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I Need Root Canals after Porcelain Veneers

I had twelve upper and ten lower veneer crowns. My dentist told me there weren’t any risks in getting a smile makeover. I was fine during the temporaries, but when the permanent veneer crowns were placed, I started having pain. My dentist adjusted it at least five times before it stopped hurting. But, then a few weeks later I ended up with one of them abscessed. I had to have a root canal on the tooth. I asked him about this and he said that he doesn’t know what happened and I am just an unlucky one. Since then, this unlucky one has had to have five more root canal treatments on these teeth. What do I do? I am in complete agony.

Melissa

Dear Melissa,

I am glad you wrote. I want to clarify something first. There are porcelain veneers and there are porcelain crowns, but there is not something called veneer crowns. Unfortunately, there are some unethical dentists who place dental crowns and just call them veneers. One way to tell which one you received is by the tooth preparation your dentist did.

Tooth Preparation for Porcelain Veneers

When your teeth are prepared for porcelain veneers, there is very little tooth preparation necessary. Generally, your dentist will just remove the depth of a fingernail. The veneers themselves only cover the front of the tooth. It would be extremely rare for teeth prepared for veneers to need a root canal treatment, let alone the number you have had to have. My suspicion is that you have had dental crowns placed.

Tooth preparation for dental crowns

On the other hand, when a tooth is prepared for a dental crown, there is a great deal more tooth structure that is removed, as you can see from the image directly above. The crown will surround the entire tooth. It sounds like your dentist went even deeper than this based on your experiences.

If he told you that you received porcelain veneers but gave you porcelain crowns, he either lied or does not know his field well enough. Neither of those are great choices.

When a dentist is overly aggressive with tooth preparation it can lead to problems such as you are having. He needs to pay for the damage he caused. This is especially true because he told her there weren’t risks, when obviously there were.

Whenever possible, a smile makeover should be done with porcelain veneers instead of crowns because of the very risks you encountered, plus it is always better to save as much natural tooth structure as possible.

You’ll have to get any root canals done that are necessary in order to save your teeth.

I’m sorry this happened to you.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.