of the porcelain between these two brands is approximately one percent. It really doesn’t matter the brand. The cost of porcelain veneers comes from selecting the right dentist. Any dentist can place Lumineers or Durathin veneers. But when it comes to a smile makeover, you’re talking about the first thing people see when you smile, how you feel at a job interview, and how others see you. You need to make sure you find an excellent cosmetic dentist that can make the right recommendations for your specific concerns and not just the cheapest option around.

Most expert cosmetic dentists won’t even place Lumineers. There are trademark restrictions on this brand of porcelain veneers that they must be manufactured in the Lumineers laboratory. Therefore, there isn’t much that the cosmetic dentist can do to tailor them to match your complexion, facial shape, and personality. Many patients end up feeling like Lumineers look bulky and others say the look fake and just aren’t happy in the long run. Therefore, if you are looking for an ultra-thin brand of veneers, DURAthin will likely win out.

But if you say that you are keeping your options open, then that is the best attitude. Meet with a cosmetic dentist, one that is truly artistic. It will be worth every penny you spend on yourself. Only 1-2% of dentists truly have the right background and training to create beautiful smiles. So do your research more on the dentist you select versus the brand that is cheaper.

Cosmetic dentist’s dental bonding is yellow.

September 14, 2021 by Brian Sartin

My daughter is in the thick of her teen years. She hated the discoloration on her front teeth. So we met with a dentist that was recommending a cosmetic solution for her two front teeth. The price wasn’t exorbitant, so we did it. Well, the dentists did tooth bonding and now they are yellow. Yes, two yellow front teeth. Ugly and embarrassing to any teen. I honestly think they look worse now than before. When I went in to complain, the dentist shaved off the bonding work and reapplied more. And it’s still yellow. It’s coming off too in some places. I think it looks terrible. Is there anything I can do? I’m having a hard time trusting this dentist to go back in? I’m not sure she knows what she is doing? Is that normal to remove it and reapply? Do you think I have a case to go to another dentist and ask reimbursement from the first?

– Betty in Kansas

Betty,

Thank you for sharing your daughter’s story. It sounds like it may be time to go see another dentist. And you definitely have a case in requesting that the original dentist cover the cost for the new work. But there is no legal recourse really that the original dentist must adhere to. In most cases, some firm persuasion does the trick. Most dentists will want to keep their reputation in tact by making it right. And worse case scenario you can mention that you are meeting with a lawyer. Good luck in how you approach her. Try to keep it cordial and not threatening in nature.

Dental bonding that isn’t done by an experienced cosmetic dentist can be mediocre at best. Unfortunately, it sounds like you had to learn the hard way. This work truly takes an artistic eye for creating beauty. Not just any dentist can do this kind of work. But how would you know? Fundamentally, general dentists are trained to fix things. They are solving some sort of functional problem. Whereas, an excellent cosmetic dentist is passionate about creating beautiful, natural-looking solutions with an emphasis on esthetics. In order to be an expert cosmetic dentist, extensive advanced training is required. Some general dentists dabble in cosmetic dentistry but don’t go to great lengths to hone their skill. And since cosmetic dentistry isn’t a regulated field within dentistry, it makes it very difficult for an average patient to know the difference. Only 1-2% of dentists really do beautiful cosmetic dentistry. So moving forward, check the dentist’s credentials and ask to see their portfolio of work for cases similar to your daughter.

Porcelain veneers may be a good solution for your daughter. But do not let the original dentist do the veneers. It doesn’t sound like this dentist has the ability or heart to give you a beautiful result. Or since your daughter is young, direct dental bonding by another cosmetic dentist may turn out much better. If you find the right dentist with the right credentials, yield to their recommendation.

Trying to decide between crowns or Lumineers?

September 13, 2021 by Brian Sartin

I am seeing a cosmetic dentist to close the gap between my some front teeth. They aren’t the ones right in front, but the ones next to the front ones. I feel like my smile has always been unbalanced and I’m ready to get it fixed. When I started looking around online, Lumineers seem like a good way to go so the dentist doesn’t need to remove any of my natural tooth structure. I really like that. But when I met with the dentist, he told me most types of porcelain veneers have problems and he wants me to get crowns. Is this really the only solution?

-Arnold in Georgia

Arnold,

If this “cosmetic dentist” is telling you that he has problems with porcelain veneers, it doesn’t matter if it’s Lumineers or another brand, he probably doesn’t have the expertise to place them. Not every dentist that claims he is a cosmetic dentist has the artistic ability or knowledge of dental bonding techniques to create a beautiful result. So don’t press him out of his comfort zone, or you may end up regretting it. When porcelain veneers are done correctly, they can last for well over 10 years or more. It may be that your dentist is much more comfortable with placing crowns. But, unless the teeth are decayed and require porcelain crowns, that is not the ideal treatment since such a large portion of the tooth must be removed to fit a crown.

It may be time to find seek a second opinion from an expert cosmetic dentist. Most dentists would suggest the least-invasive treatment. Before moving forward with any type of cosmetic dentistry, be sure to check out the dentist’s credentials and ask to see examples of cases that are similar to yours. Best of luck!

Why on earth did the dentist put stain on my Lumineers?

September 12, 2021 by Brian Sartin

I had four Lumineers on my teeth from a long time ago that looked ugly, so I’ve been planning to have them redone for awhile now. Well, I just had 10 new Lumineers done and I hated the color. The dentist used a stain to make them look “natural.” I thought I had thoroughly explained that I wanted a white smile. So when I called in to complain, he had me come back in to fix the color. He drilled off the top layer to whiten them, as I was freaking out inside. Do you know what it sounds like to drill away over $13,000?! Was drilling really the right way to handle botched Lumineers? Now, I’m left with dull, lifeless veneers. The shape is messed up too. Is there anything that can help?

-Beck in Illinois (a.k.a. Going Broke and Still Not Smiling)

Beck,

This sounds like a cosmetic dentistry horror story. And sadly, it happens more than you might think. At this point, it sounds like you are coming to grips with the fact that there isn’t much that can be done to fix your Lumineers. Although, if they are really bad, there is a chance you may be able to pursue a refund, either partially or hopefully a full refund. At that point, you may be able to have the porcelain veneers redone.

The first step is to find another cosmetic dentist to help support your cause. The new dentist would have a vested interest of course, since you will still need to have your porcelain veneers redone. So, the new dentist may be willing to put some pressure on the dentist to help you get a refund.

As you select a new dentist, you need to look for an excellent cosmetic dentist. As you have realized and experienced, not just any dentist can do cosmetic dentistry. Any dentist can claim to do it, but fewer than one to two percent of dentists have the artistic ability and passion to create beautiful work. Another issue at play here is that most true cosmetic dentists don’t like Lumineers. This is because this particular brand of porcelain veneers come with strict trademark restrictions, which dictate them to be done in their laboratory. Also, the results aren’t up to the standard of most excellent cosmetic dentists. In the mindsof a reputable cosmetic dentist, the best Lumineers case may deliver an okay or above average smile. They often end up looking opaque and bulky. An expert cosmetic dentist will settle for nothing less than perfection and for you to absolutely love their work. That is the dentist you’re after. One that would go to bat on your behalf so you end up with the beautiful smile you deserve.

As far as your comment about the stain to whiten them after drilling them down, this probably is a result of a technique taught in dental school. Instructors (without cosmetic dentistry expertise) would state that a “natural” stain should be placed on teeth, so they don’t look too white. He was probably taught that if the teeth were too white, they would look fake. But, a true cosmetic dentist will listen to you and deliver results that are exactly what you are trying to achieve. They will figure out what smile design is best for your face shape, personality and complexion.

In order to get the smile you have in your mind, unfortunately the cosmetic dentistry needs to be redone. This time around, choose carefully. Ask to see cases similar to yours, look at their portfolio of work and be sure they have extensive advanced training in cosmetic dentistry. If you find a dentist that is a member or affiliated with the American Academy of Cosmetic Dentistry, you are on the right track.

Sorry there isn’t better news for you. But thank you for sharing your story. Hopefully, it will protect another patient from falling into a similar situation with a dentist that isn’t equipped to provide beautiful cosmetic dentistry.

Is my mouthwash turning my porcelain veneers gray?

September 8, 2021 by Brian Sartin

Is it possible that my mouthwash or possibly my toothpaste is causing my porcelain veneers to turn gray? I had them done nine months ago and I didn’t anticipate them discoloring for years. When I jumped online I saw a reference about avoiding products with alcohol in them. Could this be the reason they are turning gray? My dentist didn’t give me any special instructions or recommendations on which products to avoid. Can you please let me know your opinion?

-Grant in New Jersey

Grant,

It is surprising to hear that your dentist didn’t provide you with any instructions on how to best maintain and care for your new porcelain veneers. Your initial search online does have some truth to it. But in addition to that, you should be aware of some other practices about keeping your veneers looking their best.

Avoid any dental hygiene products with alcohol in them. You should be able to find alcohol-free mouthwashes. Alcohol-containing products can be damaging to your veneers.
Your toothpaste should be non-whitening or non-tartar control. Regular Colgate or Crest formulations should suffice. This is because you need to avoid anything too abrasive. The stronger whitening toothpastes contain highly abrasive whitening agents. You may be interested in a product called Supersmile, which is recommended by many cosmetic dentists because it cares and cleans for the teeth without being harsh or abrasive.
Your toothbrush needs to have soft bristles. A hard bristle tooth brush can damage the protective glaze that covers the porcelain veneers.

Even if your mouthwash and daily hygiene products contain alcohol, this likely isn’t the reason your veneers are turning gray. It is possible that an alcohol-containing mouthwash combined with a hard bristle tooth brush could damage the margin. But if it is indeed the veneers that are turning gray, it sounds like the surface must be damaged.

Have you had a cleaning since having your porcelain veneers placed? The reason for this question is that some of the tools used by dental hygienists can damage veneers. For example, a Prophy Jet or other polishing equipment can damage the glaze and scratch those surfaces. Then, bacteria or food particles can cause discoloration of the veneers when the surface is scratched.

The other possibility is that your porcelain veneers may not have been made of some other material.

Hopefully this provides some insight into what could be happening with your gray porcelain veneers.

Is it normal for porcelain veneers to come off every couple months?

September 7, 2021 by Brian Sartin

I am wondering if I made a big mistake. I just had four porcelain veneers done on top and four on the bottom. As I was getting ready to leave, the dentist mentioned in passing that in a couple months they may come off. He didn’t act like it was any big deal and he said it happens every few months. He suggested avoiding crunchy foods and apples to help them last longer. What?! This would have been good to know BEFORE getting the porcelain veneers done.

-Shannon in Indiana

Shannon,

No! Porcelain veneers should not come off every few months. If they are done correctly, porcelain veneers should last for over 10 years or more. So, here’s the deal. If they do indeed come off, you need to demand a refund. This kind of thinking is simply not okay.

All dentists adhere to a certain “standard of care” to their patients. Even though cosmetic dentistry is different because it is more aesthetically driven, having porcelain veneers that fall off after a short time does not meet this standard. Sadly, the standard of care for cosmetic dentistry doesn’t compare to general dentistry. For example, if the veneers look bad, it could be perceived one way to you and another to a different patient. That is a somewhat gray area. But, they should absolutely stay on. And if they don’t you may have grounds to pursue legal recourse.

Also, you mention to avoid certain foods with your new porcelain veneers. Aside from opening a beer bottle with your teeth or other common sense practices, you should be able to eat any kind of food you’d like. You shouldn’t have to avoid crunchy foods!

In fact, you should try an apple. If the veneers pop off now, it may be better to know right off the bat. Because if porcelain veneers have been bonded properly, you will have no issue with the foods you eat.

Other than wearing mouth protection in contact sports and avoiding eating metal or rocks, you should not have to worry about the functionality of your porcelain veneers. Or if you tend to grind your teeth at night, it may be good to pursue a nightguard to protect them from the sustained stress of grinding.

Thank you for sharing your story. Hopefully, it helps someone else out. Unfortunately, you may not have seen an experienced cosmetic dentist for your work. Keep an eye on them. I’m curious to hear how this turns out. Please keep us updated.

Is Listerine ruining my porcelain veneers?

September 7, 2021 by Brian Sartin

I have always used Listerine. I love the way it makes my breath smell. Well, I am beginning to wonder if this is what is causing my porcelain veneers to turn grey. I use Colgate daily, so maybe the combination of the two products is damaging to the cosmetic dentistry work I’ve had done? My dentist never cautioned me on staying away from any brand of oral products. Is it possible these products are ruining my veneers? Please let me know your thoughts.

-Jess in Idaho

Jess,

It is quite unfortunate that your cosmetic dentist failed to advise you on the best practices to keep your porcelain veneers looking beautiful. You are on the right track. It sounds like your oral hygiene products may be damaging your dental work. Listerine contains alcohol and is not recommended for anyone with porcelain veneers. Also, it is important to use a soft toothbrush for daily brushing because harder bristles can be abrasive and damaging to your veneers. Colgate itself shouldn’t be an issue. That said, if it is one of the teeth whitening or tartar control types, the formulation may be too abrasive for your veneers too. Many excellent cosmetic dentists will recommend a product that works well for porcelain veneers, called Supersmile.

All that to be said, these products shouldn’t be the cause of the grey discoloration your are experiencing. When a patient’s porcelain veneers are turning grey, it is typically the type of porcelain that was used. Or it is possible that something has damaged the glaze that protects the veneers. Then, bacteria and food particles can compromise the color and overall longevity of your cosmetic dentistry. Or it is quite possible that the cosmetic dentistry may have been damaged during one of your cleanings by a dental hygienist. A Prophy Jet or any polishing equipment is damaging to cosmetic dentistry. It may be time to visit a new cosmetic dentist to evaluate what has happened and offer the best solution to improve the appearance.

Is there anything I can do to avoid my porcelain veneers from coming off occasionally?

September 6, 2021 by Brian Sartin

I just paid a lot of money to have eight porcelain veneers placed. I was really surprised to hear from the dentist that I should expect them to come off every couple months. He told me to avoid really crunchy foods, but is there anything I can do to help them last longer? It sounds like a pain to have to go back in to have them redone so frequently.

-Tamara in Oklahaoma

What?! That is absurd. Cosmetic dentistry is not regulated as a specialty area within dentistry. This means that any dentist can say they do porcelain veneers or other cosmetic dentistry services, like dental bonding, without any additional training beyond dental school. Porcelain veneers should not come off regularly. That is a very poor standard of care and is unacceptable. If the veneers come off before a year of being placed, the dentist should be liable for that. You should have every right to request a refund, as well. When porcelain veneers are placed correctly by an expert cosmetic dentist that has had the appropriate training, they should last more like ten years.

Also, you shouldn’t have any dietary restrictions. Apples, chips, and other crunchy foods should be eaten without a second thought when porcelain veneers are done correctly. Now, don’t go around using your teeth for tools and opening cans or packages. But you should be able to eat normally. If the dental bonding was done correctly, they should not fall off.

Now, if you have a night grinding problem or take part in contact sports, a night guard and mouthpiece should be worn. But it is completely inaccurate and not within the normal standard of care to state that the veneers would come off on occasion.

If indeed you encounter this happening, you should be able to request a refund. Then, it will be time to find a reputable cosmetic dentist in your area and move on.

Thank you for your question. This kind of misinformation is ridiculous.