Dr Hardeep Bhatta & Dr Allen Friesen
Suite 205 - 1465 Salisbury Ave
Port Coquitlam, BC V3B6J3
You may have heard the term “veneer” with reference to woodworking, where it means a thin layer of attractive wood that covers and enhances the surface of a piece of furniture. Exactly the same principle applies to porcelain veneers used in dentistry: A thin layer of ceramic material is used to cover parts of a tooth in order to improve its structure and appearance.
Porcelain is a non-metallic ceramic material that is fired in an oven at a high temperature to make it hard and durable. Dental porcelain veneers are thin layers of ceramic that can be applied to the outside of the tooth so that the end result mimics the natural color and translucency of tooth enamel. The underlying tooth structure has to be prepared by removing a small amount of the enamel, about 1 mm, which the veneer replaces. The veneer is then bonded to the prepared surface using a light-sensitive resin.
In woodworking, a veneer may be used to match the grain between the left and right sides of a piece of furniture, creating a beautiful effect on a curve, or simply to bring the appearance of expensive wood to a backing that is less expensive.
Just as a wood veneer improves the appearance of a dresser or table, porcelain laminate veneers may be used to improve teeth that have a number of cosmetic and functional problems. These include staining that cannot be removed by tooth whitening, teeth that are too small, misshapen, chipped or spaced too far apart. After an assessment of your teeth and your smile, we can create a mock-up using temporary tooth-colored materials so you can decide whether the suggested changes will work for you, or you can make suggestions for further improvements.
Porcelain laminate veneers may not be the best solution for you if your teeth are severely stained or damaged. In cases where a large proportion of the original tooth must be replaced, porcelain crowns may be the best solution. The crown is the part of the tooth that is visible above the gum line, and it can be covered with a porcelain crown that looks exactly like a tooth in shape and color. After studying your needs, together we can decide on the most satisfactory method to restore your most attractive smile.
If you have a tooth that just doesn't look good because of decay or injury, a porcelain laminate veneer is probably a good way to make it look as good as it ever did — and maybe even better! Dental veneers are composed of thin layers of dental ceramic material. They essentially replace the original tooth enamel and require preparation of the tooth by removing a small amount of enamel to allow room for the placement of the veneer.
Recently, more and more dentists have been using minimal prep or prepless techniques that do not require this preparation. In such cases, the porcelain is bonded directly to the outer layer of the tooth's enamel. Highly skilled dental technicians can design a custom-fit veneer that feathers into the tooth just short of the gum line.
Prepless techniques cannot be used in all situations, but when they are used appropriately the results are beautiful and very stable. Should you get prepless veneers? The following is a list of advantages and disadvantages of prepless veneers.
Advantages of prepless veneers include:
Working with prepless veneers requires special skills and training. Please discuss our credentials and experience with us when you inquire about this technique. We can assess your specific situation and let you know whether restoration without the drill is appropriate for you.
Contact us today to schedule an appointment to discuss your questions about prepless veneers. You can also learn more by reading the Dear Doctor magazine article “Porcelain Veneers Without the Drill.”
When speaking about veneers in dentistry, many people wonder what they are really made from and how they produce such natural results. The answer is dental porcelain...and yes, it really is a type of porcelain or glass. Even though they are made of porcelain, not all porcelains are the same. This is one reason there can be such a wide price range when comparing porcelain veneer pricing from one dentist to another. For example, the quality of the dental porcelain used and the expertise of the dental lab artisans greatly impact the price of a veneer — just like other pieces of fine art, pricing depends upon the materials used and the artistry of the person creating them.
Dental porcelains are used to create veneers because of their near ideal optical properties in mimicking natural teeth in shine, opacity, and translucence. And when you combine these facts with the artistry of the lab technician and your dentist skill's in placing the veneers, you begin to understand how veneers are virtually undetectable in cosmetically-enhanced teeth. Another reason for using dental porcelain is that they can be made in many colors, shades and translucencies to enhance the optical properties and natural beauty of whiter, brighter, and visually appealing teeth. However, do not let the word porcelain, fool you when it comes to durability. While veneers are not as strong as natural teeth they are not so fragile that you should worry about breaking or damaging them with normal wear and tear. However, you should avoid biting into extremely hard substances; using your veneers as a tool in lieu of scissors, tweezers, or pliers (you should not use your natural teeth as a tool either!); and twisting your veneers when biting into harder substances.
Even with good dental hygiene and care, your teeth may show signs of wear as you age. Fortunately, we now have ways to treat these symptoms of aging and restore a youthful look and function to your teeth and jaws.
All the tissues in your body are constantly in a process of breaking down (catabolism) and rebuilding (anabolism). During childhood the anabolic processes exceed the catabolic processes. But after you have reached physical maturity the balance changes and the breakdown process begins to draw ahead of the building up. The result: signs of wear.
In your teeth, the outer layer, the enamel, is a hard, mineralized substance that is resistant to wear. Under the enamel is a layer called dentin, which is a living tissue something like bone. As teeth age, the dentin layer thickens, causing teeth to lose some of their whiteness. Most wear to your teeth comes from the pressure of the upper and lower teeth's biting surfaces against each other. How much wear occurs depends on your bite or occlusion (how the teeth are aligned, and how they meet) and the ways in which you use your teeth.
Constant interactions between the biting surfaces of your teeth result in removal of small amounts of enamel. Your body naturally compensates for this wearing away of material. As teeth wear, they erupt from your jaws by tiny amounts, moving slightly up or down to stay in the proper occlusal relation with the teeth on the other jaw. They also slowly move toward the front of your mouth.
If the wear becomes excessive, your body can no longer compensate for it. At this point you may find that your bite relationships are not working correctly, and the lower third of your face loses height. This creates or accentuates an older appearance.
Some people clench or grind their teeth, applying greater than normal — and damaging — forces to their teeth. This problem, often a reaction to stress, is called bruxism. It can cause a number of problems from jaw pain to loose teeth or excessive wear or tooth fractures. If you suffer from excessive wear due to bruxism, a professionally made mouthguard may prevent further damage.
Modern dentistry can successfully restore the normal shape, appearance and function of worn teeth by installing porcelain crowns or veneers. These not only replace the tooth structure lost through wear, but they also restore the bite relationship. Crowns on excessively worn teeth can dramatically improve tooth color and facial appearance, resulting in a more harmonious, younger look.
Designing a better smile sometimes requires a change in the size, shape, or color of your teeth. Porcelain laminate veneers (thin layers of dental ceramic material) enhance your appearance by replacing the natural enamel on the outside of your teeth. A veneer is physically bonded to the surface of a tooth, in essence, becoming part of it.
Traditionally, a small amount of the natural tooth enamel is drilled away to allow room for the veneer. But today, in some circumstances, it is possible to use an approach where enamel reduction or preparation is not necessary because the veneers can be bonded directly onto the tooth's natural surface. These are called “Prepless” or “No-prep” veneers, and are used to create aesthetically pleasing and natural looking restorations. An advantage of the prepless procedure is that the process is reversible so that you can give your new smile a “test drive.”
In these cases you may need to have some form of orthodontic treatment to move your teeth into better position. Sometimes veneers can be used to create an illusion of proper tooth alignment, but some amount of tooth reduction may be required.
We can assess whether prepless veneers are right for you. There is no substitute for an expert dentist's talent and expertise with the various cosmetic techniques available today. These skills combined with a thorough diagnostic evaluation, and a clear understanding of your goals, are the keys to providing you with a successful and beautiful smile.
Contact us today to schedule an appointment or to discuss your questions about cosmetic dentistry. You can also learn more about prepless veneers by reading the Dear Doctor magazine article “Porcelain Veneers Without the Drill.”
A veneer is a thin layer of dental ceramic tooth-colored restorative material, usually made of porcelain, which replaces some of the tooth's enamel and is physically bonded to it.
You might want to consider porcelain veneers:
And the top reason is:
Tell us what you want to change about your current smile, and we can tell you whether veneers are right for you. Contact us today to schedule an appointment or to discuss your questions about cosmetic dentistry. You can learn more by reading about porcelain veneers in Dear Doctor magazine.
If you are unhappy with the appearance of your smile and would like to change it, we can help you determine what will work best, from a simple whitening to brighten your smile to a complete smile makeover — the possibilities are almost limitless! Consider a “Smile Design” customized just for you. One method of improving your smile is with porcelain veneers. Porcelain laminate veneer tooth restorations are thin layers of dental ceramic — a glass-like material created by dental laboratory technicians, the “artists” who exactly mimic natural teeth making them straighter, whiter, and brighter. They are used to replace worn, dull-looking stained enamel. In addition to making your teeth and smile whiter and brighter, veneers can even be used to change tooth shape and color, close small spaces, and reshape slightly crooked or mis-shapen teeth.
In order to determine if porcelain veneers are a viable solution to help you achieve the smile you have always longed for, consider the following questions:
If the answer to one or more of these questions is yes and whitening or other treatments have not given you the smile you want, we can help you assess the feasibility of porcelain veneers as one of the many options to enhance and improve your smile. We can fully discuss all the benefits, risks, alternatives, and costs associated with improving your smile.
Call us to make an appointment for a Smile Design consultation and we can get started. If you would like to read more information about porcelain veneers, as well as see a few before and after photos, read the Dear Doctor magazine article “Smile Design Enhanced With Porcelain Veneers.”
A veneer is a cosmetic dental procedure that we use in some situations to correct discolored teeth, small spaces or gaps between teeth, small chips or oddly shaped teeth, and teeth that are slightly misaligned by placing a thin shell covering over the teeth. They are artistically hand-crafted by lab technicians out of tooth-colored porcelain using precise molds that we have made in our office. We attach veneers to the tooth's surface using a special adhesive that creates a chemical bond. Veneers are often a key component in a smile makeover.
Traditional veneers will require some tooth preparation, a process where we reduce or file down some of the facial (front, visible) portion of your tooth by 0.3 to 0.7 millimeters. For this reason this cosmetic procedure is not reversible.
Veneers can last from 7 to 20+ years depending on how you care for them. This may include sleeping in a protective, professionally made mouthguard. And while porcelain is a durable material that can withstand a great deal of pressure, you must remember that they are a type of glass. You could possibly shatter a veneer if you bite into anything that requires a hefty amount of twisting movement and biting pressure.
By using the latest technologies and procedures, we will create the naturally beautiful smile of your dreams and we will restore your mouth to full functionality and optimal health. Contact us today to discuss your questions or to schedule a consultation.
Learn more about veneers when you continue reading the exclusive article from Dear Doctor, “Smile Design Enhanced With Porcelain Veneers.”