Composite Resin and Porcelain Veneers in Dubai

Dental veneers, also called porcelain veneers or composite veneers are wafer thin shells of tooth-colored, translucent porcelain or composite resin, that is custom made to be fixed over existing teeth and improve their color, shape and overall appearance. The placement of dental veneers is known to drastically and dramatically improve an individual's smile and overall appearance.

What types of flaws can dental veneers correct?

Many individuals and practitioners refer to  Porcelain Veneers in Dubai as 'instant orthodontics' because they can be used to cover a plethora of dental flaws and problems involving teeth in the 'smile zone', which includes,

·         Spaces between the teeth

·         Poorly shaped, misaligned or crooked teeth

·         Broken, chipped or cracked teeth

·         Stained teeth

·         Unsightly or stained fillings

Dental veneers can improve the appearance of the teeth and perform a complete smile makeover Dubai, however, it cannot realign the jaw or correct overbites and underbites. Orthodontics are required to correct these more complicated dental problems.

What other alternatives do individuals have other than dental veneers?

The most closest cosmetic dental alternative to porcelain veneers is composite resin. Composite resin is a tooth-colored filling material that could be used to make dental veneers. Dental crowns are another alternative that can be used to correct the same problems that dental veneers correct, however, it is a far less traditional dental procedure.

Porcelain veneers have a variety of advantages as opposed to composite resin veneers. These include,

Porcelain dental veneers are long lasting and highly durable. Although porcelain veneers may look and feel like thin shells, usually between 0.5 to 0.7 millimeters and inherently brittle, once they are bonded to the healthy tooth structure they become strong and do not break or chip. Porcelain veneers last for many years, usually 10-15 years, with proper oral care and dental hygiene. A tooth or teeth that are fixed with dental veneers should not be used to chew hard objects like ice and should most definitely not be used as a tool.

Porcelain veneers create a 'lifelike and natural' appearance. The translucent properties of the porcelain allow the veneers to mimic the light handling characteristics of enamel giving it a realistic look, which cannot be achieved with other cosmetic bonding materials such as composite resin.

Porcelain veneers do not stain easily, as opposed to other types of cosmetic dental bonding materials because porcelain is a smooth, impervious ceramic, and therefore is not respectable to permanent stains from dark or richly colored food, beverages and spices.

Porcelain veneers are conservative and only a very small amount of tooth structure is removed  during the procedure, as opposed to other types of dental treatment.

Some of the disadvantages of porcelain veneers as opposed to composite resin veneers include,

Porcelain veneers are not pre-made or done at chair-side, unlike other dental treatments. Porcelain veneers are made to order, therefore they are  first fabricated in a dental laboratory and the patient may need a maximum of two to three dental visits to have them placed perfectly. On the other hand, composite resin veneers are accomplished in just one visit. An adequate amount of tooth structure is removed to allow for placement of composite resin in the desired shape. The bonding adhesive is applied and the composite resin is then added, light cured, then finished and polished.

Porcelain veneers are more expensive, compared to composite veneers. The placement of porcelain veneers requires a fair amount of time, expertise and resources to fabricate, bond them in place and therefore cost more.

Porcelain veneers cannot be repaired, if they break they can only be replaced.

Who makes a good candidate for dental veneers?

The Montreal International Clinics in Jumeirah say that Dental veneers are not appropriate for everyone. Patient selection is an extremely important factor in the success of this treatment. Dental veneers are not reversible as the tooth structure needs to be removed to achieve the desired results. An appointment with an experienced dentist can determine whether dental veneers are an appropriate option for the patient. Some of the instances where certain individuals and teeth are not good candidates for dental veneers include,

·         Unhealthy teeth such as cavities and dental decay and gum disease must be first treated prior to fabricating and bonding dental veneers.

·         Weak and brittle teeth. Patients who have a significant amount of tooth structure missing or had a large filling in the teeth in question, then it will not be strong enough to function with a dental veneer.

·         Teeth with insufficient dental enamel. Dental veneers are bonded to the tooth enamel to be successful.

·         Individuals who have a habit of clenching or grinding  teeth, also known as Bruxism. This condition can be overcome with the use of dental night-guards, in some cases.

·         Individuals with an unstable bite.

·         Badly positioned teeth or misaligned teeth. Prior to veneers, orthodontic treatment is required to achieve the desired result.

What is the process of placing porcelain veneers?

A patient may need two visits to the dentists for veneers.

Firstly, the dentist will examine the teeth, and the patient's desires and expectations, size and shape of the teeth and  the corrective limitations of porcelain veneers are discussed and color shades are selected.  The patient should be actively involved in this process.

Next, the teeth are prepped for porcelain veneers,  by trimming the enamel from the front and biting edge of the teeth to accommodate the added thickness of the veneers so they can fit over the teeth without any noticeable flaws. Typically 0.5  to 0.7 millimeters of enamel will be removed. Thereafter, an impression is taken to make the porcelain veneers to fit the teeth. Depending on the patient and the amount of tooth structure that is removed, temporary veneers may or may not be placed.

At the second visit, the temporary veneers, if present, is removed and the custom made porcelain veneers will be checked for its shape, color, fit and feel and if the patient is happy with it, the teeth are cleaned with a mild acidic solution and the veneers are bonded to the teeth. Once the porcelain veneers are bonded it is permanent and cannot be adjusted. Once the veneers are bonded any excess cement will be removed, and the teeth will be flossed and the veneers will be polished.

Dental veneers can chip or come off if proper post care is not followed. To improve their durability and longevity, a patient needs to maintain a consistent oral care routine with regular dental examinations and cleanings.

Porcelain Dental Veneers and Some Common Mistakes

A smile makeover  with porcelain veneers is becoming increasingly popular and many patients are demanding these often, said a dental surgeon at the Montreal International Clinics in Jumeirah. Many dental clinics around the world offer this service to meet patient demands.

 

 Porcelain Veneers in Dubai are a very versatile dental procedure, that can have a significant impact on an individual's smile, confidence and self esteem, and can even be a life-changing cosmetic dental treatment. However, when it is performed by an inexperienced dentist or dental clinic it can have a devastating effect on the patient.

 

Porcelain Veneers are one of the more technically challenging procedures that are performed by dentists. It is not an impossibility, it's just that the dentists need to be well experienced and take extra care, this is not a difficulty with the availability of the latest dental equipment and technology. Some of the challenges faced by dentists include placement of veneers on multiple teeth, affect the patient's occlusion, and having to deal with multiple colors of tooth structure. Porcelain veneers need to be created in harmony with the soft tissue around the tooth as it can affect the patients’ speech, therefore, the dentist requires a thorough working knowledge of many different dental materials.

 

Many dentists agree that dental veneers are one of the most stressful procedures that is carried out, however, it can also be rewarding if it's a success and is carried out properly. The ability to positively change an individual's smile, make them feel happy to smile and to boost their self-worth are some of the many rewards that a patient and dentist reap from dental veneers, not to mention the physical benefits as well.

 

However, despite a dentists accuracy and expertise, there are dentists who make certain common mistakes with dental veneers. Here is a look at some of the common mistakes associated with dental veneers and how to prevent them.

 

Failure to address soft-tissue symmetry

 

 In a perfect situation, the patient should not have gingival symmetry, however many patients do and it needs to be addressed. Failure to address the gingival symmetry before commencing dental veneers treatment can affect the final esthetic outcome.Gingival changes can be rectified orthodontically or surgically.

 

Failure to do a lab wax-up

 

Designing porcelain veneers for a patient is not as easy as it sounds, it's a complex task, especially achieving an optimal result. For years, many dental labs require to produce a lab wax-up of a veneer that is designed, whether it is one or 10 veneers. The wax-up of the veneer allows the dentist to see the final visualization of the real case. The wax-up allows the dentist and the patient to see the final results in 3-D before the veneers are placed. This is very helpful to ensure patient satisfaction with the final result.

 

Failure to choose an experienced dentist

 

Porcelain veneers require an experienced professional who is skilled in the preparation of the veneers, as much as the dentists is involved the lab technician should also be equally skilled to create good quality veneers. However, the dentist has the last say with the quality of the veneers,  therefore if the dentist accepts less than an esthetic work from the dental lab, the final esthetic result of the original veneers will be a failure.

 

 

 

 

Staining under the veneers

 

This often is a common problem that many patients face. Often staining under the veneers is a result of using a ferric sulfate solution as a hemostatic agent. The black pigmentation is typical of what will happen when ferric sulfates are used around all ceramic restorations. Therefore, good quality material should be used by an experienced dentist and lab.

 

Failure to inform the patient or give the patient the proper information

 

Often when a patient has an issue with the final esthetic outcome of a dental veneer, the most likely cause is miscommunication or not being informed. It's critical for the dentist to take time to discuss the patient’s goals for cosmetic dentistry and give them as much information as possible about the procedure. Some dentists use diagnostic wax-ups, computer imaging and before and after photos, to make things very clear to the patient. For instance, if the dentist recommends a particular treatment and the patient declines, this should be documented and the patient should be informed that there could be a negative effect on the treatment. Similarly, multiple missing teeth, previous dental work that was unsuccessful, poor skeletal issues can all have an impact on the final result and should be discussed and documented.

 

Placing dental veneers that should never be done in the first place

 

During the consultation, the dentist should communicate to the patient the clinical, psychological, philosophical and personality issues that indicate that they are not good candidates for the treatment and decline the treatment. This is in the best interest of the patient. However, apart from the physical issues, there are some patients and dentists who find that they do have issues during the consultation and cannot agree on certain matters, then its best that that the process is never started in the first place. A dentist in Dubai says, "some of his best cosmetic dental patients are the ones I never agreed to take on".

 

When the above mentioned mistakes are avoided, it's possible for the patient and dentist to enjoy more consistent success with porcelain veneers.

Advantages and Disadvantages of Veneers

Porcelain veneers are a convenient and useful treatment when it comes to cosmetic dental procedures as it helps a individual improve the look of their teeth and smile. They also earn a well deserved first place when it comes to  general restorative dentistry and a smile makeover in Dubai for repairing fractured or unaesthetic teeth.

Like all types of medical procedures and dental procedures, there are advantages and disadvantages that the general population should be aware of.

 Advantages of Porcelain Veneers

·         Natural look - Porcelain veneers provide a very natural tooth appearance. They imitate the light reflecting properties of natural teeth and characteristics of tooth enamel very well. Veneers can also be made very thin and translucent.

 

·         Durable and long lasting solution - Porcelain Veneers in Dubai are a very successful procedure, it can last for more than 10 - 15 years with proper oral care. There are certain risks and complications with veneers as they chip, come off or be damaged and need to be repaired or replaced.

 

·         Match existing teeth - The porcelain veneer can be made to match the natural color of the individual's teeth. In most cases there is no requirement for the veneers to be applied to all the teeth, but the Clinics in Jumeirah say this is possible if this is what the individual wants.

 

·         Dramatic and fast results - One or multiple dental veneers can produce very dramatic and almost instant improvements to a smile. At the dental office, the before and after images clearly demonstrate this. Just make sure to be informed of the process that is involved.

 

·         Corrects many dental flaws  - Porcelain veneers can improve the shape, color and position and other flaws in the teeth all at the same time. Individuals who have a range of cosmetic flaws such as spaces, discoloration, staining, chipped or fractured teeth, can all be rectified with dental veneers and depending on the patient's condition a combination of treatments can also be used.

 

·         Removal of tooth structure at a minimum - Dental veneers require the removal of less tooth structure than a full crown. Due to this veneers are the most preferred option as it is less likely to affect the nerve inside the tooth than a porcelain crown.

 

·         Can be combined easily with other treatments - Porcelain veneers may be used in combination with other dental treatments such as crowns, bridges, dental implants, orthodontics, teeth whitening, even tooth bonding to achieve a smile makeover.

 

·         A quick solution - Dental veneers don't take very long as opposed to other types of dental restorations. A dentist who has CAD-CAM technology can sometimes complete the veneers the same day.

 

·         Less recovery time - After placing veneers, patients can resume their normal functions as quickly as possible.

 

·         Stain resistant - Porcelain veneers resist the classic teeth discoloration from coffee, tea, smoking and soft drinks very well and can look as good as the day they were put in for years to come.

 

·         Strengthen teeth and restores their normal function - Veneers can strengthen fractured teeth and restore them to their normal function. Porcelain veneers are not as strong as natural teeth so they need to be treated with a little extra care.

 

·         No additional maintenance - Nothing unusual just the daily brushing and flossing routine.

Disadvantages of Porcelain Veneers

·         The color and shape cannot be changed once the veneers are placed

·         They are not the best option for individuals  with grinding or clenching habits and have worn out teeth as the pressure can cause them to chip and fracture.

·         Veneers cost much more than composite resin bonding.

·         If the veneers breaks or chips the entire thing needs to be replaced.

·         If the preparation for the veneer goes into the dentin layer of the tooth, the bond is weakened considerably, resulting in dental problems.

·         Great option for healthy teeth, but not a good choice for teeth with a lot of decay, multiple fillings and very large fractures.

·         Teeth that are crooked or misaligned cannot have veneers.

·         Side effects include sensitivity to hot and cold as the enamel has been removed. This is usually temporary.

·         Veneers are not as strong as crowns.

Like any restoration, veneers could fail for a great number of reasons, therefore, good oral hygiene becomes even more important.

Strength and Beauty With Veneers in Dubai

The advances made in dental technology in recent years has been  truly remarkable, especially when it comes to Porcelain Veneers in Dubai. It's not only the technology associated with the design and composition of porcelain veneers that has advanced, the type of materials that are used to make veneers has improved tremendously as well and the skills of the dental professionals in Dubai.

Smiling makes anyone feel better instantly, it also communicates self confidence and positive emotions to others. However, the bad news is that many individuals have lost the ability to smile freely, along with the joy it brings to both themselves and others. These individuals will refrain from smiling to avoid showing their teeth in public. In many cases, the problems they are trying to hide are either stained or discolored, worn-down or slightly misaligned teeth, or even too much space between their teeth, which can be addressed with porcelain veneers.

Nearly 600,000 people had veneers in 2006, an increase of 15 percent over 2004, according to the latest statistics available from the American Academy of Cosmetic Dentistry. Dental veneers are an extremely thin custom made shell that is astonishingly natural like in appearance and  is placed on the front of a tooth, giving it a new “appearance.” In order to make veneers look naturally contoured and harmonious, it may or may not be necessary to remove tooth structure, depending on the desired final tooth shape and size.

Veneers can improve any of the following characteristics in an individual,

Color - Tooth color can change throughout an individual's life, usually with age and time. Certain factors such as individuals who had taken tetracycline in childhood develop tooth discoloration, consuming certain foods, drinks and cigarettes can affect the color of the teeth. Whitening can help to a certain extent, however, individuals with teeth that has excessive discoloration may not achieve an acceptable color with simple tooth whitening. A porcelain veneer, however, has the ability to mask color and  make the teeth look whiter and brighter giving an individual an entire smile makeover in Dubai.

Shape - Abnormal wear on the teeth can make them look shorter, flatter or rough along the edges. Younger teeth have round shaped edges. Therefore, veneers can give an individual a youthful smile by making the teeth whiter, and brighter, but also giving them a fresh look to incorporate the features that make them look more youthful. On the other hand, certain individuals consider rounder teeth for a more feminine appearance. This is the best thing about veneers.

Size - Sometimes the only thing that is stopping a person smile is that their teeth are too small. Perhaps they have been this way or they have become shorter with wear, over time. Veneers can be used to make the teeth appear larger for a dramatic enhancement.

Aligning and Spacing - Those individuals who are looking at closing a gap between the front teeth or  teeth that are misaligned, there are a couple of ways they can be rectified. Either opt for orthodontic treatment, if they are very crooked, which would move them into correct alignment or opt for veneers, which can make slight corrections in alignment while improving the color and the shape.  

Today's state-of-the-art material like lithium disilicate, a new, stronger glass ceramic, provides all the qualities needed for the success of dental veneers, strength, easy fabrication and beauty. In fact, lithium disilicate is double the strength of Leucite-reinforced ceramic. As such, it can be pressed even thinner and can be reduced in size to accommodate additional layers for  beautiful and lifelike results. The choices of material will depend on the patients and their requirements, such as strength, color, and if single or multiple veneers are needed.

Maintaining newly placed veneers is easy and very important. Normal gentle brushing and flossing are necessary to ensure good gum tissue health around them, but make sure not to use the teeth as a tool, as this can crack the teeth, and also chip or crack veneers. Patients who have Bruxism should have a custom-made night guard to prevent putting excessive pressure on the teeth. Regular checkups with the dentist at the Clinics in Jumeirah will ensure that the smile remains bright, strong and beautiful.