Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size or length.
Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.
What Types of Problems Do Dental Veneers Fix?
Veneers are routinely used to fix:
- Teeth that are discolored – either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth
- Teeth that are worn down
- Teeth that are chipped or broken
- Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
- Teeth with gaps between them (to close the space between these teeth)
How Long Do Dental Veneers Last?
Veneers generally last between 5 and 10 years. After this time, the veneers would need to be replaced.
Do Dental Veneers Require Special Care?
No. Continue to follow good oral hygiene practices including brushing and flossing as you normally would.
Even though porcelain veneers resist stains, your dentist may recommend that you avoid stain-causing foods and beverages (for example, coffee, tea or red wine).
Are There Alternatives to Dental Veneers?
Yes, bondings and crowns. Veneers offer a nice intermediate option. Veneers may be best suited for individuals who want to change the shape of their teeth more than just a little bit-as is done with bonding-but not enough to require a crown.
Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.
What Are the Advantages of Dental Implants?
There are many advantages to dental implants, including:
- Improved appearance: Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.
- Improved speech: With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that your teeth might slip.
- Improved comfort. Because they become part of you, implants eliminate the discomfort of removable dentures.
- Easier eating: Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
- Improved self-esteem: Dental implants can give you back your smile, and help you feel better about yourself.
- Improved oral health: Dental implants don’t require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving your long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
- Durability: Implants are very durable and will last many years. With good care, many implants last a lifetime.
- Convenience: Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing your dentures, as well as the need for messy adhesives to keep your dentures in place.
What Is Involved in Getting a Dental Implant?
The first step in the process is the development of an individualized treatment plan. The plan addresses your specific needs and is prepared by a team of professionals who are specially trained and experienced in oral surgery and restorative dentistry. This team approach provides coordinated care based on the implant option that is best for you.
Next, the tooth root implant, which is a small post made of titanium, is placed into the bone socket of the missing tooth. As the jawbone heals, it grows around the implanted metal post, anchoring it securely in the jaw. The healing process can take from 6 to 12 weeks.
Once the implant has bonded to the jawbone, a small connector post – called an abutment – is attached to the post to securely hold the new tooth. To make your new tooth or teeth, your dentist makes impressions of your teeth, and creates a model of your bite (which captures all of your teeth, their type, and arrangement). Your new tooth or teeth are based on this model. A replacement tooth, called a crown, is then attached to the abutment.
Instead of one or more individual crowns, some patients may have attachments placed on the implant that retain and support a removable denture.
Your dentist also will match the color of your new teeth to your natural teeth. Because the implant is secured within the jawbone, the replacement teeth look, feel, and function just like your own natural teeth.
How Painful Are Dental Implants?
Most people who have received dental implants say that there is very little discomfort involved in the procedure. Local anesthesia can be used during the procedure, and most patients report that implants involve less pain than a tooth extraction.
After the dental implant, mild soreness can be treated with over-the-counter pain medications, such as Tylenol or Motrin.
How Do I Care for My Implant?
Dental implants require the same care as real teeth, including brushing, flossing, and regular dental check-ups.