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Medical Forum / General / Dentistry / June 2005Any opinions on Veneers?
Okay, I've decided laser whitening isn't for me and according to most dentists my B2 shade wouldn't really improve much that way, so what about Veneers as an option for whitening my teeth, is this a realistic option? I have a few grand saved up but I know veneers are very expensive $800 per tooth I thought I read somewhere online. I'm just looking for a whiter smile, even if it aint like the movie stars. Theo > Okay, I've decided laser whitening isn't for me and according to most > dentists my B2 shade wouldn't really improve much that way, so what [quoted text clipped - 4 lines] > stars. > Theo Veneers could certainly give you whiter teeth. Generally you want to do at least the front six tooth on either arch you wish to treat--sometimes more. It would also be able to mask out the white spots you mention. I respect NOYB's opinion that bleaching makes these spots almost invisible, but I haven't found this to be the case. The other question I would have is why you think B2 is too white, but I'll grant you that that isn't strictly a dental question, and one of dem de gustibus non disputandum thingies. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 No offense, but after you get 'whiteout white' veneers, why don't you call Michael Jackson's plastic surgeon. You can really look unnatural then. (IOW's B-2 is pretty damn white already) Fawks Veneers could give you the color you wanted. You just need to decide how much you want it. It is hard sometimes for a dentist to see the need for veneers to change a few shades. We are usually looking at things that "need" to be fixed from a disease-process standpoint such as caries and abscessed teeth that we overlook the "emotional" side of patients' needs. > Okay, I've decided laser whitening isn't for me and according to most > dentists my B2 shade wouldn't really improve much that way, so what [quoted text clipped - 4 lines] > stars. > Theo If a patient wants veneers bad enough, they can find someone to give them veneers. I don't necessarily think docs that do elective cosmetic veneers are doing something bad. Look at all the perfectly functioning breasts that are augmented just because the patient wants them to be what they desire. I don't think that those physicians are turning away people because the breasts are seen to be normal and functional from an anatomical/healthy viewpoint. Of course if I did see a person with perfectly healthy teeeth and they wanted to have them lightened then I would encourage bleaching as a first treatment over veneers. > Veneers could give you the color you wanted. You just need to decide how > much you want it. It is hard sometimes for a dentist to see the need for [quoted text clipped - 10 lines] > > stars. > > Theo > If a patient wants veneers bad enough, they can find someone to give them > veneers. I don't necessarily think docs that do elective cosmetic veneers [quoted text clipped - 8 lines] > wanted to have them lightened then I would encourage bleaching as a first > treatment over veneers. I am sure that MJ would agree fully MJ? > > If a patient wants veneers bad enough, they can find someone to give them > > veneers. I don't necessarily think docs that do elective cosmetic veneers [quoted text clipped - 10 lines] > > I am sure that MJ would agree fully > MJ? The Gloved (putatively innocent) One. Steve >>>If a patient wants veneers bad enough, they can find someone to give > [quoted text clipped - 22 lines] >> >>I am sure that MJ would agree fully SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> MJ? > > The Gloved (putatively innocent) One. > >Steve The kink of pop ? -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >MJ? Mary Jane from Spiderman, not. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Conservative estimates of the longevity of porcelain veneers put them at about 15 years on the long end. If bonded mostly to enamel, they probably last longer. But then they're not as esthetic as they'd be thinner, i.e. your choices being either less color change or more opacity. I rarely use them for color change. If a patient presents with, say, dark tetracycline stain I'll usually go for something thicker w/opaquish core, maybe procera, and I'd probably do crowns. Bonding primarily to dentin makes me nervous. mmmmmm, I don't throw stones, but if a patient presented with sh. B2, healthy teeth I would not consider restoring them. Not being judgmental, I'm just happier doing what's best for the patient from a professional's point of view. Similar but different topic: in this state if a patient asks for treatment that won't fit accepted parameters of care, it is unethical and probably illegal to perform this treatment. I'm gonna rant about my least favorite example: dentists who extract mandibular teeth simply 'cause the patients ask for it. Patients have no clue what they're getting into, a lifetime of mandibular edentulism. And dentists who unnecessarily send them there are scum. OK I'm done. Thanks for listening, I feel better. My experiences with porcelain veneers has been very favorable, but I don't do tons of them. Most patients in my neck of the woods don't want to spend that much money on their teeth. I just saw a patient yesterday where I had done 4 veneers to close diasthemas in 1985. She had about 1 mm of recession, no staining of the margins, and very acceptable esthetics from a conversational distance (close up with lips retracted made the recession noticable). Nothing that would urge me to recommend new veneers. On the lower extraction subject, I agree to a point. If there is no emergency reason that treatment must be rendered, or a patient comes in and says, "I want my teeth out", I certainly avoid extracting teeth. However, I feel that it isn't humane to deny a suffering patient the option of an extraction if they don't want (or can't afford) a root canal and crown. It's not that I don't care, but I can't make the patient care. Also, in a lot of these mouths, it isn't possible to perform *long lasting* dental treatment. If they can't wear a denture when the time comes, they can gum it or get implants. If you are in a practice setting where the patient has plenty of options to seek treatment elsewhere and you want to make that philosophical stand, that's fine. I would not classify *any* dentist that extracts any lower tooth scum (and maybe that's not what you meant). JMO, Fawks > Conservative estimates of the longevity of porcelain veneers put them at > about 15 years on the long end. If bonded mostly to enamel, they probably [quoted text clipped - 19 lines] > > OK I'm done. Thanks for listening, I feel better. Naw, I just meant the cats who'll slick a healthy tooth just 'cause a patient wants it out. 2/3 of my practice is old-fashioned removable prostho. Patient likes the upper complete denture so much they want a lower, too. OK, upper denture is shade A2, lower natural teeth are about A3.5, not perfectly straight. I try to get the patient to bleach. No, they say, that won't take care of crowding, etc. etc., pull them out and make me a lower as pretty as the upper. No way, says I. Month later they're back in my office for the lower. Doc X down the street pulled the teeth. Doc X is a scumbag. What about Doc Y that does $2,000 of restorative work and $2,000 root canal work in the year 200X. Extracts a few unsavable teeth in year 200X+2 and builds a couple fixed bridges for $5000. Decides teeth have too much bone loss in 200X+4 and does a full-mouth clearance and CLD/CUD for $2500. The patient spends $11,500 and gets to keep his teeth for 4 years more than if Doc Y had made the proper treament plan of clearance and CLD in year 200X. I see both your situation and the situation I described. There are scumbags and they play both sides of the fence. > Naw, I just meant the cats who'll slick a healthy tooth just 'cause a > patient [quoted text clipped - 16 lines] > > Doc X is a scumbag. Thanks for explaining. I am in total agreement. :-) Fawks > Naw, I just meant the cats who'll slick a healthy tooth just 'cause a patient > wants it out. [quoted text clipped - 11 lines] > > Doc X is a scumbag. >> If a patient wants veneers bad enough, they can find someone to give them >> veneers. I don't necessarily think docs that do elective cosmetic veneers [quoted text clipped - 10 lines] > >I am sure that MJ would agree fully Yep, it did wonders for his skin. Too bad about the nose falling off though. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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