Veneers
A veneer is a thin layer of porcelain made to fit over the front surface of a tooth, like a false fingernail fits over a nail. Sometimes a natural colour ‘composite’ material is used instead of porcelain.
Veneers can improve the colour, shape and position of your teeth. A precise shade of porcelain can be chosen to give the right colour to improve a single discoloured tooth or to lighten the front teeth. A veneer can make a chipped tooth look intact again. The porcelain covers the whole of the front of the tooth with a thicker section replacing the broken part. Veneers can also be used to close small gaps, when orthodontics (braces) are not suitable. If one tooth is slightly out of position, a veneer can sometimes be fitted to bring it into line with the others.
Veneers can improve the appearance of the teeth. They do require a degree of preparation of the tooth surface to allow them to fit, however, this reduction is minimal and much less than would be required for a crown. Some types of veneers don’t need any preparation at all.
Some of the shiny outer enamel surface of the tooth may be removed, to make sure that the veneer can be bonded permanently in place later. The amount of enamel removed is tiny and will be the same as the thickness of the veneer to be fitted, so that the tooth stays the same size. A local anaesthetic (injection) may be used to make sure that there is no discomfort. Once the tooth has been prepared, the dentist will take an ‘impression’ (mould) or a digital scan. This will be given to the dental technician, along with any other information needed to make the veneer. The colour of the surrounding teeth is matched on a shade guide to make sure that the veneer will look entirely natural.
A veneer takes at least two visits: the first to prepare the tooth and to match the shade, and the second to fit it. Before bonding it in place, your dentist will show you the veneer on your tooth to make sure you are happy with it. Bonding a veneer in place is done with a special adhesive, which holds it firmly on the tooth.
Because the preparation of the tooth is so slight you will probably not need a temporary veneer. The tooth will look very much the same after preparation, but will feel slightly less smooth. If more tooth reduction is required, a temporary veneer will be made.
Only minor adjustments can be made to the veneer after it is fitted so it is very important to ensure you are happy with it before the veneer is cemented. It is usually best to wait a little while to get used to it before any changes are made.
The costs for this treatment can vary so it is important to discuss charges and treatment options with your dentist before starting treatment.
Veneers should last for many years; but they can chip or break, just as your own teeth can. You would need to take care when eating once your veneers are fitted and avoid biting anything directly to avoid the risk of the veneer coming off or breaking. For example, we would recommend cutting an apple up rather than biting into it. On average, veneers last between 5-10 years before they might need replacing, although they may last a lot longer. Small chips can be repaired, or a new veneer fitted if necessary.
A natural-coloured filling material can be used for minor repairs to front teeth. This is excellent where the tooth supports a filling, but may not work so well for broken tooth corners. There will always be a join between the tooth and the filling material.
Crowns are used for teeth which need to be strengthened – either because they have broken, have been weakened by a very large filling, or have had root canal treatment. You can use white coloured filling material to alter the shape and position of the underlying tooth and this is known as composite bonding. It is more conservative than veneers as doesn’t require any tooth preparation but the material is weaker so is more likely to chip, wear and stain.