Dental Veneers: Pros, Cons & What to Expect

What are Dental Veneers?

Dental veneers, also sometimes referred to as porcelain veneers, are custom-made thin shells that are bonded to the front surface of teeth. Veneers are made from dental porcelain and are used to improve the appearance of teeth that are misshapen, badly stained, or have gaps between them.

Why Get Dental Veneers?

There are several reasons why someone may choose to get dental veneers:

• To improve the appearance of stained or discolored teeth
• To close small gaps between teeth
• To correct chipped or worn down teeth
• To straighten slightly crooked teeth
• To improve the overall color and brightness of their smile

The Veneer Process

Getting dental veneers is a multi-step process that is usually completed over 2-3 dental visits:

1. Preparation appointment - The teeth are prepared for the veneers by lightly buffing the surface to allow the veneers to bond properly.
2. Impressions and temporary veneers - An impression is taken and temporary veneers may be placed over the prepared teeth.
3. Permanent veneer placement - The custom-made permanent veneers are tried on, adjusted, and bonded onto the teeth.

The Pros of Dental Veneers

There are many benefits to choosing dental veneers. Some pros include:

1. Improve Appearance

One of the top reasons people get dental veneers is to improve the overall look of their smile. Veneers can cover teeth that are stained, chipped, cracked, or have gaps between them. The porcelain shells create an even, white smile.

2. Correct Minor Imperfections

While not an alternative for braces, veneers can fix minor tooth imperfections. They can close small gaps of 1mm or less between teeth. Veneers can also correct minor crowding issues and slightly crooked teeth.

3. Quick Treatment Time

The entire dental veneer process usually takes 2-3 dental visits. Patients receive temporary veneers while waiting for the permanent, custom veneers to be made. Office visits are relatively quick.

4. Stain Resistant

Dental porcelain is very stain resistant compared to natural tooth enamel. With proper oral care, the color should not become discolored or faded overtime.

5. Durable with Proper Care

Veneers can last 10-15 years or longer with routine dental care. Avoiding biting hard objects or foods prevents damage.

The Cons of Dental Veneers

While veneers have many benefits, there are also disadvantages to weigh when considering them:

1. Tooth Preparation Required

Preparing the teeth for veneers requires lightly buffing the enamel surface. This is an irreversible process that permanently alters the teeth. Proper candidates still have enough natural tooth structure for veneers.

2. Cost

Most insurance plans do not cover dental veneers because they are considered a cosmetic procedure. Without enough insurance coverage, the out-of-pocket cost is $925 - $2,500 per tooth.

3. Risk of Damage

Although durable, veneers can chip or break from trauma. Biting hard foods like nuts, ice, or hard candy can damage veneers.

4. Temporary Cement Sensitivity

Some people report temperature sensitivity after getting veneers. This usually goes away once the permanent veneers are cemented.

5. Gum Tissue Considerations

Veneers may not be the best choice for patients with a high lip line or gummy smile. Too much gum tissue exposed can ruin the aesthetic result.

Ideal Veneer Candidates

Only those with healthy teeth and gums make suitable candidates. The best candidates for veneers have:

• Enough natural tooth enamel to properly bond veneers
• Healthy gums that don't expose too much gum tissue when smiling
• Minor imperfections like small gaps, stains, chips, cracks or slightly crooked teeth
• Realistic expectations about the results
• Good oral hygiene habits and dental care routine

Caring for Dental Veneers

Proper veneer care preserves the results and longevity. Recommended care guidelines include:

• Brush twice daily with non-abrasive fluoride toothpaste
• Floss once daily
• Avoid chewing hard foods or objects like ice or nuts
• Wear a custom nightguard to protect veneers from grinding
• See dentist regularly for exams and cleanings

Alternatives to Veneers

Those who do not qualify for veneers or want a more conservative option can consider alternatives like:

• Teeth Whitening - Whitening systems can brighten stained teeth without altering tooth structure.
• Dental Bonding - Composite resin material can mask chips or gaps.
• Crowns - When more tooth coverage is needed, crowns fully cover the visible tooth surface.
• Orthodontics - Braces and clear aligner trays can move crooked teeth or close gaps.

Questions to Ask About Veneers

During dental consultations, ask these questions:

1. Am I a good candidate for veneers?
2. What final results can I expect?
3. What type of porcelain do you use?
4. How much tooth preparation is required?
5. How long will my veneers last?
6. What care is required to maintain them?
7. What payment plans are available if my insurance won't cover them?

Getting all information upfront ensures patients make informed decisions about pursuing treatment.

Weighing the Pros and Cons of Veneers

Dental veneers offer many aesthetic benefits but also involve tooth alteration and higher costs. Each patient should carefully weigh the pros vs cons. Good candidates with minor imperfections who desire a better smile make ideal veneer patients.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.