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Medical Forum / General / Dentistry / August 2006

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Bonding or veneers?

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Sagittaria - 16 Jun 2006 04:33 GMT
My daughter (age 17) is currently in braces to close a gap between her
front teeth. The plan was to move #8 & #9 together, then center #7 & #
10 and put veneers over them, since they are small. None of her other
teeth are being moved.  Now, we've moved to another state and have to
continue her treatment with a new orthodontist, and he is suggesting
that bonding might be a better choice than veneers. He said that the
gumline recedes naturally until around age 21, so that putting a veneer
on a teenager may be a bad idea. This requires an immediate treatment
decision since the way he would need to position them for bonding is
different than he would for veneers.  

I've been researching it online, and of course discussed it with her
orthodontist and dentist at the beginning of treatment. At that time
veneers seemed like the better choice, but no one else mentioned any
problem with the gums receding. What do you all think?

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---->Sagittaria<----

"Do I look like I have balls?" -Alexis in Alaska

Steven Bornfeld - 16 Jun 2006 14:29 GMT
> My daughter (age 17) is currently in braces to close a gap between her
> front teeth. The plan was to move #8 & #9 together, then center #7 & #
[quoted text clipped - 11 lines]
> veneers seemed like the better choice, but no one else mentioned any
> problem with the gums receding. What do you all think?

    You may see information about normal gum "recession" if you google
"passive eruption".  It is true.  However, one thing about this scenario
bothers me, and that is the different position required.  Resin bonding
is quicker, cheaper, and easily replaced.  This is doubtless why the new
orthodontist recommended it.  But it will be more likely to chip and
stain later--and then there's the gum recession.  So it will be cheaper
to replace resing bonding in a few years than porcelain laminate
veneers.  But I don't see why the tooth positions have to be grossly
different for veneers.  In 5, 10 or more years, your daughter may well
wish (and deserve) the superior esthetics and strength of the porcelain
veneers.
    I'm inclined to start with resin bonding--it's cheap and easy.  But
make sure there is a strategy for getting porcelain laminate veneers
down the road if desired--without having to go back into orthodontic
treatment.

Steve
Dr.Braces - 21 Jun 2006 20:49 GMT
Steve,

    it all depends on the size of her peg laterals, sometimes they are soo
small that  a traditional crown will be needed basically,   otherwise I
aggree with Steve.
Although I recommend the bonding be done, (only by a three layer
technique) which gives superior esthetics) otherwise the broken veneer
can be very costly to replace.

Dr. Braces

>> My daughter (age 17) is currently in braces to close a gap between her
>> front teeth. The plan was to move #8 & #9 together, then center #7 & #
[quoted text clipped - 28 lines]
>
> Steve
Sagittaria - 10 Aug 2006 05:57 GMT
>> My daughter (age 17) is currently in braces to close a gap
>> between her front teeth. The plan was to move #8 & #9 together,
[quoted text clipped - 33 lines]
>
> Steve

Belated thanks for the replies. I wanted to post an update as the
situation plays out.

I also thought we should allow for future veneers even if we don't
get them immediately, but the orthodontist seems to think that is
impossible. We consulted with a cosmetic dentist who basically said
let the orthodontist do what he wants, and he can work with the
result whether we choose to do bonding or veneers. He also said we
would have the option of doing nothing - that the front teeth
wouldn't spread apart again as long as the bite was correct. That's
something no one had said before. So she's in braces for another
month or maybe two, and then we'll decide what to do next.

What are your opinions of permanent retainers - i.e. a wire attached
to the back of the two front teeth? That was part of the original
orthodontist's plan, but the new orthodontist doesn't seem to favor
it, and the dentist said it would only be useful if we don't do
bonding or veneers. So much different advice, it's hard to know what
to do.

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---->Sagittaria<----

http://sagittaria.livejournal.com

Joel344 - 25 Jun 2006 15:06 GMT
We agree with Dr. Brackes and Steve ......

I know its Braces, not Brackes.......

--
Joel34
 
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