Veneers are thin materials that are bonded to the outer surface of anterior teeth to change the colour, shape, or size. They can correct gaps or minor crowding. An analogy would be bonding a false fingernail.
The veneer material can be porcelain of which there are different types of composite. The final appearance can be excellent but they are material and not natural teeth.
The first step is to have a consultation where the suitability is assessed, and this will include x-rays and sometimes moulds. At this stage, it is important to assess the requirements of the patient to make sure this is achievable. The next step may be a ‘mock-up’ which involves a wax-up on the mould to look and see if the possible result is acceptable.
The teeth will then need to be trimmed on the outside to allow for space for the veneers. This is an irreversible step, and tooth tissue will be lost, so it is very important the patient understands this. Impressions are taken and sent to the laboratory, who will make the veneers. This takes 2-3 weeks, and, in the meantime, temporary restorations will be placed. Care has to be taken with these as they can be delicate. At the next appointment, the veneers will be tried and checked for accuracy and appearance. These are then bonded into place.
Porcelain veneers last, on average, 10 years but can be shorter or longer. They can come off, especially if knocked or due to hard foods. If the patient grinds their teeth, then they can come off or fracture, so a bite guard may need to be worn at night. It is very important that oral hygiene is maintained; otherwise, recession and gum disease can occur, so regular hygiene visits are recommended. If the margins are exposed, they may need to be replaced.
There is virtually no downtime when getting porcelain veneers and at the most, some might feel slight sensitivity to hot and cold food and drink due to the enamel that was removed beneath the veneers themselves. Other than that, patients are ready to flash their new pearly white teeth for all to see. Porcelain veneers tend to last ten years and have been known to last much longer. With proper care, including regular brushing, flossing, and routine dental check-ups, veneers can maintain their appearance and functionality for 15 years or more. Avoiding habits like biting on hard objects or using teeth as tools can also help extend their lifespan.
A veneer should last for many years if they are looked after well.
The dentist will remove some of the outer enamel of the tooth so that the veneer will bond securely in place. Then he or she will take an impression (i.e. make a mould) of your teeth and record the shade of the teeth next to the tooth which is having a veneer. Only a small amount of tooth is removed in the prep. process, so a temporary veneer probably won’t be needed while the permanent veneer is being made, you also probably won’t need anaesthetic.