A A veneer is a thin layer
of porcelain made to fit over the front surface
of a tooth, like a false fingernail fits over
a nail. Sometimes a natural colour ‘composite’ material
is used instead of porcelain.
Q
What are the advantages of veneers?
A Veneers make teeth look natural
and healthy, and because they are very thin and
are held in place by a special strong bond (rather
like super-glue) very little preparation of the
tooth is needed.
Q When would I need a veneer?
A Veneers
can improve the colour, shape and position of teeth. A
precise shade of porcelain can be chosen to give
the right colour to improve a single discoloured
or stained tooth or to lighten front teeth (usually
the upper ones) generally. A veneer can
make a chipped tooth look intact again. The
porcelain covers the whole of the front of the
tooth with a thicker section replacing the broken
part. Veneers can also be used to close small
gaps, when orthodontics (braces) are not suitable. If
one tooth is slightly out of position, a veneer
can sometimes be fitted to bring it into line with
the others.
Q What about alternatives?
A A natural-coloured filling
material can be used for minor repairs to front
teeth. This is excellent where the tooth
supports the filling, but may not work so well
for broken tooth corners. There will always
be a join between the tooth and the filling material.
Crowns are used for teeth that need to be strengthened – either
because they have broken, have been weakened by
a very large filling, or have had root canal treatment.
Q How long will a veneer last?
A Veneers should last for many
years, but they can chip or break, just as your
own teeth can. Your dentist will tell you
how long each individual veneer should last. Small
chips can be repaired, or a new veneer fitted if
necessary.
Q
How are teeth prepared for a veneer?
A Some of the shiny outer enamel
surface of the tooth may be removed, to make sure
that the veneer can be bonded permanently in place
later. The amount of enamel removed is tiny
and will be the same as the thickness of the veneer to
be fitted, so that the tooth stays the same size. A
local anaesthetic (injection) may be used to make
sure that there is no discomfort, but often this
is not necessary. Once the tooth has been
prepared, the dentist will take an ‘impression’. This
will be given to the dental technician, along with
any other information needed to make the veneer. The
colour of the surrounding teeth is matched on a
shade guide to make sure that the veneer will look
entirely natural.
Q
How long will it take?
A A veneer takes at least two
visits; the first to prepare the tooth and to match
the shade, and the second to fit it. Before
bonding it in place, your dentist will show you
the veneer on your tooth to make sure you are happy
with it. Bonding a veneer in place is done
with a special adhesive, which holds it firmly
on the tooth.
Q Will I need a temporary veneer between visits?
A Because the preparation of
the tooth is so slight you will probably not need
a temporary veneer. The tooth will look very
much the same after preparation, but will feel
slightly less smooth.
Q What happens after the veneer is fitted?
A Only minor adjustments can
be made to the veneer after it is fitted. It
is usually best to wait a little while to get used
to it before any changes are made. Your
dentist will probably want to check and polish
it a week or so after it is fitted, and to make
sure that you are happy with it.
Q
How much will it cost?
A You can have veneers on the
NHS. However, many dentists prefer to provide
cosmetic treatment privately. It is important
to discuss charges and treatment options with your
dentist before starting treatment.
Before and afters
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After
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