Tag Archives: Salem MA porcelain veneers

Can Children Get Porcelain Veneers?

My son is almost nine and he fell and chipped his front tooth. It’s a permanent tooth so I want to repair it in a way that will both last and look natural. I had porcelain veneers done several years ago because of stained and chipped teeth and love them. Can children have veneers done? I think he’d only need one.

Carla T.

Dear Carla,

A chipped tooth
Can Porcelain Veneers Fixed Chipped Teeth?

It’s fantastic that you’re looking out for your son’s smile. I especially like that you’re thinking through a permanent solution for him. While porcelain veneers can repair chipped teeth, I don’t recommend them in children.

Their jaws are in almost constant development throughout their childhood. That keeps the way their bite relates to its surroundings in flux as well, making it nearly impossible to keep on without changing it often. While technically do-able, it’s an expensive way to repair his chipped tooth, especially when there are better options.

Repairing a Chipped Tooth Without Porcelain Veneers

There are three basic options for repairing a chipped tooth. I’ll list them from most expensive to most affordable. You can click on each link to learn more.

You’ll have the same problem with porcelain crowns that we discussed above regarding porcelain veneers. However, this also will require grinding down a great deal of healthy tooth structure. Rarely do I suggest that.

Additionally, your son has experienced tooth trauma. You need to schedule an emergency appointment with your dentist so he can check for nerve damage and can take steps to deal with that, if necessary.

Dental bonding is the standard treatment for chipped teeth and it is a lot more affordable. While it will have to be updated every once in a while, it will hold up much better on a growing jaw because of its design.

Because dental bonding is done freehand, you will want to make sure you have an artistic cosmetic dentist to do the procedure.

This blog is brought to you by Dr. Randall Burba.

My Porcelain Veneer is Crooked

I’m not sure if you can help me but I’ll try anyway. I had bonding done on a front tooth that was chipped. That chip wasn’t that big. It kind of worn out after quite a few years. My new dentist said it can’t be replaced and I’ll need to have a dental crown placed. I wasn’t keen on that. Like I said, it’s just a small chip. Instead, we compromised on a porcelain veneer, but when he put it on it was crooked. Now he says because it’s bonded there’s nothing I can do about it. Is he right? I can’t go around with a crooked front tooth.

Denise H.

Dear Denise,

A single porcelain veneer being held up by a dental instrument

I’m concerned about the quality or honesty of the dentist you’re going to. First, there was no reason why he couldn’t have re-bonded your tooth. I have no idea why he told you that unless there’s something else going on that you haven’t mentioned. This is one reason I am questioning his honesty.

I’m thrilled you decided not to get a dental crown for the tooth. That would have been a massive overtreatment, costing you healthy tooth structure. I understand why you compromised on a porcelain veneer, which is a little better. However, it’s obvious your dentist didn’t have the skill or it would not have been improperly bonded. At the very least, without replacing it, he should have offered you a refund. it’s unbelievable to me he’s expecting you to go about with a crooked veneer.

In fact, it’s unethical. This doesn’t meet the minimum standards of treatment. At some point, because of how it’s placed, it will break off.

Who Should Do Your Porcelain Veneer?

You’re in a bind now. Here’s what I’d recommend. Go to a good cosmetic dentist and have them give a second opinion. I’m pretty sure they would tell your dentist it’s unsatisfactory. A dentist will sometimes listen to a peer where they wouldn’t listen to a patient. They’ll give you a refund so as to not look bad.

Then, you can go to another dentist to have it replaced. Finding an expert cosmetic dentist is a matter of knowing what resources to find. First, look for a dentist accredited with the American Academy of Cosmetic Dentistry (AACD).

If you live in an area where there isn’t one within a reasonable drive, your next step is to look on the mynewsmile.com website. They recommend highly qualified and artistic cosmetic dentists by area. You’ll be safe getting a dentist who can give you a great veneer. In fact, they’ll give you a gorgeous smile.

This blog is brought to you by Dr. Randall Burba.

One veneers looks off from the others

I had six porcelain veneers done.  I fell and chipped one of them.  My dentist replaced it, but it looks a little different from the others. I couldn’t tell at the dentist’s office, but the new one looks cloudy compared to the others. Is there anything  I can do to make it look like the others?

Jenny L. – Moore, OK

Jenny,

Unfortunately, once porcelain veneers are bonded on, the only way to change them is to replace them.  Matching a single porcelain veneer is a very advanced cosmetic procedure. It ttakes a highly skilled cosmetic dentist to do that well.

If you’re confident your dentist is skilled enough, than go ahead and have your dentist re-do it.  If, however, you’re a little concerned that he can’t match it, then don’t go forward.  You’ll only end up with another disappointing veneer.

My suggestion is you get an AACD accredited dentist. The AACD is the American Academy of Cosmetic Dentistry.  Dentists who reach accredited status are the top in their field.  They have to demonstrate not just technical proficiency, but also great artistry.

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

I can still see my tetracycline stains

My dentist said teeth whitening can take care of my tetracycline stains. I was so excited to get the whitening done, but you can still see the stains.  Why didn’t it work?

Cynthia S. – Portland, OR

Cynthia,

Tetracycline stains are some of the toughest to deal with. Some of the stains can be so dark that even teeth whitening won’t deal with them.

If you have an expert cosmetic dentist in your area, preferably someone AACD accredited, I recommend you get porcelain veneers.

Don’t just let any old family dentist or even one who calls himself or herself a cosmetic dentist do this. This is an difficult type of case to treat. Without the expertise, they will either get the veneers too opaque in an attempt to cover the stains or not opaque enough and the stains will show through.

You want the stains covered while having a natural translucency.

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

Stain on the edge of my porcelain veneer

I go to a very respectable cosmetic dentist. His staff is highly trained in the care of porcelain veneers, so what I’m about to tell you is not a result of them using some kind of power polishing equipment. I am aware of those dangers and so is my dentist.  I do want to know other possibility is.  I’m out of the country and can’t reach my dentist right now.

One, only one, of my eight porcelain veneers has a small gray stain at the top of it at the margin. What could be the problem?

Stanley W. – Boca Raton, FL

Stanley,

If you’ve eliminated power polishing equipment, then I would be leaning toward micro leakage.  You have to take into account that I can’t see what you’re describing, so this is just my best idea based on what you’ve written.

Let’s assume that these are older veneers, meaning they’ve been on maybe ten or twenty years. Let’s also assume the stain starts right at the edge of the porcelain veneers and involves the first millimeter or two of the veneer. These type of stains often confine themselves to the edge of the veneer.

It’s likely leakage, meaning the margin of the porcelain veneer has broken down and microscopic particles are getting between the veneer and the tooth. It starts being just a stain, but if not addressed and repaired, it can grow into decay.

You will not be able to have this stain polished out. The veneer will have to be removed and replaced.

I recommend you see your dentist and let him look it over.

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