Articles Gapped Teeth

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers

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

Hello, I am Park Jonguk, director of Dream Dental Clinic.

In dentistry, aesthetic treatment for the teeth

falls into three categories: teeth whitening, orthodontics, and tooth reshaping, which includes veneers.

Many patients find themselves torn between orthodontics and veneers.

Orthodontics involves no tooth reduction, but it takes a long time.

Veneers finish within about two weeks, but there's a possibility of tooth reduction.

Since the advantages and disadvantages of each are clear,

the best treatment method needs to be chosen based on the individual case.

Veneers focus on reshaping the form of the teeth rather than correcting alignment, while

a minor alignment-correcting effect comes along as a secondary benefit.

Orthodontics, without modifying the shape of the teeth,

is a treatment that corrects only the alignment.

If the alignment is good but the shape or color of the teeth needs improvement, veneers are the clear choice, without hesitation.

If the shape and color of the teeth are good but the alignment is poor, orthodontics is naturally the answer.

The tricky case is when both the alignment and the shape or color of the teeth are poor.

My standard is this: if the alignment can only be corrected by reducing so much that the outermost layer of enamel is entirely removed,

then orthodontics followed by veneers is the way to go;

otherwise, I believe it's better to correctly choose one or the other — veneers or orthodontics.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 1

The teeth were jar-shaped, giving a very strong impression of flaring outward at the tips.

Since the alignment was fairly poor,

it was a case where it was hard to decide whether to do orthodontics followed by veneers,

or veneers alone.

In cases like this, diagnosis is what matters most.

My method of diagnosing for veneers

makes it possible to predict even the amount of tooth reduction in advance, which is why

it's a very effective method in a case like this.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 2
Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 3
Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 4
Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 5

Using the method described in the link above,

we check the amount of tooth reduction while

determining which option would be more advantageous.

Showing the amount of tooth reduction accurately is extremely important.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 6
Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 7

Before veneer treatment,

once the amount of reduction has been confirmed this way,

we carefully consider the possibility of future side effects or debonding before proceeding with treatment.

The more a tooth is reduced, the more side effects there tend to be, and

the higher the chance the veneer will come loose, so

judging the appropriate amount of reduction is important.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 8

The teeth turned out even and well-aligned like this,

and bright, clear, and beautiful.

When doing veneers, the amount of reduction differs from tooth to tooth, and

it also differs from area to area within a single tooth,

so we explain this in detail before proceeding.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 9
Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 10

Each tooth shows a natural shape of its own.

Having veneers done doesn't mean

you end up with white, awkward-looking, opaque teeth.

For veneers this natural,

a considerable amount of effort and time is required.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 11

While improving both the alignment and the shape of the teeth,

and minimizing side effects at the same time,

a thorough, accurate, and precise diagnosis before treatment is more important than anything else.

And the tooth reduction,

along with making the temporary teeth, taking impressions, and so on —

every step of the process needs to be precise.

At our Dream Dental Clinic, for veneer treatment,

we use a microscope to carry out precise treatment.

Correcting Tooth Color, Shape, and Alignment All at Once with Veneers — photo 12

Since 2006, Dream Dental Clinic

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.

Original post

More on this topic

Book a Consult