Friday, July 24, 2015

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.

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