Articles No-prep

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic

By Park Jonguk, DDS, MS — board-certified specialist in conservative dentistry Published

Hello, I'm Park Jonguk, DDS, MS, director of Dream Dental Clinic, a veneer specialty clinic.

In veneer treatment, the toughest cases are always

protruding teeth or teeth that are too large.

In those cases, the amount of reduction inevitably ends up being greater.

In such cases, treatment really has to be kept very limited.

Before veneer treatment, through a precise plan,

how much of the tooth will be reduced

and what shape the result will take once that reduction is done

must be clearly planned before moving forward.

What every veneer patient hopes for

is treatment without reducing any tooth structure at all —

in other words, no-prep veneers.

But it's not possible in every case,

and it becomes especially difficult when the teeth are large.

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 1
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 2

In this case, the teeth were somewhat large,

and from the side, they had a protruding appearance.

In cases like this, some amount of reduction is necessary.

In particular, the lateral incisor next to the front tooth

was quite large,

so we had to think carefully about how to reduce

the size of that tooth in various ways.

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 3
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 4
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 5
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 6

At our veneer specialty clinic, we begin by analyzing the teeth.

We work out two possible treatment plans.

One is a no-prep veneer.

It's the case shown on the left, made using wax.

The teeth end up looking larger and wider.

The right side shows a veneer placed after minimal-prep reduction,

which gives better proportions to the teeth

and clearly eliminates the protruding look.

We discussed both methods along with their respective amounts of reduction,

and after consultation, the treatment method was decided.

Rather than having larger teeth, the patient chose the option of minimal-prep reduction

that made the teeth smaller and removed the protruding look.

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 7

This is how the teeth looked after reduction for the veneers.

Minimal reduction was carried out to correct the protrusion.

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 8

At our veneer specialty clinic, we design the teeth to look smaller overall.

We also make the tooth color brighter and clearer.

The proportion between teeth is quite important.

Rather than the absolute size of the front tooth,

the proportion relative to the adjacent tooth matters more.

Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 9
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 10
Veneer Treatment for Large, Protruding Teeth at Our Veneer Specialty Clinic — photo 11

If the teeth are too large, veneer treatment becomes impossible.

I put a related question to ChatGPT, and here's how it answered.

"If the teeth are large, veneer treatment may not be suitable. Veneers are a treatment that attaches a thin composite or ceramic material to the front surface of the tooth to improve its shape, color, size, and so on.

Large teeth generally mean the shape or size of the tooth is abnormally large. In this case, treating with veneers may make it difficult to reduce the tooth's size, and the veneer material covering the tooth may become too thin, which can reduce the durability of the veneer.

Therefore, when the teeth are large, it's better to consider other treatment options. For example, moving the teeth back to their original position through orthodontic treatment, or receiving more specialized treatment such as a tooth graft, may be appropriate.

However, since this varies by individual case and situation, it's important to consult with a veneer specialist to find the right treatment method."

It's a fairly by-the-book answer,

but in a way, it can be considered the correct one.

Only a precise diagnosis

can give a more definite answer.

Since 2006, Dream Dental Clinic — Veneer Specialists

This article is a clinical note written by Dr. Park Jonguk of Dream Dental Clinic, Gangnam; the original was published on his blog. The photographs shown are real cases he treated. Results vary with each patient’s condition, and every procedure carries the possibility of individual variation and side effects.

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