Category Archives: Porcelain Veneers

Porcelain Veneers During Pregnancy

I have an appointment to get porcelain veneers next week and just found out I’m pregnant. Do I have to cancel the appointment or can I go forward with it?

Lisa

Dear Lisa,

First, let me congratulate you! Becoming a mother is a wonderful thing.

In dental school, we are taught to schedule routine dental care during the second trimester of a pregnancy. This is for a couple of reasons. During the third trimester, it is hard for the mother to sit comfortably for any significant amount of time. You’ll want to have any work done before this period of time.

On the other end of the spectrum are the precautions recommended during the first trimester. We are trying not to introduce any chemicals into the body that are a risk to the baby. These first few months are the most sensitive.

The only chemical introduced during the porcelain veneer procedure is a local anesthetic, usually Lidocaine. This is considered safe during pregnancy. From that aspect, you are likely safe to go forward.

That being said, you may want to postpone to the second trimester out of an abundance of caution, to ensure you are past what is considered the danger period.

There isn’t really a right or wrong answer for this. There is nothing being introduced that is a problem from a medical standpoint, but pregnancies are unpredictable as is the human body, so there are not definitives.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Root Canal with a Porcelain Veneer

I have eight porcelain veneers that I love. I recently found out that one of the teeth needs a root canal treatment. I am a bit worried the procedure will damage my porcelain veneer. Is this safe or will I need to replace the veneer?

Maggie

Dear Maggie,

A single porcelain veneer being placed on a tooth

If your tooth needs a root canal treatment, you don’t want to leave the infection untreated. That would be quite dangerous. Dental emergencies have a way of turning into life-threatening medical emergencies when you don’t get timely care.

To put your mind at ease about your porcelain veneer, though, it shouldn’t have any impact on the porcelain veneer itself. One thing that does become an issue is the underlying tooth turning dark, which in turn will cause your porcelain veneer to turn dark. There is a way to forestall this, however.

Have your dentist carefully follow these instructions if they don’t already know this procedure.

The most important step is to make sure they get all the underlying material out of the canals from the root tip all the way to the crown of the tooth.

Once that is done, your dentist will want to put in a white fiberglass post. From there, he or she will fill the remainder of space with white composite material.

Doing this will keep the tooth white much longer than would otherwise be possible. It works even better when the tooth has a porcelain veneer, as yours does.

This blog is brought to you by Lafayette, LA Dentists Drs. Foreman and Thimmesch.

Smile Makeover Disaster

I need some advise. I had porcelain veneers done. The first time they came back they were way too thick. Even my dentist knew that by looking. I asked him to send them back, which he did. When they came back again, they didn’t really let me see them. They did tell me they could make any adjustments necessary after they were bonded on. That turned out not to be true. They ended up very bulky looking and, though I did ask for a white smile, they ended up chalky and fake looking . I absolutely hate them, but my dentist isn’t returning my calls. Do you have a recomendation of how I can get this fixed?

Carla

Dear Carla,

A single porcelain veneer being placed on a tooth

I think you’re suffering from having a decent family who is trying to do cosmetic dentistry he’s not qualified to do. Believe it or not, smile makeovers aren’t taught in dental school. A dentist has to invest in a significant amount of post-doctoral training in order to develop the skills necessary to create beautiful smile makeovers. My guess is your dentist didn’t invest in that.

True cosmetic dentists also know that it is the patient’s perception of their smile that matters most. Because of that, they will use a temporary try-in paste so you can get a good look at your porcelain veneers in a variety of lightings before they are bonded on. You have a legal advantage. He misled you regarding the ability to make changes to your porcelain veneers after they were placed, bonding them on without your official permission.

Getting Your Porcelain Veneers Done Right!

Normally, I would say insist on a refund, however, you mentioned he’s not returning your calls. That may be because he is avoiding you or, if we want to be generous, maybe he’s not checking messages as much if his office is closed during the COVID-19 quarantine. Though, they should be open for emergency procedures.

Leave him another message letting him know if you don’t hear back from him this time, you’ll be contacting a lawyer. That will kick him into gear. If you do end up having to get a lawyer involved, you have a pretty solid case. I’m sure his insurance holders will advice him to settle quickly.

When you go to have these re-done, I want you to be certain you use a dentist with both training and artistry.. Ideally, you’d see an AACD accredited dentist (which is different from just being a member). Accredited dentists are in the top 1% of dentists in the country. If you can’t find one of them within a reasonable distance to you, contact me again and we’ll help you find someone.

This blog is brought to you by Lafayette, LA Cosmetic Dentist Dr. Mike Malone.

Caring for My Porcelain Veneers

I recently had porcelain veneers placed, before all this quarantine craziness. I do love the veneers but want to make sure I take good care of them. Is there a particular toothpaste or mouthwash I should be using. Normally, I make my own mouthwash, but don’t want to use it if the ingredients are bad for my veneers. Our governor closed all dental offices so I don’t think I can even reach my dentist.

Here’s my recipe:

  • 8 oz. of filtered water
  • 8 oz. of 3% hydrogen peroxide
  • 2 T. of sea salt

Karli

Dear Karli,

A single porcelain veneer being placed on a tooth

I’m glad to hear you love your porcelain veneers. Too many patients end up with a disappointing smile because they don’t go to a skilled and experienced cosmetic dentist.

Caring For Your Porcelain Veneers

Let’s start with the toothpaste. Generally, for any type of cosmetic dental work, I recommend Supersmile toothpaste. It was specifically designed to work with all types of porcelain as well as normal tooth structure. Unique in its ability to keep your teeth stain-free without damaging the glaze on your porcelain veneers or the enamel on your teeth.

Other whitening brands of toothpaste contain abrasives. While they can make your teeth look whiter and cleaner for a while, they are also putting micro etches into the tooth, which will cause it to pick up stains more quickly.

As for mouthwash, when you brush and floss regularly, you really would only need mouthwash occasionally, if at all. If you do want to use a mouthwash, the one thing you want to avoid is any mouthwash which contains alcohol. The alcohol will eat away at the bonding that keeps your veneers attached to your teeth.

The recipe you listed, while safe for your porcelain veneers, has one ingredient which requires caution. Hydrogen peroxide is great at killing bacteria. Unfortunately, it will also kill the helpful microbes allowing candida yeast to thrive.

If you use this recipe sparingly, like once a week, you should be fine. Much more than that and you’ll end up with thrush, which is an oral yeast infection.

I hope this was helpful. Enjoy the extra time with your family during this COVID-19 quarantine.

This blog is brought to you by Lafayette, LA Dentist, Dr. Mike Malone.

I swallowed a porcelain veneer

I’ve spent quite a bit of money getting a full-mouth smile makeover with porcelain veneers. I feel it has been a disaster since they were placed. First, while all of them seem bulky, one side of my mouth is significantly bulkier than the other which makes it look like two different smiles in my mouth. Second, you can see my natural teeth at the edges of the porcelain veneers. Third, they keep coming off, which forces me to rush to the dentist’s office to get them placed back on. Finally, yesterday, one came off while I was eating and I think I swallowed it. Can this be fixed?

Megan

Dear Megan,

A single porcelain veneer being placed on a tooth

What a disaster. It seems to me like your dentist doesn’t understand even the most basic of cosmetic work, bonding the materials. If your dentist had bonded your porcelain veneers on correctly, you would never have to go back and have it re-bonded on, let alone swallow one.

Based on all the issues you’ve mentioned with your smile makeover, my guess is they never let you get a good look at your new smile before they permanently bonded them on? Given that you were paying to have a beautiful smile, they should have allowed you to give the okay to the porcelain veneers before bonding them.

Unfortunately, there isn’t a recognized specialty in cosmetic dental care, which makes it extremely difficult for patients to know who can create a beautiful smile and who cannot. The dentist you went to obviously can’t. There are too many errors in your smile makeover to go over all of them, but two, in particular, entitle you to a refund, which will allow you to get this redone properly by a qualified dentist.

Mistakes Your Dentist Made with Your Porcelain Veneers

The standard for cosmetic work, sadly, is determined on whether or not your smile is functional. Fortunately, (if you can call it that) yours isn’t.

First , you have the bonding issue. If the porcelain veneers haven’t been staying on, the smile makeover isn’t functional.

Second, the margins. You said you can see your teeth from “underneath” at the edges. This means your dentist didn’t get the veneers flush against your teeth, nor did he go as far as he should have.

This creates a little shelf, where food and other types of bacteria can get trapped, leading to decay. So, he put the health of your teeth at risk with the poor way he did your case.

Tell him you want a refund.

Getting a Beautiful Smile ‘Makeover

Once you’ve secured your refund, it is time to get back on the horse. I would have an AACD accredited dentist be the one to do your smile makeover.

In order to become accredited, they had to pass stringent exams in order to show they have the technical knowledge about their field. Secondly, they also have to provide a large number of pictures, both before and after, which show what type of beautiful results they get.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.

Three Different Color Teeth with Porcelain veneers

I had four porcelain veneers placed on my front teeth. Unfortunately, the two in the very front are turning gray. This has left me with three different colored teeth. First, there are my natural yellow teeth, which still show on either side of my porcelain veneers. Then, there are the white veneers next to them, and the two front teeth which have turned gray. I feel this whole endeavor has been a disaster. What can be going on and what can fix it?

Marla

Dear Marla,

A single porcelain veneer being placed on a tooth

The main problem you are facing with your smile makeover is the inexperience of your dentist. First, the porcelain veneers on your front teeth are defective. This can happen to a new cosmetic dentist. However, an even more basic error was made.

If you are only getting four porcelain veneers and your teeth are yellow, your teeth need to be whitened before your veneers are placed. Your dentist didn’t even know enough to do that.

As for the grey veneers, there are two possibilities I can think of immediately. I couldn’t tell you which without a photo, but I can describe it to give you an idea of what to look for.

If they are uniformly grey, then it’s likely the glaze has been removed somehow. This destroys your porcelain veneers because the glaze is what protects them from picking up stains.

If the gray is uneven, you may have what is known as microleakage. This means the bonding isn’t done correctly and you’ve got things getting between the porcelain veneers and your teeth. This will not only give them a splotchy look, but it will lead to decay.

Fixing a Porcelain Veneer Disaster

Because your family dentist is in over their head, I don’t think they’re going to be able to fix this. You need to ask for a refund and have this case redone by an expert cosmetic dentist. They’ll likely first suggest you whiten your teeth. Then they’ll do the case from scratch.

My suggestion is look to see if there is a dentist who is accredited by the American Academy of Cosmetic Dentistry in a reasonable distance from you. AACD accredited dentists are the top cosmetic dentists in the country. They will provide you with a stunning smile you will be proud of.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.

does smoking stain porcelain veneers?

I am almost done paying for my porcelain veneers. I’m a little worried because they have started picking up stains around the edges. I do smoke. I’m wondering if my smoking is the problem. If so, shouldn’t my dentist have warned me about this? I was told they were very stain resistant. What should I do?

Ben

Dear Ben,

A single porcelain veneer being placed on a tooth

As long as your porcelain veneers still have their glaze, they are very stain resistant. In fact, they are more stain-resistant than your natural teeth. However, there are things that can damage the glaze. If your hygienist used something like a power prophy jet during your cleaning, or even acidulated fluoride, the glazing would be damaged enough.

Once that happens, they quickly begin to pick up stains. I don’t think this is your problem, though. If that were to happen, the staining would be over the whole tooth and you’re saying it’s just on the edges.

To me, this is saying the major problem you’re facing is with the resin which is used to bond your porcelain veneers to your teeth. Your dentist likely polished these when you first had the veneers placed. However, these can stain. They’ll stain faster if you smoke.

Your cosmetic dentist who did the work should have told you what needs to be done to care for them. Here is a great link about regular maintenance for your porcelain veneers.

In the meantime, you still need to have these stains dealt with. I want you to go back to your cosmetic dentist and have him polish the sides. They should use an ultra-fine polishing strip in this area and a special ultra-fine aluminum oxide polishing paste. This will help with the staining and increase the longevity of your smile investment.

Don’t have your family dentist try to do this. Most of the time, knowledge like this is limited to those who’ve studied cosmetic dentistry.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.

covering tetracycline stains

I have pretty bad tetracycline stains, as did my sister. She had porcelain veneers put on them a number of years ago. While they look better than my teeth, they do not look natural. They told her they had to use an opaquer in order to get them to cover the stains. I was hoping in the last few years or so they’ve made some advancements so that if I had porcelain veneers done, they would look more natural. What are my chances?

Avery

Dear Avery,

A single porcelain veneer being placed on a tooth

When it comes to making natural-looking porcelain veneers, the need isn’t for better advancements; rather, it’s for better cosmetic dentists.

The technology has been around for years, but very few cosmetic dentists have the training and skill required to pull it off. To be fair, tetracycline stains are among the most challenging a dentist can face.

The porcelain veneers have to be opaque enough to cover the stains, yet translucent enough to reflect light and look normal. I would say only the top 1% of dentists in the country are capable of pulling this off.

Finding an Expert Cosmetic Dentist

If you want the best cosmetic dentist, and you will need that for tetracycline stains, you will want an AACD accredited dentist.

The American Academy of Cosmetic Dentistry realized, because cosmetic dentistry isn’t a recognized specialty, patients would have a hard time distinguishing who was actually skilled and who just dabbled.

To reach accreditation, dentist have to pass stringent oral and written exams as well as provide a large number of cases which demonstrate they have artistry in their work as well.

Those who reach this level are in the top 1-2% of dentists in the country. You can locate them at aacd.com. Just make sure you check you want an accredited dentist.

This blog is brought to you by Lafayette, LA Cosmetic Dentist Dr. Mike Malone.

porcelain veneers during pregnancy

I’ve been saving up for a smile makeover. I just reached the amount I needed and I found out I was pregnant. Am I able to move forward wtih the porcelain veneers or do I need to wait until after the baby is born?

Melinda

Dear Melinda,

A single porcelain veneer being placed on a tooth

Congratulations on your new little one! While there are so many things you’ll have to protect your new child from, porcelain veneers won’t be one of them.

There are some cosmetic procedures which are not recommended during pregnancy, such as teeth whitening. This is because, especially during the first trimester, when the baby is most vulnerable you don’t want them ingesting any unsafe chemicals.

Fortunately, porcelain veneers do not have anything which could endanger your baby. The only chemical used would be lidocaine which has already been proven safe in pregnancy.

It is up to you at this point. Some women struggle with intense nausea during their first trimester. That may make having your mouth messed with a challenge. Because of that, you may want to wait and see how your body reacts to this new baby first. If you seem to be fine, you can move forward. If not, there is no harm in waiting.

Who Should Do Your Porcelain Veneers?

You don’t want just anyone doing your smile makeover, though. This is a once in a lifetime procedure and you’ll want it done right. Because there isn’t a recognized specialty in cosmetic dentistry, there is no real way to know if the dentist doing your procedure has had enough additional training to do the job well.

In your place, I’d look for a dentist who has attained accreditation with the American Academy of Cosmetic Dentistry. AACD accredited dentists are the top cosmetic dentists in the country.

They’ve passed stringent oral and written exams to prove their technical knowledge. Additionally, they had to provide visual evidence on a large number of cases they’ve done to show they are also artistic.

Any one of them can give you a stunning smile.

This blog is brought to you by Lafayette, LA Cosmetic Dentist Dr. Mike Malone.

problems with my porcelain veneers

I need some advice about my porcelain veneers. Things haven’t gone well for me with this. My dentist did ceramic veneers. The first time they came in they were way too white for the adjacent visible teeth (and even for my personal taste). II told him I wanted them to match the other teeth (which we determined was an A2) asked him to redo them and he did. When they came back the second time he bonded them on without me getting to look at them. When I did see them, they were again too white. I’m assuming I’m stuck with that color now and am hoping to get the teeth next to them to match so I don’t feel foolish. My other problem is one of them broke in half horizontally. My dentist is replacing it and said he would do so for 3 years. Should I be worried they won’t last longer than that? I did pay a pretty penny. Would I have been better off getting porcelain veneers? Are they stronger?

Mandy

Dear Mandy,

A single porcelain veneer being placed on a tooth

Let’s start with the longevity and breaking of your porcelain veneers. These are tiny wafers, whether made of porcelain or ceramic. You could easily crush them in your fingers. Their strength comes from the bonding procedure, which your dentist obviously hasn’t mastered.

If you’d approved of the porcelain veneers before he bonded them, then yes, you’d be stuck with that color. The easiest solution to get the adjacent teeth to match is teeth whitening. Fortunately, only your natural tooth structure will whiten. It will have no real effect on your porcelain veneers.

That being said, I don’t think you have to accept the color you’ve been given. He bonded them on without your permission. Informed consent is the cornerstone of any practice–medical or dental. Without that, he committed malpractice. You have the right to a refund.

Getting Your Porcelain Veneers Done Right

When you have this case redone, I want you to have an expert cosmetic dentist do it. This way you will get a smile you’re not just satisfied with but proud of.

A true cosmetic dentist would never place a smile unless you are thrilled with it. Most of them have a beautiful smile guarantee.

Look on the website of the American Academy of Cosmetic Dentistry (aacd.com). They have a link to find a cosmetic dentist. When you do the search, make sure you place a check mark on accredited. You want an accredited cosmetic dentist. These are the ones who can give you the right smile.

This blog is brought to you by Lafayette, LA Cosmetic Dentist Dr. Mike Malone.