Articles Retreatment

When Veneer Side Effects Call for Retreatment

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

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

Whether it's an all-ceramic crown or a veneer,

retreatment eventually becomes necessary as time passes.

The average lifespan is often quoted as 7 to 10 years,

but that's roughly when the ceramic becomes more likely to chip or come loose,

and in practice retreatment is often driven by veneer side effects such as gum inflammation or aesthetic concerns.

When retreatment is needed for various reasons, the most important thing

is whether the retreatment actually resolves what the patient wants resolved.

If a veneer has chipped or come off, that's naturally resolved by retreatment,

but aesthetic problems or gum inflammation that count as veneer side effects

can also depend heavily on the condition of the original treatment.

That's why, in cases like this,

the diagnosis before treatment matters a great deal.

When Veneer Side Effects Call for Retreatment — photo 1

This patient had front-teeth veneers done a long time ago

and came in wanting to have them redone.

The main reason was repeated chipping,

and beyond that, she also wanted to correct teeth that didn't suit her face shape and felt somewhat unnatural,

as well as improve the recurring gum inflammation that was a veneer side effect.

When Veneer Side Effects Call for Retreatment — photo 2

You can see the chipped tooth,

and we discuss with the patient

the parts of the front-tooth shape that need improvement.

We also check the gum inflammation from the veneer side effect.

We carry out a pre-treatment diagnosis,

using wax to mock up the shape ahead of treatment.

When Veneer Side Effects Call for Retreatment — photo 3
When Veneer Side Effects Call for Retreatment — photo 4
When Veneer Side Effects Call for Retreatment — photo 5
When Veneer Side Effects Call for Retreatment — photo 6

what ratio to change to from the current proportions,

and what shape to give the teeth,

trying out a variety of shapes

and settling on the plan with the shape that suits her best.

When Veneer Side Effects Call for Retreatment — photo 7

She had believed it was a veneer,

but it was actually an all-ceramic crown.

Because there were clinics in the past that performed all-ceramic crown treatment

and called it a "veneer,"

even though veneer side effects are actually fairly rare,

this ended up creating a misunderstanding.

The tooth had already been reduced quite a lot, so treatment was carried out with great care.

Because the tooth had been reduced too deep beneath the gumline,

inflammation had developed,

so treatment proceeds accordingly.

We use temporary teeth long enough to confirm that the gums heal.

When Veneer Side Effects Call for Retreatment — photo 8

Treatment is now complete.

The tooth shape was made a bit rounder to suit her face shape,

and dimension was added to the teeth to make them look more natural.

Since the patient wanted her teeth as bright as possible,

they were made bright while still keeping a translucent feel.

When Veneer Side Effects Call for Retreatment — photo 9

You can see that the gum inflammation has been greatly reduced.

When Veneer Side Effects Call for Retreatment — photo 10
When Veneer Side Effects Call for Retreatment — photo 11

Natural beauty

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.

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