Opinions about the aesthetic part of veneers


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Hello everyone! I 'm a 27 year-old female and I 've had veneers placed on my 7 front teeth since I was 15, due to severe discoloration and broken teeth.. Also, my one canine and first premolar have been taken out at that time, because they were one on top of the other.. I 've been suffering since then, I can never smile without feeling bad for my teeth, and I 'm a person that laughs and smiles a lot. I 've had veneers 3 times, by 3 different doctors, all chosen by mother due to their low cost. I 've had them replaced a month ago, I didn't like the doctor, but he seemed promising. But now, my teeth are awful and the most fake-looking I 've ever had. I want to save money to have them redone as soon as possible, from an orthodontist chosen by me this time. But I don't know what to say to ensure the best aesthetic outcome. What material should I choose? I was thinking about implants but apart from the fact that I 'm a bit creeped out, they are also too expensive for my budget.. If anyone has some criticism, advice or knowledge, you are welcome to let me know!
 

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I would advise you to go with E-max veneers as they are the most "natural" looking however, if you're concerned with costs you could always ask about zirconia veneers. There's plenty of anterior zirconia's that you can use that are more cost effective and still aesthetically pleasing.
If you have dental insurance though, I would definitely go with E-max first. They may be higher in cost but it's worth the investment.
 
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I would advise you to go with E-max veneers as they are the most "natural" looking however, if you're concerned with costs you could always ask about zirconia veneers. There's plenty of anterior zirconia's that you can use that are more cost effective and still aesthetically pleasing.
If you have dental insurance though, I would definitely go with E-max first. They may be higher in cost but it's worth the investment.
Thank you! I looked up what e max veneers are and it says that it is bonded to the front of the tooth, without drilling the tooth. But my teeth are already made tiny for the veneers, so I don't know if that's an option for me..
 
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Thank you! I looked up what e max veneers are and it says that it is bonded to the front of the tooth, without drilling the tooth. But my teeth are already made tiny for the veneers, so I don't know if that's an option for me..
If you're teeth have already been prepped for veneers then you're fine. Unless for some reason they cannot do a re-prep but that shouldn't be the case and isn't likely.
 
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Thank you! I looked up what e max veneers are and it says that it is bonded to the front of the tooth, without drilling the tooth. But my teeth are already made tiny for the veneers, so I don't know if that's an option for me..
Emax is just a type of material which is considered both strong and attractive. It is used for veneers and crowns so it's definitely an option for you. When you have veneers changed ask the dentist to avoid removing any more natural tooth. If at all possible. Do you have a bridge at the moment? You mention implants.

You should go somewhere where they make some temporary veneers for you to try in and take your concerns about aesthetics seriously. You need to ensure you are happy before they are fitted because you do not want to keep having veneers changed. This can lead to too much trauma to the teeth putting the nerve at risk.

So you should ask a dentist whether they are willing to be patient with you and will do a wax model that you can both look at and compare to what you have now. Once you are happy with the model, they should make temporaries based on that model that you can wear placed with temporary cement. The temporaries should be changed if you don't like something about them and once you are comfortable with the shape they can be made from permanent material and cemented.

There are no guarantees that you will ever be 100% happy because a dentist never understands all aesthetic concerns. It's sometimes impossible to make another person understand what it is that you hate about a tooth shape. But perhaps if you have some control and take the process in stages rather than the dentist just putting anything they like in, you might feel happier with the result.

You've been through a major trauma when you were very young and you were not given any control over the result. There are plenty of dentists who understand that, you just need to find a good, caring one that has an excellent cosmetic record. It isn't cheap but neither is having your teeth redone all the time because you are unhappy. I'd suggest having a few consults with dentists who agree to the process above. I would suggest you email the practice cosmetic dentist before you meet them pay any consultation fees to ensure that they follow such a process. Otherwise you could end up wasting money on impatient dentists who treat you as a production line of goods. You must find someone kind who takes the time to listen and understand your needs.
 

MattKW

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Are they lone-standing veneers, or a bridge with joined crowns?
 
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Emax is just a type of material which is considered both strong and attractive. It is used for veneers and crowns so it's definitely an option for you. When you have veneers changed ask the dentist to avoid removing any more natural tooth. If at all possible. Do you have a bridge at the moment? You mention implants.

You should go somewhere where they make some temporary veneers for you to try in and take your concerns about aesthetics seriously. You need to ensure you are happy before they are fitted because you do not want to keep having veneers changed. This can lead to too much trauma to the teeth putting the nerve at risk.

So you should ask a dentist whether they are willing to be patient with you and will do a wax model that you can both look at and compare to what you have now. Once you are happy with the model, they should make temporaries based on that model that you can wear placed with temporary cement. The temporaries should be changed if you don't like something about them and once you are comfortable with the shape they can be made from permanent material and cemented.

There are no guarantees that you will ever be 100% happy because a dentist never understands all aesthetic concerns. It's sometimes impossible to make another person understand what it is that you hate about a tooth shape. But perhaps if you have some control and take the process in stages rather than the dentist just putting anything they like in, you might feel happier with the result.

You've been through a major trauma when you were very young and you were not given any control over the result. There are plenty of dentists who understand that, you just need to find a good, caring one that has an excellent cosmetic record. It isn't cheap but neither is having your teeth redone all the time because you are unhappy. I'd suggest having a few consults with dentists who agree to the process above. I would suggest you email the practice cosmetic dentist before you meet them pay any consultation fees to ensure that they follow such a process. Otherwise you could end up wasting money on impatient dentists who treat you as a production line of goods. You must find someone kind who takes the time to listen and understand your needs.
Thank you so much!!!!! I will definitely ask for a temporary model made of wax.. This last one based my temporaries on my previous veneers and not on the new ones they were about to make, so I had no idea what they would look like.. The first time he presented the new veneers on my mouth they were unbelievably unattractive. I had them reshaped and corrected a few times and the last time they corrected them he called me at his office at night, rushed to permanently cement them on, so that he would be done with me. Then I found a missing piece, where the metal was showing underneath and he covered it with porcelain and cured it right there, in my mouth and basically blamed me for making them correct and bake them so many times.. Anyway, I 'll follow your advice next time and I will be even more strict and specific next time.. I have a bridge to cover my 2 missing teeth, I was thinking about getting implants for those 2 teeth and continue with crowns for the rest 5 teeth, the one supporting the bridge for the missing teeth and the 4 on the front that had the discoration and broke..
 
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Are they lone-standing veneers, or a bridge with joined crowns?
It's a bridge, it's all one piece, 2 missing teeth and 5 tiny ones with crowns.. I 'm greek and don't quite know the difference between them, I just saw a video explaining the difference and I believe mine are crowns? I thought veneers are the ones covering the whole tooth, but according to the video it only covers the front of the teeth.. So, yes, I have a bridge with 2 missing teeth..
 
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Thank you so much!!!!! I will definitely ask for a temporary model made of wax.. This last one based my temporaries on my previous veneers and not on the new ones they were about to make, so I had no idea what they would look like.. The first time he presented the new veneers on my mouth they were unbelievably unattractive. I had them reshaped and corrected a few times and the last time they corrected them he called me at his office at night, rushed to permanently cement them on, so that he would be done with me. Then I found a missing piece, where the metal was showing underneath and he covered it with porcelain and cured it right there, in my mouth and basically blamed me for making them correct and bake them so many times.. Anyway, I 'll follow your advice next time and I will be even more strict and specific next time.. I have a bridge to cover my 2 missing teeth, I was thinking about getting implants for those 2 teeth and continue with crowns for the rest 5 teeth, the one supporting the bridge for the missing teeth and the 4 on the front that had the discoration and broke..
If these are crowns and a bridge then that makes a difference as it's far more challenging cosmetically unless you go for implants and crowns, although you'd still most likely have a partial bridge if the missing teeth are adjacent. That's if the implant is successful. They can of course do temporary bridges that you can wear to see whether you are happy with the appearance. But it sounds as though you've already been through such a process. It's not easy and you have to find someone you really trust who also has the technical skills and cosmetic resources (a good technician).
 

MattKW

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BB, you're straying beyond your knowledge. The history and appearance showed clearly that this was a bridge, and I had to make sure.
Lilly, without seeing Xrays, I will state the following problems that are most likely in your case:
  • Your gums are inflamed and unhealthy. This looks partly due to poor margins and poor shapes of the crowns on the natural teeth, and may also be due to the type of metal used under the porcelain.
  • It looks like the incisors have natural teeth underneath, and the bridge part replaces the canine and 1st premolar. If so, this is a long and risky bridge (7 units) that is likely to become unglued. You may not know it until decay has crept in underneath.
My ideal suggestions may be unfortunately limited by your budget. Remove the bridge, place temporary crowns on the natural teeth and allow gums to heal - you may have to see a gum specialist. Make a partial denture for the 2 missing teeth for now, but eventually implants. Finally, new single (not joined) crowns for the natural teeth.
 
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BB, you're straying beyond your knowledge. The history and appearance showed clearly that this was a bridge, and I had to make sure.
Lilly, without seeing Xrays, I will state the following problems that are most likely in your case:
  • Your gums are inflamed and unhealthy. This looks partly due to poor margins and poor shapes of the crowns on the natural teeth, and may also be due to the type of metal used under the porcelain.
  • It looks like the incisors have natural teeth underneath, and the bridge part replaces the canine and 1st premolar. If so, this is a long and risky bridge (7 units) that is likely to become unglued. You may not know it until decay has crept in underneath.
My ideal suggestions may be unfortunately limited by your budget. Remove the bridge, place temporary crowns on the natural teeth and allow gums to heal - you may have to see a gum specialist. Make a partial denture for the 2 missing teeth for now, but eventually implants. Finally, new single (not joined) crowns for the natural teeth.
My gums were very inflamed, because the previous bridge I had was going too deep into my gums, but I thought they healed during the one month I was waiting for the new bridge to be made, as my gums lowered a lot during that period, when I only had the temporaries that left a lot of space between the gumline.. I had no problems of a bridge being unglued, although I didn't keep any of them for too long, but the doc had to cut the previous one into small pieces and knock it out for it to fall, it was a really bad experience.. to be honest, I 'd prefer it if they fell off, as long as I 'm not out with people, but maybe this would give me the change to go to a better orthodontist and maybe they could make a few more corrections.. Also, this one, before permanently cementing them on my teeth, didn't properly clean my teeth, he just flushed them with water and dried them and before he cemented them my tongue touched two teeth, so I 'm worried about bacteria inside the crowns.. So you think that implants are a good choice for my case? This current one is too bad and fake-looking, isn't it? I asked him about doing single crowns or at least 1-2-4 and he said that he was afraid they would fall off because the teeth underneath are too small.. I also asked him about implants and he said that they aren't necessary and that if the bridge is nicely made then it wouldn't make any difference.. Well, apparently he wasn't talking about the one he made because it's not nice..
 
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.It would be helpful if you could ask your dentist to email you your x rays and post them here if you can.
 
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.It would be helpful if you could ask your dentist to email you your x rays and post them here if you can.
He is closed now, I 'll ask him on Monday, when he 'll open his office again.. I 'm looking at pics on Google and there are so many realistic ones that can't even tell they are real teeth, it's so sad how fake mine look.. just 1,200 euros on trash..
 
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I 'm going to my normal dentist, whom I trust, but she asked the double price, I 'll tell her to make the gaps between the teeth more intense, maybe they 'll look more like separate teeth.. Can I ask her to do any other improvement? Can anything be done now that they are glued, without ruining them?
 
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In private dentistry that is not a lot of money for bridgework. Perhaps ask her what she would suggest in terms of the cosmetics, but I think it's the gum margin that spoils the look. Ask your dentist about the implants and crowns. It's worth saving up and going with someone you trust than having constant reworks. You will end up spending more and risk the health of your teeth. If you post x rays the dentists here can advise you on what is clinically possible. Hopefully the x rays will show how much tooth is left (it depends on the material). Or you could ask your other dentist for the impressions which he should hopefully still have and post a photo of those.
 

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