Veneers That Also Consider Tooth Alignment
The purpose of veneer treatment can be several things.
Broadly speaking, it's done for the sake of "a beautiful smile."
Natural, even teeth that blend with a natural smile, while also being bright and pretty..
That would sum it up.
There are many reasons people are unhappy with their smile.
Tooth color, shape, alignment, size, protrusion, and other factors can all be reasons.
Depending on the case, it can be resolved with veneers, or orthodontic treatment may be needed.
When the bite alignment is poor or there is protrusion, an accurate diagnosis is needed as to whether orthodontic treatment or some other treatment would be better.
Here, the diagnosis needs to take into account the actual amount of tooth reduction required,
and depending on whether orthodontic treatment alone resolves everything, or whether veneers will still be needed even after orthodontic treatment,
a detailed consultation about cost will be needed.
Cases like this involve quite a lot of deliberation.
Orthodontic treatment alone can straighten the bite, but the problem is that the tooth shape is close to pentagonal and the two front teeth are too large. On top of that, the canines are a bit dark in color.. and canines don't whiten very well even with whitening.
The tooth next to the front tooth is called the lateral incisor, and its size is relatively quite small compared to the front tooth.
This is a case where orthodontic treatment alone cannot fully satisfy the patient's aesthetic requirements.
In this situation, doing veneers after orthodontic treatment can reduce the amount of tooth reduction needed, but when the front teeth are large, there is a baseline amount that must be reduced anyway to bring down their size, so this is judged to be a case where orthodontic treatment would not offer much of an advantage.
That said, since the canines protrude quite a bit, that part needs some careful thought.
In cases like this, a detailed consultation with the patient is very important.
You need to present the exact amount of tooth reduction required and clearly discuss the issues that come with it.
The problems that can arise when a large amount of tooth reduction is done include
the teeth may become sensitive in the long term.
the veneer's bonding strength can become weaker than when less was reduced, which can shorten its lifespan.
if it encroaches on the tooth's nerve (pulp), root canal treatment may be needed.
these are the kinds of problems that can occur.
That's why effort must be made to reduce the amount of tooth reduction.
So what methods are there to reduce reduction in a case like this?
The best method, as I mentioned, is to treat after orthodontic treatment, but since that multiplies the time and cost several times over, if we set that aside and consider it,
the approach should be to keep the two front teeth in their current position and bring the lateral incisors outward to align the bite.
When it comes to veneers, many people hope their mouth will be pulled in further,
but veneers are not a treatment that resolves a protruding mouth.
I sometimes see advertisements claiming that veneers resolve a protruding mouth, and that's a rather risky idea.
There can be a slight improvement in some cases, but for the most part you should consider it not possible.
What matters in this process, and I want to emphasize this again,
is that the best possible result must be achieved without excessive reduction.
Dream Dental Clinic carries out veneer treatment aiming for beautiful, natural-looking teeth, not artificial, unnatural ones.
Making natural-looking veneers with minimal reduction is not something that can be done in a single day with a one-day method.
It's something that requires a great deal of experience and know-how.
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.