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I have a very narrow smile and would like veneers to ‘widen’ my smile. However I have a lot of dental problems. I have jaw issues (a broken jaw that never grew correctly after) and also many filled back teeth. My dentist said that he doesn’t think that porcelain veneers are a good idea due to my very heavily filled back teeth. I am fine with my teeth in general – they are not crooked. They are just too dark and go back very quickly after the front six.

The dentist suggested I have them bleached and then have composite veneers just on four back teeth as these need no prep to the tooth and can be added and shaped. He said that the technology now is better so they can look fairly good. He did explain they won’t last as long and don’t stay as white but they are also so much cheaper that I could afford to have them re-done if need be every five or so years. He also said I won’t need pain relief etc. Thing is I have never heard of anyone having this done? Could this be a way to build up my back teeth a bit? Rather than having to have all my front teeth porcelain veneered? Thanks in advance for any replies.

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Asked on 08/10/2011 12:00 am
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Dear Ms Rae,

Thank you for your e-mail regarding your dental dilemmas. My suggestion would be to have a comprehensive dental analysis including photographs, models of your teeth, and wax simulations of the proposed treatment, so that you are fully aware of the possibilities and limitations of treatment. This will allow you to make a reasoned judgement before commencing treatment.

I hope this helps, and we wish you a pleasant day.

Warm regards.

Irfan Ahmad.

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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Dear Ms Rae
The composite veneers will give you a 'live' view as to the sort of improvement you will gain from veneers .This treatment is in theory reversible and can be removed .It can also be added to or shaved down according to your wishes.
However, it is best to consider a formal examination with photographs and models and wax simulations will give you an idea of a final result before you embark on any treatment

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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As others have said composite veneers are a great way to "test" a new smile in a reversible way (assuming one is building up teeth) as the material can be shaped and modified over time if necessary
In many cases I have found that patients who originally planned porcelain are so happy with the composite result that they deicide not to proceed and are happy to have the filling "touched up" when it becomes stained or chipped over time

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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Photos of a case using composite on premolars and a little on the tips of the inciors
pre op sept 2002
post op Feb 2010 with minimal touching up and occasional whitening
Maybe not a "Hollywood" smile but natural looking and conservative of tooth structure

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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After reading your feedback I am sorry that i have not helped , i am highlighting the need due to your description that you should be cautious and i feel that the other practitioners are saying the same . I do know that composite veneers made chair side are hard to get right technically in full shape and with good clean joins and polished well . So I am saying proceed with caution and make sure they are made well .

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am
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If you have problems with having had a broken jaw in the past you really do need to make sure that you have no symptoms from this accident (Headaches and a simple open and close motion with your jaw without any pain or excessive clicking) before you decide to have veneers .

To build them up in composites is not a long term solution as they will discolour and to get a really good look and finish is fraught with chair-side problems .

To get the best long term result you should have Porcelain veneers on a symptomless jaw .

Your dentist is right to point out that the back teeth need to actively work well together as when you chew badly invariably you will try to find a new bite and this will have a domino effect on your new veneers as they might be hit randomly and at angles that make them easy to break .

This is the same effect that you will have with regard to your jaw joint not being in harmony with your teeth .
 
Try and spend your money once , in the long term redoing things again and again will put your teeth and jaw at more risk .
 
Taking old composites off can easily damage your enamel .  
 
Start by whitening your teeth well and then wait about 2 weeks for the colour to settle  to get your final colour and only then begin with restorations . 

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Posted by Dental Professional (Questions: 0, Answers: 1475)
Answered on 23/06/2011 12:00 am