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Medical Forum / General / Dentistry / May 2007Porcelain Veneers preparation
I have just seen a clip of Extreme Makeover UK (http:// www.molars.com/) where they apparently prepared some women's teeth for porcelain veeners and it scared me - a lot! Now I realise the teeth need preparing for veneers, and this is different for everyone. However the doctor in the clip seemed to file them down into pointy things that looked horrible. A LOT of tooth seemed to be removed as opposed to the .5mm all the web sites would have you believe. Have I got it wrong and are these crowns as opposed to veneers? > I have just seen a clip of Extreme Makeover UK (http:// > www.molars.com/) where they apparently prepared some women's teeth for [quoted text clipped - 6 lines] > have you believe. Have I got it wrong and are these crowns as opposed > to veneers? I have no wish to view the episode. ;-) The preparation varies depending on the specific needs of the tooth and its context in the arch. For instance, if a tooth was slightly lingual or palatal, it might need no preparation on the facial surface. Usually unless I wish to lengthen the incisors I reduce the incisal length at least a millimeter. Otherwise the AVERAGE reduction is about 0.5 mm. The preparation is nothing like that for a crown. I'm guessing the "pointy things" you saw were crown preps. It is not unusual at all to mix crowns and veneers in a restorative case. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I watched part of the clip until I had to return to work. Long clip. There are crown preps there to support a FPD as well as some veneers. Signature/ Amatus / >> I have just seen a clip of Extreme Makeover UK (http:// >> www.molars.com/) where they apparently prepared some women's teeth for [quoted text clipped - 18 lines] > > Steve > I watched part of the clip until I had to return to work. Long clip. > > There are crown preps there to support a FPD as well as some veneers. You're a better man than I, Gunga Din! Was the prosthetics at least look good, or didn't you get to that part? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I gave up at the prep screen. It is basically a UK version of Extreme Makeover California. They even were planning to send the lab work to California. I have heard too many interesting things about Extreme Makeover USA, to have any desire to see their final product. Signature/ Amatus / >> I watched part of the clip until I had to return to work. Long clip. >> [quoted text clipped - 4 lines] > > Steve > I gave up at the prep screen. It is basically a UK version of Extreme > Makeover California. They even were planning to send the lab work to > California. I have heard too many interesting things about Extreme Makeover > USA, to have any desire to see their final product. Ahhh...INTERESTING!!! Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >I have just seen a clip of Extreme Makeover UK (http:// >www.molars.com/) where they apparently prepared some women's teeth for [quoted text clipped - 6 lines] >have you believe. Have I got it wrong and are these crowns as opposed >to veneers? To the untrained eye it is bound to look odd. > >I have just seen a clip of Extreme Makeover UK (http:// > >www.molars.com/) where they apparently prepared some women's teeth for [quoted text clipped - 8 lines] > > To the untrained eye it is bound to look odd. I realise that a crown basically fits over the entire tooth, but to call it a porcelain veneer and then see that footage would make anyone thinking of getting veneers think twice. I'd like to think that with veneers, the majority of the tooth is mine. >I..... I'd like to think that with >veneers, the majority of the tooth is mine. What difference does it make? If the veneer falls off you'll have to replace it whether you have 10 or 90% of your tooth behind it >What difference does it make? If the veneer falls off you'll have to >replace it whether you have 10 or 90% of your tooth behind it On this matter there is a new technique that requires very little mod to the underlying tooh discussed here http://www.doctorspiller.com/lumineers.htm
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