Category Archives: Porcelain Veneers

Porcelain Veneers

Why are my 1-Year Old Porcelain Veneers Staining?

I’ve had porcelain veneers for about one-year. In fact, I’m still paying on them. I noticed today they’re picking up some mild staining between my teeth. I thought they were stain resistant. Is something wrong? What do I do?

Karlyn M.

Dear Karlyn,

A single porcelain veneer being held up by a dental tool

You’re right that porcelain veneers are stain resistant. In fact, they’re more resistant than our natural teeth and should last you many years with proper maintenance. If damage had been done to your veneers, which is possible if your hygienist uses a prophy jet or an acidulated fluoride, the staining is over the entire tooth.

Because your stains are between the teeth, it makes me think you’ve got some composite bonding staining there. Though, I couldn’t tell you exactly without seeing a picture of it. This is fairly easy to solve and is actually just part of routine maintenance for your veneers. However, your average family dentist won’t know this polishing procedure. So, for this particular part of your regular maintenance, I’d go back to the dentist who placed your veneers to begin with.

Proper Maintenance for your Porcelain Veneers

  • Daily Oral Care: Be sure you’re brushing and flossing regularly. While your veneers are decay resistant, the exposed parts of your teeth are not. You’ll need to keep up with your care so you don’t end up needing a filling on a veneered tooth.
  • Toothpaste: I’m sure your cosmetic dentist already told you this, but the ideal toothpaste for you to use is Supersmile toothpaste. It’s specifically designed for use with cosmetic work.
  • Regular Polishing: Just as your veneers were polished when you first received them, you need to schedule regular re-polishing appointments. The hygienist uses ultra-fine polishing strips in this area and an aluminum oxide polishing paste. For smokers, that’s even more important.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Why Does an Overbite Prevent Me From Getting Porcelain Veneers?

Can you help me understand something? I really wanted to have porcelain veneers placed, but my dentist said because I have an overbite, I’d have to get crowns. He wants to place six porcelain crowns on my front teeth. Is there another option? Also, if I go with the crowns, do I whiten my bottom teeth? Both arches have tetracycline stains.

Amanda L.

Dear Amanda,

Lafayette Porcelain Veneers

I’m very glad you wrote before moving forward with this procedure. It sounds like you went to your family dentist instead of someone with expertise in cosmetic work, and he’s not as comfortable with doing advanced cosmetic procedures. Rather than admit that, he came up with a rather creative (though completely untrue) excuse for why you can’t have it. Then recommended porcelain crowns because he is comfortable doing that.

Porcelain veneers are actually a better solution for an overbite. Crowns have to grind down your teeth. Porcelain veneers do not. Why would you want to grind down healthy tooth structure?

In fact, the two pictures below will demonstrate the difference in preparing for the two procedures.

Lafayette Porcelain Veneers
Tooth Preparation for Porcelain Veneers
porcelain crown prep
Preparation for a Porcelain Crown

As you can see, you save much more tooth structure with porcelain veneers.

Another thing to consider is the number of crowns he said to get because it’s equally applicable to porcelain veneers. Six is not enough. Most smiles show between eight and ten teeth. Some wider smile show even more. Take a close look at your teeth when you’re smiling broadly. How many are visible? You want each visible tooth covered.

So, who should you have do this smile makeover? Your particular case is especially advanced. Tetracycline stains are among the most difficult to deal with. You need an expert cosmetic dentist. In your position, I’d look for a dentist who’s accredited with the American Academy of Cosmetic Dentistry (aacd.org). Bear in mind accreditation is very different from membership. Any dentist can be a member. Accreditation requires a great deal of knowledge, skill, and artistry.

Your bottom arch can be whitened. Traditionally, teeth whitening isn’t the ideal for tetracycline stains, but if your dentist uses KöR Whitening, you should get decent results.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Why are My Porcelain Veneers Unnaturally Shiny?

I finally got the porcelain veneers I’ve always dreamed of. They’re the right color and the right shape, but they’re so shiny they look unnatural. It’s almost like a blinding light in photographs. Is there anything I can do to lessen the shine?

Margie

Dear Margie,

Dental work with all natural teeth but one
What Makes the Shine on Porcelain Veneers natural looking?

You’ve brought up something very interesting. Normally when we get questions about the shine on porcelain veneers is because the shine is gone. It’s the glaze on porcelain veneers which gives it the shine, which is important. That’s what makes the porcelain veneers so stain resistant. But, it has to be done correctly. It sounds like yours may not have been.

What Makes the Shine on Porcelain Veneers Look Natural?

When done properly, the shine on the glaze helps the veneers to look like your natural teeth. Our natural teeth reflect light. You want your smile makeover to do the same. Look at the picture above. All of the teeth in the picture are natural except one. I bet you can’t tell which. The difference is in creating the right texture.

If yours are too shiny, the dentist may have the veneers too flat. That wouldn’t look natural at all. In fact, it could be visually assaulting, which is what you seemed to indicate.

How True Cosmetic Dentists Prevent Porcelain Veneer Disasters

Expert cosmetic dentists will make sure you love your smile BEFORE they bond it on. They’d use a temporary try-in paste and let you get a good look at them in various lights. If you’re not thrilled with them, they won’t bond them on.

Unfortunately, the only way to lessen the shine is to remove it. The cheapest way to do that is to ask your hygienist to use a prophy jet on them at your next cleaning. In fact, most of our questions about veneers and shine have to do with inexperienced hygienists doing that without realizing they’re ruining the patient’s cosmetic work.

You don’t really want to do this. Your veneers will not only look flat and unnatural, but they’ll immediately begin picking up stains. Instead, I’d visit your dentist and ask him to re-do them. You paid for a smile you’d love and didn’t get one. Also, insist he uses a temporary try-in paste and get your approval before bonding them on.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

My Porcelain Veneers Keep Staining – Dentist is Blaming Me

I don’t know what’s going on. I got porcelain veneers a year and a half ago. They looked beautiful when they were first placed. But, a few weeks after my six-month check up they started picking up stains. They come off whenever the hygienist cleans them at my next appointment, but it doesn’t take long for them to start picking up stains again. The dentist said it’s something I’m doing, but my natural teeth never stained this badly. Do you have any idea what can be causing this?

Stephanie H.

Dear Stephanie,

Porcelain veneers are actually more stain resistant than your natural teeth. So, if the smile you had before wasn’t being stained by your habits, you don’t seem to be the problem. The timing of when your porcelain veneers first starting picking up stains is the biggest clue. You mentioned it happened very shortly after your check-up. My suspicion is the hygienist used something during her cleaning which led to the glaze being removed from your porcelain veneers.

Once that happens, it will continue to pick up stains rapidly. Yes, the cleanings you get at check-ups will remove them, but they’ll come right back. Unfortunately, this can’t be fixed. While there is a diamond polishing technique that could help, it’s an extremely advanced procedure and very few cosmetic dentists know it. The only thing to do at this point is have them replaced. Because this was likely the fault of your dentist’s staff, they should be willing to front most of the cost of replacement.

If they give you trouble, you could have an expert cosmetic dentist in your area look at the veneers to give a second opinion as to what happened. If it turns out the glaze was removed, that could put pressure on your dentist to make things right. Most dentists care about their reputation among their peers.

In order to find an expert cosmetic dentist, you can check with mynewsmile.com. They list artistic cosmetic dentists by area. Also, you can check aacd.com to see if there are any accredited dentists in your area. You’ll be in good hands with either of those.

Hopefully, this situation will educate your dentist on how to properly care for porcelain veneers in the future. As an aside, make sure you’re not using any whitening toothpastes. These are abrasive and can place minuscule scratches on your veneers. Instead, use a cosmetic toothpaste, such as Supersmile.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Dentist Refuses to Fix Son’s Tooth with Veneers or Crowns

I’m really frustrated. My 9-year-old took a bad fall. When he did, he lost half his front tooth. I want his repair to be stable. My first thought was a porcelain veneer but my dentist said no. Then I suggested a crown. The dentist said no. I don’t know what to do. Why won’t they treat him?

Laura K.

Dear Laura,

Porcelain Veneer being placed on a tooth

I know you’re frustrated. You want the absolute best for your son and it seems like your pediatric dentist isn’t cooperating. He may not be explaining things well, but he’s not wrong. Though, he should have told you what solutions would work.

With a child, their jaws and bite are in an almost constant state of flux. He will outgrow both the porcelain veneers and dental crowns so fast it could mess up a lot of things about his bite. Not to mention the fact that it would cost you a fortune to constantly replace them.

Alternative to Porcelain Veneers for a Child

The best solution at this point would be to have dental bonding done to make the tooth look completely natural. It’s much less expensive than veneers or crowns anyway. Then, when his jaw has fully developed you can look for a more permanent solution.

I’m assuming at this point the dentist checked for trauma to his nerves and such and that the tooth is safe. If he hadn’t, I’d go see an emergency dentist just to have his teeth looked at and make sure no permanent damage is done where he’ll need a root canal treatment.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Why Is My Porcelain Veneer Staining My Tooth?

I don’t know what’s going on with my porcelain veneer. I had a large chip on a tooth on a front tooth. My dentist fixed it with a porcelain veneer a few years ago. For some reason it’s developed a black stain at the top near the gumline. What can I do to fix that? It’s a little embarrassing.

Wesley C.

Dear Wesley,

There are a couple of possibilities going on here. To determine which, we’ll need to be certain what you have is actually a porcelain veneer. A porcelain veneer is just placed on the front of your tooth. Very little is done to the actual tooth with the exception of some mild shaving. It’s possible your dentist placed a dental crown instead. For these, your teeth need to be ground down quite a bit, to a nub. Then a restoration is made that surrounds the entire tooth.

If you have a dental crown, based on what you’ve said your dentist likely gave you a porcelain-fused-to-metal crown (PFM). Though, for the life of me I can’t fathom why any decent cosmetic dentist would place a metal-based crown on a front tooth. The appropriate crown for a front tooth would be an all-porcelain crown. The metal-based crowns eventually develop a gray line at the gumline. You’ve only had your restoration a few years. That seems a little soon for the gray line to develop unless you have gum disease or possibly if you brush too hard.

If you do have a porcelain veneer, this shouldn’t be happening at all. It’s a sign your dentist didn’t bond it correctly. It should sit flush with your tooth. If your dentist doesn’t properly smooth it out they’ll be a ledge which can trap bacteria. Another possibility is the bond is so week things are getting between the veneer and the tooth. Both of these will lead to staining and, eventually, decay.

The solution to either of these is it needs to be replaced. If the problem is a crown, you’ll want to replace it with an all-porcelain crown. If it’s a veneer, your dentist should replace it free of charge. The mistake was his.

You may have to get a second opinion from someone who isn’t your dentist to get an honest answer.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Can I Switch My Metal Crowns with Porcelain Veneers?

I’ve got four metal-based crowns. I’ve never been thrilled with them. They’ve always looked more cloudy than my natural teeth, but it was better than no teeth. Lately, though, there’s been this dark line at my gumline. It’s making it impossible for me to smile without feeling humiliated. I’ve started avoiding going out in public. Last night, I saw an article about porcelain veneers. The pictures were stunning. First, are they really that gorgeous or was that clever photoshopping? Second, can I switch out my metal-based crowns with porcelain veneers?

Millie M. – Indiana

Millie,

No one should be embarrassed to smile. With that said, I don’t want you to feel alone. There are many people (Americans especially) who are unhappy with some aspect of their smile. We want perfection. Cloudy teeth you can maybe get away with. It’s not ideal, but it’s not necessarily distracting or ugly. A gray line at your gumline is both distracting and ugly. I understand your desire to make a switch.

Porcelain veneers really can be that stunning. Whether they are or not depends on the skill of the cosmetic dentist. A skilled, artistic cosmetic dentist can give you a gorgeous smile. Toward that end, I have good news and bad news regarding switching out your crowns with veneers.

First, the bad news. You cannot. It doesn’t matter what type of crown it is. The reason is the structural difference between the two treatments. Porcelain veneers bond to the very front of the teeth. Hardly any tooth structure is removed to place them. Dental crowns, on the other hand, fit over the entirety of your teeth, which requires grinding down a large amount of tooth structure. Because of that, there’s not enough tooth left for the veneers to be bonded to.

Now for the good news. You can still replace these ugly crowns and get a gorgeous smile. Instead of replacing your metal-based crowns with porcelain veneers, you can replace them with all-porcelain crowns. These can be created just as beautifully as porcelain veneers. Unlike their metal-based relations, all-porcelain crowns will not look cloudy. It’s the base that makes which makes that necessary in order to hide the metal. Also, you’ll never have to worry about them developing that unsightly gray line.

The key will be the dentist. The get the best results, look for an AACD accredited dentist. Accreditation is different than membership. You can purchase membership. Accreditation is earned by demonstrating proficiency in both technical skill and artistry.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Is it True I Can’t Have Porcelain Veneers with a Tongue Piercing?

I want to get porcelain veneers before my wedding, but my dentist said I can’t have them because of my tongue ring?  Do I really have to get rid of my tongue ring? It’s important to me.

Liz E. – Michigan

Liz,

No, you won’t have to get rid of your tongue piercing. You will be able to find a dentist who will give you porcelain veneers even with it. However, I want you to be aware of the downside of your piercing and why your dentist is avoiding giving you veneers.

Often, patients with a tongue piercing end up with chipped teeth. They bang the piercing against their teeth either accidentally or out of habit.

Another issue is shifting teeth. If you suck on the piercing, you’ll pull your teeth in a certain direction. It will also open up the margins on your veneers and leave you exposed to decay.

Your dentist would make a lot of money if he just gave you the porcelain veneers. In fact, he’d likely have you as a constant customer because of repairs to chips and things. The fact that he isn’t giving them to you says he cares about his work and not just  a paycheck.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Having Pain With My Porcelain Veneers

I got porcelain veneers. When my dentist put in the temporaries they felt okay. But, now that the real ones are in they’re giving me some pain. My dentist looked at them and said the bite is off just a bit. He adjusted them a few times, but it’s still hurting when I bite down. Do I keep going back or have them removed?

Sandy – Georgia

Sandy,

I don’t think what you have is porcelain veneers. If you had temporaries, and your dentist has adjusted them, and he’s saying your bite is off, that sounds more like porcelain crowns.

Your dentist needs to fix this or it will cause severe problems, including TMJ. If adjusting them doesn’t improve things, you may have an infection and that is what is causing the pain.  Have the dentist do the x-ray.

I’m a little concerned that you thought you had porcelain veneers. Was that what your dentist told you? Maybe have another dentist look at your bill and the work you had done.

This blog is brought to you by Dr. Mike Malone.

Porcelain Veneers

Why Didn’t My Porcelain Veneers Work?

I was very excited to get porcelain veneers. I was told they could make my smile taller and wider and make my gums look even.  That’s what my dentist and I discussed. Unfortunately, that isn’t what I ended up with. Don’t get me wrong. the veneers look good, but nothing has changed the size of my teeth or my gums, which you can still see when I smile. Why didn’t they work? Were my expectations too high?

Samantha B. – Washington

Samantha,

Your expectations of porcelain veneers weren’t too high. I’d say your expectations for your dentist were.  Porcelain veneers can widen your smile, as well as many other things. However, the solution for your issue would have included gum contouring.  Additionally, it would have had to have been done before the veneers were made, not after.

It’s likely your dentist is a great family dentist who dabbles in cosmetic work. He doesn’t have any real expertise. You could talk to him about re-doing them, but I’m not sure he’d really know what to do. It sounds like you’ll likely have to have them re-done by someone with more artistic and technical training.

If I were in your place, I’d look for someone who is accredited with the American Academy of Cosmetic Dentistry.

This blog is brought to  you by Dr. Mike Malone.