What does it feel like? And how do you know if you need it?
Mar 15, 21
6 min read
There seems to have always been a stigma against the process of getting porcelain veneers. One of the most common questions patients tend to ask is: Will my teeth be shaved into tiny tic tacs? Well thanks to modern advances in technology, this is not necessarily the case.
First, let's discuss why grinding down natural teeth is needed in the first place. Number one is to make space for the veneer. The minimal thickness of a porcelain veneer is realistically 0.5mm. (1) While thinner veneers can be made, their translucency becomes a drawback. That leads us to number two - desired aesthetics. We find that to achieve a natural look involves hand-layering porcelain which varies its thickness, just like natural teeth. In addition, to achieve incisal translucency (those translucent wisps at the bottom edge) which mimics natural teeth, a strategic incisal reduction is required. (2) Finally, number three, to make space for precise placement. (1) We've all seen veneers that are just a little too bulky, touching each other at the wrong place, with an unnatural gum line. The placement of veneers is crucial and incredibly precise. Sometimes, space needs to be made to achieve a precise result.
People often believe that in order to get the porcelain added, their teeth will need to be trimmed back into fangs. Well I’ve put together a little guide on what the contributing factors are to how much teeth needs to be shaved:
Patients with straight or small gappy teeth or teeth that sit back, often don’t need to have any shaving done and the veneers will sit successfully onto your existing teeth. The surface of your tooth, however, will be prepped in order to allow the veneers to grip securely on.
Sandor, for example, did not need teeth filing for his Picasso Porcelain Veneers™️. Ten veneers were placed in total to achieve his smile makeover.
His teeth were already relatively straight, and where there was variation, the teeth were sitting back. This allowed veneers to be placed with minimal prep.
If your teeth are slightly crooked then there is a chance you will need minimal shaving for the veneers to sit flush and straight on your smile line. The surface of your tooth will also be prepped in order to allow the veneers to grip securely on.
If you have bigger teeth and want the size of your teeth reduced, it goes without saying that your teeth will be prepped more than others.
If you have crooked teeth or teeth that sit forward, we would always offer an alternative option before considering veneers. These options (such as braces, Invisalign or even jaw surgery) will be presented to you first as the recommended solution for your smile. If you’re still adamant that you want veneers because you don’t like the shapes or colour of your teeth (which, unfortunately, braces cannot fix), then we can further explore that route. The dentist will ensure that you are made fully aware that if you have crooked or protruding teeth, your teeth will require some shaving.
Even when this is the case, the amount of prep is different for each tooth, depending on its initial shape and position and the desired shape and position. Below, we have a patient who had already undergone Invisalign to straighten her teeth, then electing for 4 porcelain veneers to reach her desired smile line. In the middle row, the left half of the smile shows prepped (or shaved) teeth, and the right half shows the final placement of the porcelain veneers. As seen, the amount of prep defers between each tooth. The final shape of the chosen veneer also played a factor, especially the desired amount of incisal translucency.
Despite what type of smile you currently have, porcelain veneers is an invasive procedure and often irreversible. We generally advise that you go to many clinics, get different quotes and do extensive research on what you want. The dentist you see should also have an array of before and after photos for you to reference as well as the knowledge and experience to give you the result that you’ve always desired.
So what does it feel like? More often than not, for your comfort, your will be numbed up during the procedure. Having gone through the journey myself, you actually don’t feel anything during the prep when you have local anaesthetic. If your temporary veneers happen to fall off after you leave the surgery (see my blog on what not to eat when you have temporary veneers for my experience here), you are most likely going to experience some teeth sensitivity or nothing at all. There shouldn’t be any pain, just minor discomfort and annoyance. Some patients do not require any numbing at all in which case. If you fall into this category, it is because the dentist believes you will be in any tenderness or discomfort.
Many factors will contribute to the duration of your prep appointment. This includes what type of smile you have to begin with, how many teeth you want veneered and if you already have restorative work done (veneers or crowns done elsewhere). If you have existing veneers or crowns, the length of your prep will be much longer as it does take a while to meticulously remove the existing porcelain or composite.
As with many of my blogs I end with the classic advice of: do your research. You wouldn’t by a car without some indication of what brand you want (say, a Mercedes or a Toyota), what type (a convertible or SUV), how much you can spend and more importantly if you wanted to buy from a dealership or off gumtree. Don’t be afraid to ask questions and as always, seek a second opinion from a qualified health care professional. As with results, preps can vary from patient to patient. All minor and major procedures have their risks and benefits. Good luck!
An appreciator of art, novels and high intensity sports. With a passion for work and a dangerous addiction to coffee.
Clinical Photos, clinical content, and cosmetic dentistry by Dr.Deepan Duraisamy (Dr Dee) BDS., MSc., FICCDE , FICOI , Vogue Dental Studios.
With so much to understand, veneers can be a daunting process. Contact us for a comprehensive guide to the whole process.
1. Porcelain veneer prepping 101 - Burbank dental lab [Internet]. Burbankdental.com. 2019 [cited 2021 Mar 24]. Available from: https://burbankdental.com/porcelain-veneer-prepping-101/
2. Veneer preps: Why do incisal reduction? [Internet]. Leeannbrady.com. 2011 [cited 2021 Mar 24]. Available from: https://leeannbrady.com/esthetic-dentistry/veneer-preps-why-do-incisal-reduction
When performing Porcelain Veneers, different dentists take different approaches towards teeth preparation (teeth shaving). It can depend on multiple factors like tooth requirement, their training and experience, the material of choice and many other factors. Please do your research and make your informed choices. Dr Deepan Duraisamy (Dr Dee) practices responsible aesthetics and minimal teeth preparation approach with knowledge from high level training and experience with the Porcelain Veneers procedure. All dental procedures have their risks and benefits. Please seek a second opinion from an appropriately qualified healthcare professional.
Clinical content and cases are from Dr Dee’s personal gallery, full-face photos are with due consent from our patients.
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