Veneers: can they correct uneven teeth?

Indications Contraindications How veneers are installed Pros and cons of veneering Veneers or braces Veneers or crowns
A beautiful, snow-white smile is one of the most common beauty standards. But perfectly straight teeth are quite rare. Some people have teeth that are too close to each other and crowd together, while others have teeth that are far apart, leaving gaps. Sometimes teeth are out of alignment or slightly tilted to the sides. Such defects are corrected by aesthetic dentistry. One of the common methods is veneering.

Veneers

– these are thin plates made of composite, ceramic or zirconium, which are used to correct a smile.

Place onlays on the front teeth, in the smile area. It is recommended to cover from 4 to 8 teeth

. The load on the lateral teeth is too strong for thin plates. It is better to put crowns on chewing teeth.

It is possible to install veneers on crooked teeth if certain conditions are met.

Indications for installation of veneers

• The presence of diastemas (gaps between the front teeth);
• chips, cracks, depressions, stains on the enamel;
• discoloration of teeth as a result of medical or dental treatment;
• single teeth protruding from a row;
• small, irregularly shaped teeth;
• slightly crooked teeth;
• gummy smile.

Veneers can correct the bite in the sense that in some cases, the onlays lift the bite, thus helping to bring back the “gone” lower jaw. This prevents problems with the temporomandibular joint and improves the quality of life.

To correct malocclusion, orthodontic treatment with braces or aligners (aligners) is necessary.

Is curvature of teeth a contraindication for installation?

Many patients would like to use veneers to hide all their imperfections at once, including uneven teeth. But the doctor may refuse an appointment. Why is this happening?

Here are the main contraindications to installing veneers.

1. Unhealed foci of caries (but fillings, if they are installed well, will not hurt).
2. Inflammatory diseases of the oral cavity, periodontal disease (until these problems are resolved, there is no need to carry out any aesthetic procedures).
3. Malocclusion. Let's take a closer look here.

Veneers are plates that are installed using a special dental adhesive on the surface of the teeth. And teeth experience stress every day when chewing. The veneers themselves are not noticeable in any way, and patients with them eat exactly the same as before installation - there is no need to give up hard foods. Therefore, installed veneers must withstand daily “testing”. And if the bite is broken, then the cutting edges and chewing surfaces of the teeth close incorrectly. The load is distributed so that either the incisors or molars are overloaded. Because of this, the doctor simply cannot guarantee that the veneers will last as many years as they should.

This is a common practice: it is also impossible to install implants and even many types of crowns with an incorrect bite. For the same reason.

When is it better to refuse to correct your bite with veneers?

Like any intervention, veneering has limitations. The pads are not suitable for people suffering from bruxism. Grinding your teeth can ruin all your work. You should not install pads if you have the following pathologies in adults:

• periodontitis 3-4 degrees (teeth are very loose, gums are inflamed);
• thinning of enamel;
• significant damage to the crown (from 40%);
• lack of teeth in the area of ​​prosthetics;
• severe curvature.

Sometimes it is possible to place veneers on crooked teeth after the condition improves or certain conditions are met. So, in case of infections, pregnancy, childhood, you just have to wait.

When are crowns used to straighten teeth?

To add beauty to teeth that have undergone destruction or complex treatment with a change in integrity and benign appearance, in addition to veneers, crowns have also been invented.

Crowns are designed to cover not only the front part of the tooth. Having volume, the structures restore the anatomical shape of the tooth and its functionality. Therefore, they are installed on both incisors and chewing teeth.

Various materials are used to make such nozzles. Representatives of the latest generations of crowns are units made of ceramics, metal-ceramics or zirconium dioxide. The strength of the last two options is superior to ceramic modules, allowing them to be used even on massive jaws. But it is not recommended to correct the front teeth, for example, with metal-ceramics - due to the visibility of the metal base. For this purpose, crowns made of zirconium dioxide or Emax material are used.

At the appointment, the doctor will help you decide on the crown material, based on the distance of the tooth from the smile zone, the degree of its deformation and the patient’s financial capabilities.

How to install veneers

There are 2 ways to get a Hollywood smile:

1. Install composite overlays directly in the doctor’s chair
2. Make individual ceramic or zirconium plates based on an impression in the laboratory

The composite is inexpensive, installs quickly, and perfectly imitates enamel. Unfortunately, it is prone to shrinkage, absorbs pigments and wears out quickly.

Ceramic veneers are very durable, do not change color, and practically do not wear out. The main disadvantage is the cost.

The fact is that the process of making ceramic linings is expensive. It consists of several stages:

1. Diagnosis and development of treatment plan
2. Preparation: sanitation of the oral cavity, cleaning teeth from plaque
3. Color selection
4. Tooth preparation
5. Taking impressions
6. Record making
7. Fitting
8. Fixation

Consumables, the doctor's work, equipment, and the cost of the ceramics themselves make ceramic veneers more expensive than composite ones. But they do not need to be polished every 6 months and replaced every 3-5 years.

Price

The cheapest are composite veneers. They are easy to install; this is done by the doctor during the appointment. They are short-lived, easily change color, and become covered with cracks. Longer service life for ceramic veneers. They are resistant to coloring pigments, quite thin, which means minimal dental treatment is required. Zirconium veneers are the strongest, but also the most voluminous. The preparation for them is more pronounced, and it is quite difficult to secure them. Ultra-thin veneers require more effort, which is why they are the most expensive. But the enamel is practically not ground off underneath them.

Pros and cons of veneering

Dental overlays for correcting malocclusion not only make your smile attractive, they increase self-esteem and improve your psychological state.

Advantages of veneers:

• Short installation times
  . Composite onlays require 1 appointment, and ceramic onlays require 2-3.
• Exact imitation of enamel
  . The ability to transmit light makes ceramics indistinguishable from natural teeth
• Biological inertia
  . Allergy is not a contraindication.
• Resistant to pigments and dyes
  . Unlike natural teeth, ceramics do not change color over time.
• Durability
  . Ceramic compounds are several times stronger than composite ones.
• Wear resistance
  . If the recommendations are followed, ceramic linings last up to 20-25 years. Plates are replaced more often because the cement (adhesive) that attaches them to the teeth wears out.

97%

[1] Veneers are functioning perfectly 7 years after installation.
83%
[2] – after 20 years.

Several factors influence the lifespan of veneers:

• doctor's qualifications;
• mastery of technique;
• compliance with manufacturing and fixation technology;
• quality of materials;
• patient compliance with recommendations.

Therefore, it is recommended to choose large clinics with their own dental laboratories. The dentist and technician work together in such centers, discuss problems and find the best ways to solve them. The third member of the team is the patient.

It must be remembered that no veneer, even the most durable, can resist cracking nuts or biting wire. But curvature can be corrected with plates in a high-quality and long-term manner only if the recommendations are followed.

Disadvantages of veneers:

• The need for tooth preparation. Once you install veneers, you won’t be able to refuse them.
• High price. However, in the long term, ceramic veneers pay off. They do not need to be regularly polished and replaced with new ones.

Adaptation period

The patient needs to visit the dentist 2 weeks after installation of veneers. A control study is carried out, during which the doctor finds out the following circumstances:

• what is the condition of the linings (how do they hold up);
• is there an allergic reaction;
• Is there an inflammatory process?

On average, a person gets used to the installed microprostheses within 3 weeks.

It is important to properly care for your veneers. This will increase their efficiency and extend their service life. After such a restoration, doctors recommend adhering to the following rules:

• avoid increased loads on chewing surfaces;
• carefully monitor oral hygiene;
• Visit your dentist regularly (at least once every six months).

What is better – correcting crooked teeth with veneers or braces?

Comparing these treatment approaches is difficult. Braces correct malocclusions, and veneers mask defects.

When they say that veneers correct the bite, they mean the aesthetic aspect. Braces and aligners eliminate deep violations.

Crowns and veneers for straightening teeth: advantages and disadvantages

Crooked teeth can be corrected with crowns and veneers. There are a number of advantages of such structures:

• Quickly achieve the desired result. Braces are worn for years; when using onlays and attachments on the teeth, the period is reduced to a month. It is possible to do it faster;
• Instant change in tooth shape and color;
• Complete absence of inconvenience after the manipulations;
• Restoring the function and anatomy of the tooth with the subsequent preservation of the properties given to the structure for years to come.

When choosing between braces and veneers to improve the appearance of teeth, the doctor, together with the patient, has to analyze several aspects of the task. Speed ​​and price are, of course, important, but long-term retention of results is also important. For example, braces provide lifelong stability to the correct alignment of teeth. Veneers will not be able to prevent the relapse of dentition. Braces work on all teeth in a row, and veneers can correct the curvature of mainly the front teeth in the smile area.

Install veneers without grinding Luxneers teeth at Dr. Lopaeva’s clinic

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Treatment of caries with a microscope

The removal of old fillings and treatment of dental caries was carried out using a microscope by endodontist Yu.A. Borisova. The microscope helps to better see the boundaries of the filling material when removing old fillings, the area affected by caries, thereby improving the quality of treatment and preserving maximum tooth tissue (microinvasive treatment).

Treatment was carried out over several visits. A total of 15 teeth were treated, old fillings were replaced with fillings made of light-curing composite in the color of the teeth, and the physiological shape of the teeth was restored.

Treatment of bruxism

The diagnosis was made by dentist-neurologist E.V. Saxonova after examination: brux behavior, hypertonicity of the masticatory muscles with the formation of pathological spasm.

To treat bruxism, that is, to eliminate severe clenching and grinding of teeth, injections of a drug containing botulinum toxin are prescribed into the masticatory and temporal muscles. Treatment with botulinum toxin preparations (Botox, Lantox) gives a good effect for bruxism, relieving excess tension and reprogramming muscle function. Additionally, the patient is recommended to monitor the condition of the masticatory muscles during the day, consciously relaxing them.

Why patients choose veneers

It is logical to level something using leveling devices specially created for this purpose. In dentistry, these are definitely braces. Only they are able to correct the curvature of individual teeth or a row (both rows), eliminating this problem forever. But braces have a significant drawback: they require considerable time to use. Patients do not want to walk around with foreign “pieces” in their mouth for years. And invisible braces are expensive.

But there is a way to change everything almost immediately; in two weeks your teeth will be as good as new. And not only smooth, but also the desired whiteness. Tempting? Veneers, however, also have a drawback - to install them, you will have to ruin your own living teeth, even if not ideal, by grinding them down to the required size. But what does such a “trifle” mean compared to a white-toothed, even smile!

Veneers: before and after photos

Correcting crooked teeth with veneers

It’s decided – patients choose veneers. But it's not that simple. In many cases of crooked teeth, it is simply impossible to correct it with onlays.

You will need braces:

• if the teeth are in a crowded position;
• if there are wide gaps between the teeth;
• if the shift in the dentition is significant;
• if the curvature of the teeth is not one-sided, but they are all directed in different directions.

Correcting crooked teeth with braces

Veneers can be installed:

• How are veneers placed?

• with slight curvature of the dentition;
• if the crowding is minor;
• if there are gaps between some teeth;
• if there are chips or chips in the enamel.

Veneers can help correct small defects

How to make your teeth straight

Medicine, of course, can do a lot to correct crooked teeth. Demand creates supply - this is the law of a market economy. And modern dentistry today offers many ways to make teeth straight and beautiful.

Table. Ways to correct crooked teeth

Help from a myofunctional therapist

Myofunctional therapist T.B. Zukor has developed exercises that establish and secure the tongue in the correct position. This is necessary to achieve a stable result in correcting the position of the teeth.

If you do not work with the tongue, then its incorrect pressure will eventually negate all the work of the braces, and the teeth will begin to unfold again. At Dial-Dent, orthodontists work in close collaboration with a myofunctional therapist, which significantly reduces the time spent wearing retention equipment after removing braces.

Teeth whitening ZOOM 4

Since the patient wanted her smile to become brighter, it was proposed to whiten her teeth so that the light color of the restorations would harmonize with the color of the rest of her teeth.

Modern and safe teeth whitening ZOOM 4 was performed, which uses an LED lamp to activate the whitening gel.

Whitening makes your teeth several shades lighter.

Price issue

The main influence on the price is the type of material used (composite, ceramics, zirconium oxide) and the technology used. The brand (manufacturer) of the material is also important.

The cost of linings made from the same type of material, but from different manufacturers, can vary significantly. Only a specialist from the clinic where you contact to install veneers will tell you the exact price. The general price picture is as follows:

1. Composite linings have the most affordable price ; depending on the manufacturer, it can range from 5 to 15 thousand rubles.
2. Ceramic ones are more expensive. Their price, depending on the material and technology, can vary from 15 to 30 thousand rubles.
3. The highest quality and most expensive are zirconium oxide veneers. Their cost starts from 18-20 thousand.

The video presents a specialist’s opinion on the possibility of correcting an overbite with veneers.

Who is recommended for veneers and who is not?

In principle, any patient can get dental veneers if they have the funds and the desire. Most often, veneers are installed on teeth for the following reasons:

• not satisfied with the natural color of your teeth;
• there are stains or microcracks on the tooth surface that you want to disguise;
• if there are three (small distances a few millimeters wide);
• in cases where teeth are prone to increased wear at the edges;
• if there are minor orthodontic defects, for example, the tooth is slightly rotated, or mild crowding is diagnosed.

Note!
Even the most modern whitening technologies are not able to give tooth enamel such impeccable whiteness as microprostheses. That is why more and more patients are inclined to install veneers and make their dream of incredibly beautiful teeth come true! Like any restoration procedure, the installation of veneers has its contraindications. It will not be possible to install dental microprostheses if:

• the patient suffers from bruxism - otherwise, microprostheses will constantly break;
• when your teeth are loose and in poor condition, prosthetics will help here (possibly together with implantation);
• if the enamel thickness is insufficient or it is destroyed, then the microprosthesis will not hold;
• the teeth are naturally underdeveloped, too small - the structures simply will not be fixed on the surface;
• there are acute diseases of the ENT organs, problems with the heart and blood vessels, tumors, etc.

Relative contraindications are problems with bite and caries - these issues can be treated, and only after that you can work on the aesthetics of your smile.

Note! If a tooth has been restored by more than 60%, it has a large filling, and it is not advisable to install onlays on it. This can lead to subsequent destruction of the crown, and the patient will already spend a considerable amount on the installation of dental microprostheses. Perhaps in this case, prosthetics at the 32 Dent clinic will help.

Removal of wisdom teeth under sedation

When removing wisdom teeth, medical sleep was used - sedation. This is a type of anesthesia in which the patient does not feel pain, does not worry, and everything around him happens as if in a dream. The patient chose sedation, since in one operation it was possible to immediately remove all 4 wisdom teeth without discomfort.