The Dangers of Bad Dental Veneers and How to Fix Them

The Risks and Downsides of Bad Dental Veneers

Dental veneers are thin shells made of porcelain or composite resin that bond to the front surface of teeth. While veneers can dramatically improve the appearance of a smile, the procedure does not come without risks. Unfortunately, bad veneers that are poorly designed or applied can lead to a host of problems down the road.

What are the Signs of Bad Veneers?

How can you identify bad veneer work? Here are some red flags to look for:

• Artificial Appearance - Veneers should blend seamlessly with natural teeth. Bad veneers look obviously fake.
• Excessive Reduction - Aggressive shaving back of the teeth can permanently damage them.
• Mismatched Color - Veneers that fail to match neighboring teeth look highly unnatural.
• Overhanging Edges - Veneers should have minimal overhang past the teeth. Excess overhang traps plaque.
• Poor Bonding - Gaps, cracks, or discoloration around the edges indicates poor adhesion.
• Shape Issues - Veneers that are too thick or bulbous alter the natural tooth contours.

Why Do Some Veneers Turn Out Badly?

There are a few main reasons veneers may fail to look good or function properly:

• Inexperienced Cosmetic Dentist - Veneers require great precision and artistry. Dentists without specialized training often get poor results.
• Lab Errors - Even the most skilled dentist relies on the dental lab that fabricates the veneers. Mistakes in shape, size or color match can occur in the lab.
• Poor Communication - Insufficient discussion of the desired aesthetics between dentist, lab technician and patient can lead to disappointment.
• Teeth Not Properly Prepared - Lack of space or minimal enamel for bonding jeopardizes veneer longevity.
• Not Enough Trial Time - Patients should live with temporaries for weeks before permanent cementation in case changes are required.

Dangers and Problems Caused by Bad Veneers

While the main issue with most bad veneer jobs is unsatisfactory appearance, more serious problems can also arise:

• Tooth Damage - Excessive shaving for veneers is irreversible and can necessitate crowns later on.
• Nerve Injury - Damage to the tooth's pulp tissue during veneer placement may require a root canal.
• Chipped Teeth - Bad bonding can cause veneers to crack or fall off, fragmenting the underlying tooth.
• Decay Risk - Poor marginal fit allows bacteria and plaque to penetrate and attack the prepared tooth.
• Gum Recession - Over-contoured veneers place pressure on gums, leading to recession over time.
• Jaw Pain - Improperly fitted veneers throw off the bite and lead to TMJ problems.

Options for Correcting Bad Veneers

If you have received veneers that you are unhappy with or cause problems, there are ways to get the work redone:

• Remake - Discuss having the lab fabricate revised veneers that address aesthetic or functional issues.
• Replacement - Get unacceptable veneers removed and replaced with properly designed new ones.
• Removal - Have unsatisfactory veneers taken off and switch to orthodontics or crowns to improve smile appearance.
• Dental Bonding - Additional composite resin can alter the shape and color of deficient veneers.
• Gum Lift - A gum lift procedure may be done to correct a poor veneer margin and gum level.

Finding an Expert Cosmetic Dentist for Veneers

Choosing an exceptional dentist with artistic skill and extensive veneer training is the best way to avoid disappointment. When selecting a veneer dentist, look for the following credentials:

• ACDS Member - Academy of Cosmetic Dentistry membership indicates a higher level of training.
• Before and After Photos - Evaluate many cases to verify the dentist's aesthetic style and skill.
• Master Ceramist - A top-notch ceramist is needed to fabricate beautiful veneers.
• Advanced Equipment - Dental lasers, 3D imaging, and CAD/CAM produce precise veneer fittings.
• Good Communicator - The dentist should listen attentively and translate your desires into results.

Avoid any dentist who views veneers as a quick way to make money. Take time finding one with an artistic eye who puts your health first.

What to Do if You Have Bad Veneers

Dental veneers that turn out aesthetically displeasing or damage the teeth and gums require intervention. Here are some next steps if you have received bad veneers:

Get a Second Opinion

Have an expert cosmetic dentist evaluate the veneers to determine what went wrong and if they can be salvaged or need replacement. They can also assess any damage to the underlying teeth.

Discuss Options with Your Original Dentist

Politely communicate your concerns to the dentist who did the original veneers. Many reputable dentists will work with you to make adjustments or replace unsatisfactory veneers, often at reduced or no cost.

Be Willing to Have Veneers Removed

Severely compromised veneers that are eroding the teeth or harming your bite may need complete removal. While this means restarting treatment, it may be necessary to protect your oral health.

Consider Alternatives Like Orthodontics

In some cases, straightening your natural teeth with braces or clear aligners provides healthier and better looking results than attempting repeated veneer treatment.

Change Habits that Damage Veneers

Clenching your teeth, chewing on ice, and using your teeth as tools weakens veneers. Stopping these habits allows new veneers to better withstand daily wear.

Improve Oral Hygiene

Prevent decay around veneer edges by adopting good brushing and flossing habits. See your dentist regularly for professional cleanings.

With some patience and persistence, even the worst veneer situation can be corrected by an expert cosmetic dentist. Be cautious moving forward to protect your investment in a beautiful smile.

What Are Realistic Expectations for Dental Veneers?

Dental veneers offer the advantage of quickly improving the appearance of your smile. However, understanding their limitations is equally important. Here are realistic expectations to have for veneers:

Don't Expect Them to be Indestructible

Well-made veneers can last 10-15 years with proper care. But being brittle, they can chip or crack from extreme forces. Avoid using teeth as tools and chewing on ice.

Some Tooth Reduction is Required

Your natural tooth enamel must be etched and trimmed to allow space for veneers. This removal of .3-.7mm is irreversible. But minimal reduction preserves more original tooth structure.

It Takes Skill to Match Natural Teeth

Achieving a seamless color match with surrounding teeth takes an artistic eye. Avoid dentists who don't show you proof of matching capabilities.

Results are Highly Technique Dep

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.