Porcelain veneers are contact lens thin pieces of porcelain that cover the areas of teeth that need improvement. Porcelain veneers can change the color of teeth, shape of teeth, size of teeth, length of teeth close spaces and correct crowding. They can make smiles look wider and brighter.
Dr. Jason Olitsky a Ponte Vedra based cosmetic dentist focuses on creating smiles using porcelain veneers that are customized for each patient. There are several characteristics of smiles he can enhance using porcelain veneers, such as making smiles look more youthful, sexy, feminine, flirty and fun, masculine, exotic, including both commercial and editorial looks. He feels like the next generation of looks with porcelain veneers have evolved beyond the traditional Hollywood look and now embrace the unique elements of style. He understands how facial beauty and personality play important roles in designing a smile and how to take elements of an individuals natural tooth shapes and enhance those characteristics so that improvements made with porcelain veneers look like a patients own natural teeth.
The trend for porcelain veneers is to thin the porcelain materials which can create thinner veneers. Using thinner veneers enables dentists to provide more conservative techniques for the patient. Traditional veneers require .7 mm of enamel reshaping to achieve proper shape and form, thinner veneers only require .3-.5 mm of space for the porcelain veneer, or less than the thickness of your fingernail. Understanding those unique properties of the ceramics and the capabilities of an artistic and experienced lab enable Jackonville dentist, Dr. Jason Olitsky to provide the most conservative techniques for your teeth. Many cases these days can incorporate minimal preparation and no preparation techniques to achieve the smile of your dreams. Unfortunately, not all dentists understand these techniques and usually fall back to traditional preparation techniques or crowns to make smiles look better.
Commonly, patients want to know if they are going to get a crown or a veneer. Traditionally, veneers only cover the fronts, sides and tops of teeth, not the back of the tooth. When the veneer extends around the whole tooth including the back, it is called a crown. Crowns and veneers can be made out of the same types of porcelain. When a crowned tooth is treated conservatively utilizing the same material as a porcelain veneer, it is prepared like a traditional veneer, that covers the whole tooth, we call this a full porcelain veneer. It is completely undetectable from a veneer in the mouth. It all looks the same, because it is utilizing the same materials and conservative techniques. When a crowned tooth is treated in a more typical manner, it is prepared by removing much more tooth structure. This is because the crown materials may need to be thicker, the dentist does not have a plan for the final look of the tooth, or does not understand the capabilities of ceramic materials.
The most common material used for porcelain veneers is Empress by Ivoclar. Empress is a pressed leucite reenforced ceramic material. The shade selection, predictability and strength make it the top choice for most leading cosmetic dentists and ceramists. Another product by Ivoclar called e.max is getting a lot of publicity. e.max is a lithium disilicate cermaic material. This product is beginning to replace Empress in more situations and is used for tooth replacement situations where a tooth is missing, such as for bridges. It is important thands the capabilities and limmitations of both Empress and e.max when designing a smile with porcelain veneers. It is also used for back teeth crowns and onlays. e.max is a terrific material, but to date, can still not replace Empress as the most aesthetic material in every situation for porcelain veneers. It is important that the dentist understands the capabilities and limmitations of both Empress and e.max when designing a smile with porcelain veneers. There are other manufactured materials by other companies for porcelain veneers, such as Authentic and Ceramco 3.
An example of a smile makeover using Empress porcelain Veneers various patients of Dr. Jason Olitsky
Other common options for tooth colored crowns are crowns with zirconium substructures. These are a typical replacement for the traditional porcelain fused to metal crowns that have a metal substructure. These types of crowns are not more conservative than the traditional metal based crowns and are a last resort for cosmetic dentistry in the front of the mouth.
CEREC crowns and veneers are in-office milled porcelain that can be made the same day. CEREC dentistry is gaining popularity in Jacksonville and Ponte Vedra. The idea of getting a crown or veneer the same day and not needing to wear a temporary crown or veneer sounds great, but CEREC crowns and veneer look about as good as a temporary, unless the dentist is also a lab ceramist and is taking the time to stain and design the restoration. The dentist still does not cut back and layer the veneer like a master ceramist. Bottom line, stay away from CEREC on your front teeth, unless you really don't care that much about the look of the final result. Every dentist and laboratory ceramist team have materials that they prefer and works best in their hands.
Companies that advertise to the public, such as Denmat's Lumineers and Da Vinci studio's Da Vinci veneers get requested by patients from time to time in the office. The top cosmetic dentists in the world do not place Lumineers in their offices, this product was created for the general dentist who wants to add cosmetic dentistry services to their offices. Other minimal preparation and no preparation options exist for dentists and patients that are more aesthetic. Da Vinci is just one laboratory with many ceramists and laboratory technicians. The most important thing is that the dentist use a fantastic lab and that the dentist has a great reputation and relationship with the lab. A patient should not ask a dentist to use a different laboratory than they normally use for their porcelain veneers. An experienced cosmetic dentist already have a relationship with an excellent cosmetic dental lab. Dr. Jason Olitsky consistently uses Gold Dust dental lab for all his porcelain veneers. Gold Dust is used by the top cosmetic dentists in the world. A dentist is only as good as the laboratory they use for their porcelain veneers. View Gold Dust dental lab porcelain veneers at www.golddustdental.com. Notice on their website that many of the images they use to represent their lab are from Ponte Vedra Beach dentist Dr. Jason Olitsky DMD AAACD.
Porcelain Veneer FAQ
How long to Porcelain Veneers last? Porcelain veneers have a varied life span depending on the patient. It is not unreasonable for porcelain veneers to last up to 15-20 years if well maintained and cared for by the patient. Some patients are harder on their teeth than others, some have less favorable bites, are more accident prone, or would be better served to wear night guards while sleeping to protect their investment. In 15 years, the veneers do not simply start popping off, typically, veneers will develop some stain around the gum line that can be polished, or get small chips from wear and tear. Often times small chips can be smoothed or bonded to be repaired. Typically the porcelain veneers that are being replaced today in our office have been in the patients mouth for 10-15 years and are being replaced for brighter veneers that look more natural.
Do you need to grind my teeth down to little spikes? No! Porcelain veneers are strongest and most beautiful when they are kept thin. A typical veneer only require .5-.7 mm of thickness to be strong and beautiful, that is approximately the thickness of your finger nail. Often times, dentists will over prepare teeth when they are less familiar with the porcelain veneer treatment. When does this answer change? When patients have teeth that are more crooked to start. Often times patients with crowded and crooked teeth require more reshaping of the teeth to make room for porcelain veneers that make the teeth look straight. We use our experience to help guide you toward more conservative options that could potentially look more natural, such as utilizing services like Invisalign or 6 month smiles to first straighten the teeth before getting porcelain veneers.
Do porcelain veneers pop off? No! A properly bonded porcelain veneer will not de-bond from the tooth. With the right protocol, materials and experience, porcelain veneers stay on the tooth. We have hundreds of patients with porcelain veneers over a decade of providing the treatment and have only had a couple porcelain veneers de-bond on back teeth from strong bites. They are an extremely successful treatment option for our patients.
What are the most common issues with porcelain veneers? There are not many patients who have issues, but the second most common problems we see with porcelain veneers in our office are very small chips at the biting edges of the teeth and craze lines. Chips can occur when the new teeth are not in harmony with the other teeth in the mouth when a patient is chewing or grinding. The force of the other teeth in the mouth may overcome the fracture strength of the porcelains and a small chip can happen. These chips can usually be polished and if a little larger can be repaired in the office. Craze lines are small cracks that are barely visible through the veneer. This is from excessive amounts of force on the tooth from the bite. Often times, patients do not notice craze lines and they are pointed out to them by the dentist. In these situations, the veneer can stay on the tooth depending on its severity. Because the veneer is properly bonded to the tooth, even a veneer that is broken in half will not pop off! Natural teeth get craze lines too. They can be seen in the enamel for the same reasons that porcelain gets craze lines. What is the first most common? Trauma. Patients that hit their teeth against something really hard, like railings when playing with kids, car doors, and pavement. Porcelain veneers will unfortunately not make you less clumsy.
How do I maintain porcelain veneers? To help your veneers last as long as possible, it is important to follow some simple guidelines. You can still get cavities, even though you have veneers, so it is important to keep coming to our office for routine visits as recommended. Most of the small issues can be prevented my maintaining regular visits to our office. In this manner, small problems are quickly caught by our dentist and trained team and can be addressed much much easier, than problems that go undiagnosed. This included going to a dentist that does not preform veneer treatments on a regular basis, who may not be as familiar with how to problem solve issues with porcelain veneers. We recommend low abrasive toothpastes. Many toothpastes are loaded with silicates to scrub surface stain from enamel. We may also recommend a night guard for sleeping if you have be diagnosed with sleep bruxism or the bite is able to be idealized by the treatment. Lastly, do not use your teeth as tools. That means, no biting nails, thread or opening beer bottles. Did we need to mention the last one? And yes, you can eat apples!
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