Dr. Mark Sowell, Dallas Cosmetic Veneers Dentist Explains Differences in Tooth Reshaping for Veneers
In our Dallas cosmetic dentistry office our patients often ask how of their tooth will to be reshaped in to place their dental veneers and the answer varies depending on the type of veneers they will be receiving. As dedicated Dallas cosmetic dentist offer and recommend dt types of veneers to dt patients as their individual ns are unique.
One of the biggest differences veneering systems is how mh the tooth is to be reshaped the veneer is placed. Eh Veneer has requirements. This is by the cosmetic dentist and is de in our Dallas cosmetic dentistry office. As rule the the desired change in shape, arrangement and color the me reshaping is desired. The rm the ceramist has the easier it is to make dramatic changes in color, shape and arrangement. potential disadvantage is if the reshaping leaves the tooth with than 50% of the bondable surface of the tooth in enamel, then the lg term bond strength of the Dallas veneers is significantly reduced. Research outside of our Dallas cosmetic dentistry office ss that enamel bond is stronger lg term than dentin bond strength. It also ss that the veneer will have strong lg term bond strength as lg as me than 50% of the veneer is bonded to enamel. In practical terms almost all situations can be treated with lg term success as lg as 50% or me of the veneer is bonded to enamel. If for some reason than 50% of the enamel is left then tg it into bonding crown will correct this retention problem.
Twenty studies show enamel bond strengths stay strong while dentinal bond strengths decrease time. The other issue is the me reshaping into dentin the me frequent occurrence of tooth sensitivity. This is dependent on the bonding technique of the cosmetic dentist and varies greatly from dentist to another, but as rule all enamel bonding has no sensitivity and deep dentinal bonding has the most potential for post bonding sensitivity.
Tooth reshaping for veneers falls into categories.
1. No or minimal reshaping all in enamel. Example Durathins Veneers.
Advantages- strong term bond, no sensitivity, and reversible.
Limitations- unable to make as dramatic changes in color and arrangement, veneer often slightly wider and thicker than optimum.
2. Moderate reshaping of tooth. Gr than 50% of veneer bonded by enamel.
Advantages- 90% of all cs have rm to achieve an excellent result in color and arrangement. With excellent bonding technique no term sensitivity and good lg term bond strength.
Limitation- not reversible, roughly 10% of cannot achieve optimum shape, arrangement or color.
3. Heavy reshaping- than 50% of veneer bonded by enamel. These are the
Reshaping designs that cause most of the you read about.
Advantages- it is easier for the ceramist or dentist to achieve dramatic changes to shape, arrangement and color.
Limitations- decreased term bond strength, change of post treatment sensitivity, bonding technique sensitive or demanding.
Dr. Sowell and his entire team strive to offer unparalleled expertise in the fields of cosmetic, restorative and implant dentistry in Dallas. They understand that enhancing the health, function and appearance of your smile is major decision. That is why Dallas dentist, Dr. Sowell and his dental care team are so dedicated to your well-being, inside and out.
