My crooked teeth will fall off easily

Veneers

 

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Optical beautification of the teeth with veneers and lumineers

A beautiful smile is welcome everywhere. But very few people naturally have a film-ready smile. Crooked or disproportionate teeth and tooth gaps can negatively affect your appearance. Over the years, discoloration of the teeth also occurs. With wafer-thin ceramic veneers, the so-called “veneers” or “Lumineers”, the appearance of the dentition can be gently and permanently improved. Find out more about this treatment method, the treatment process, advantages and disadvantages of veneers and their costs.

Charisma and good looks are determined by different factors. A not-to-be-neglected ingredient in these properties, coveted by most of the people, is a beautiful smile. The Influence of beautiful teeth on the appearance of a person is often undervalued. It is they who suggest to the other person that a person is young and healthy. In addition, beautiful teeth are also crucial for success in work and private life.

People whose Teeth slightly crooked or discolored in places do not have to accept this fact. Even with strongly discolored teeth, for example after years of nicotine consumption, there is the possibility of significantly improving the appearance of the teeth while preserving your own teeth. After all, teeth whose incisal edges are irregular or crooked after an accident or as a result of teeth grinding, as well as visible fillings, are no fate. The magic word is “veneers”, which are enjoying increasing recognition not only in the US and among Hollywood greats.

 

Are there different types of veneers?

There aredifferent types of veneers, which are used depending on the type of tooth irregularity or the initial situation or the patient's request. The "conventional"Veneersare about 1 mm thick. With these, some tooth substance is removed before application.

The thinner, so-called "Non-prep veneers"On the other hand, they are only 0.3 to 0.6 mm thick. The aforementioned grinding is not required. This type of veneer also includes the" Lumineers "made in the USA (further information is available here: Lumineers).

Also so-called "Laminates"are ceramic shells that are slightly thinner than conventional veneers. Laminates can only be used to treat minor unevenness or missing edges and gaps. When using laminates, there is hardly any loss of tooth substance.

There are alsoImmediate veneers made of plastic. These are modeled directly on the tooth in one session (further information is available here: Veneers-to-Go).

Depending on the initial situation of the patient and the existing misalignments or irregularities, it can even be useful in some casesuse different veneer techniques at the same timein order to achieve an optimal result.

Depending on the initial situation of the patient and the existing misalignments or irregularities, it can even be useful in some cases different veneer techniques at the same time apply in order to achieve an optimal result.

Dr. med. dent. Martin Desmyttère MSc, MSc
Dentist in Munich

 

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Procedure: attaching the veneers

Usually areseveral treatment steps and dental appointments necessary up to the finished veneers.

Preparation of teeth

The first step is to find athorough cleaning of teeth instead, which also includes the removal of hard and soft plaque (you can find more about this here:Professional tooth cleaning). Older fillings and any existing ones can also be renewed as an optionCariestreated. It is extremely important that the teeth are completely healthy and that there is no inflammation in the oral cavity (such asPeriodontal disease) before the veneers are placed.

Then after a local anesthetic theTooth enamel sandedwith between 0.3 and 3 mm being removed. The necessary thickness of the removal is determined individually and depends, for example, on the position of the teeth or any discoloration. This measure ensures that the teeth do not look unnaturally thick later on.

Impression and fabrication of the veneers

AImprintthe treated teeth are removed so that a dental technician can create the veneers individually in the dental laboratory. In the meantime, patients receive temporary plastic veneers

Attachment

In the final appointment, the dentist attaches the veneers to the teeth. He uses one for thatSpecial glue(Two-component adhesive), which ensures a long shelf life of the treatment result and at the same time protects the tooth substance.

The bonding process is time consuming and requires the professional skill of the dentist. The adhesive used is first matched to the veneer thickness and tooth color and then applied to the inner surface of the veneer. Then the veneer is pressed onto the respective tooth. ABlue light lampensures that the adhesive hardens and firmly bonds the veneer to the tooth.

TheDurationthe attachment is about onehalf an hour per tooth.

Fig .: Schematic representation of the process for attaching the veneer

The right color

TheHue of the final result is essentially throughthree factors determines: the strength or thickness of the veneer, the original tooth color and the color of the composite adhesive used. For the attachment of the veneersGlue in different shades used - depending on the individual starting point. When using a two-component adhesive, it is important to ensure that the final color is only visible after it has hardened. The use of "Sample pastes" advantageous. In this way, the correct shade for the patient can be determined before the veneers are applied.

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What are Lumineers?

Lumineers are among the so-called "Non-prep veneers”, Since no or only very little preparation, i.e. grinding of the teeth, is necessary for their attachment. Compared to conventional veneers, non-prep veneers are thinner, for example 0.3 to 0.6mm.

There are non-prep veneers from many manufacturers, but Lumineers are among the best known and are supplied by the US company Den-Mat with a patented ceramic (CerinateTM) produced. In Germany Lumineers have been used since 2007 by dentists who have previously completed special, certified training from the manufacturer.

Procedure: Attaching the Lumineers

The Lumineers are applied in the same way as conventional veneers, with the difference that no preparatory grinding of the teeth necessary is. No or only a minor preparation of the teeth and therefore no local anesthesia is necessary.

advantages

Another advantage of Lumineers is the 5 year guarantee of the manufacturer. Should a Lumineer break or be lost during this period, it will be replaced by the manufacturer free of charge.

In addition, non-prep veneers have the advantage that they are themselves Can be removed almost completely. Lumineers are therefore also suitable for short-term purposes, such as a wedding, on whose photos you want to be remembered with a radiant smile.

disadvantage

Since Lumineers are extremely thin, they can be very severely discolored teeth may not be satisfactorily covered. A previous one could be here Whitening to offer. In addition, Lumineers cannot be applied to all teeth without preparation. This mainly affects very large or nested teeth.

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Veneers-to-go / instant veneers

In contrast to conventional veneers and Lumineers, instant veneers can usually be used in just a single session be attached. For this reason, they are often referred to as “veneers-to-go”.

Instant veneers are made up of All-ceramic or from a plastic-ceramic mixture (usually from over 80 percent nanoceramic fillers). While with conventional veneers the production takes place individually for each patient in the dental laboratory by a dental technician, with veneers-to-go prefabricated veneers used in various shapes and sizes and adapted directly in the mouth and then attached to the tooth.

The advantage of instant veneers, in addition to the short treatment time, is the price. This is cheaper compared to veneers and Lumineers (see costs).

However, there is also a major disadvantage: Because veneers-to-go not custom made these cannot always be optimally adapted to each patient and his or her tooth color and shape. Veneers-to-go are therefore not sensible or applicable in all cases.

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What are inlays and onlays?

While veneers are used to beautify the anterior region, inlays and onlays are used in the posterior region. Inlays or onlays are ceramic inlay fillings that are used to restore defective or diseased teeth.

Thanks to the color, ceramic inlays or onlays can hardly be distinguished from real teeth and thus meet high aesthetic standards. A combination of veneers for the anterior teeth and onlays or inlays for the posterior teeth offers the patient a very good treatment result.


Inlays

In contrast to conventional fillings, which only harden in the tooth cavity, inlays are manufactured in advance and individually adapted to the tooth and the chewing surface and inserted in one piece. Ceramic is a very stable material and therefore hardly wears out, even with high chewing loads. In addition, the material is very well tolerated, does not transmit temperature stimuli and does not affect the taste.

 


Onlays

Onlays are suitable for major damage to the teeth, as they cover the chewing surfaces and can also cover individual or multiple tooth cusps. With onlays, the chewing force and stability of the teeth can be regained and thus the full functionality of the tooth can be restored. Like inlays, onlays are made of tooth-colored ceramic and are extremely stable and aesthetically pleasing.


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Who are veneers suitable for?

Veneers are suitable for men and women whose teeth have blemishes. For example, the optics can be complete or in places darkened teeth can be improved with the use of veneers. But also odd teeth, Tooth gaps, Cracks In the tooth substance or chipped teeth can be treated with veneers. Basically, veneers are extremely well tolerated and can therefore be recommended almost without restriction for cosmetic defects in the teeth.

At a glance: who are veneers suitable for?

  • Minor misaligned teeth
  • Smaller tooth gaps
  • Irregular or unattractive teeth
  • Chipped edges
  • Rough, irregular tooth surfaces
  • Tooth enamel defects
  • Root canal treated teeth
  • Discoloration

 

Who are veneers not suitable for?

For people with the Grind your teeth, a decision should be made on a case-by-case basis as to whether a restoration with veneers makes sense. If these are attached professionally and taking into account the particular situation, the ceramic bowls will not become detached or damaged by the forces released by the crunch. If necessary, wearing a splint can protect the veneers.

At a glance: who are veneers unsuitable for?

  • Frequent teeth grinding (a grinding splint can help)
  • Frequent nail biting or chewing on pens or pencils
  • Caries infestation of the teeth (here a treatment in advance is necessary)
  • Presence of large fillings
  • Engaging in a sport that harbors the risk of dental injuries (e.g. martial arts or certain ball sports)

 

Veneers instead of braces: are veneers also suitable for larger misaligned teeth?

People who actually have healthy but crooked teeth or teeth that are too tight may shy away from lengthy treatment with braces. For this reason, the question is often asked whether veneers are also suitable as an alternative to braces to conceal misaligned teeth.

In most cases this has to be answered with “no”. Because it is Tooth misalignment too large, veneers cannot deliver a satisfactory result. Veneers are only suitable for minor misalignments, tooth gaps or discoloration. But even if orthodontic treatment is necessary, you do not have to be satisfied with clearly visible brackets. A tooth correction with the almost invisible aligners from Invisalign is particularly suitable for adult patients (more on this: Invisible braces).

The following principle applies: Orthodontic treatment first, then veneers.

Veneers or whitening?

Whitening is cheaper compared to veneers, but teeth whitening has to be repeated at regular intervals, as the teeth - depending on living conditions - can discolor again. This is especially the case with people who smoke regularly or drink a lot of coffee and tea.

Who is a lasting result wishes for the can Veneers be the better way to get white teeth. However, as with real teeth, a prerequisite is good and thorough care - for a lifetime.

In addition, you can have a whitening and the application of veneers combine.

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Durability of veneers

Like conventional dental crowns, veneers have a very high durability on, which is why they are also considered a sustainable solution for beautifying teeth. Ceramic veneers are usually at least ten years durable. Often they even last longer. In only 2 percent of patients, veneers had to be replaced within the first 6 years.

It should be mentioned, however, that veneers and inlays made from high-quality ceramic hold best. Plastic-ceramic mixtures, as is the case with veneers-to-go, for example, have a shorter shelf life. Ceramic veneers In contrast, they do not show any greater signs of wear than real teeth - not even after several years of wear.

Veneers are usually replaced after about 10 to 15 years. In order to enjoy the veneers for as long as possible, the same applies as with real teeth thorough oral hygiene to pay attention and to go to the dentist regularly (a regular professional teeth cleaning helps to extend the durability of the veneers).

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Risks and possible complications of using veneers

The material from which veneers are made is usually ceramic. This is a very well tolerated, biocompatible substance. The risk of Allergies is therefore very low if you disregard the very rare allergic reactions to the substance (adhesive) with which the veneers are attached to the teeth.

Is it painful to apply veneers?

There is no pain when applying veneers. If the teeth are prepared beforehand, i.e. ground down, a local anesthesia to be required.

Do Veneers Increase The Risk Of Dental Disease?

If the veneers are professionally adjusted and attached by a qualified dentist, then there is no increased risk of caries disease teeth or inflammation of the gums. If the veneers are not attached professionally, bacteria can accumulate between the teeth and the veneers and lead to tooth decay.

In addition, it also applies to high-quality veneers that a thorough oral hygiene indispensable for the health of the teeth as well as the longevity of the ceramic bowls. The transition from tooth to veneer must always be cleaned thoroughly to avoid tooth decay.

Abrasion of healthy tooth structure

If the teeth have to be ground to prepare the veneers, that always means one Loss of tooth structure and thus the impairment of the protective function of the tooth enamel.

The risks and complications of using veneers at a glance:

  • Very rare: allergies
  • In the case of veneers that have not been applied professionally: bacteria and tooth decay between the teeth
  • Loss of tooth structure

 

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Cost of veneers and lumineers

The costs for veneers and Lumineers vary depending on the type, quantity and material used and cannot be quantified at this point. In the following, however, we would like to give you an initial overview and orientation of the costs of veneers. You will receive an exact cost plan from your treating dentist.

What do veneers cost?

The cost of ceramic veneers is between, depending on the treating dentist and depending on the scope or number of veneers required 900 and 2,000 euros per tooth.

What do Lumineers cost?

Lumineers are veneers with a much smaller thickness, which in most cases do not require prior grinding of the teeth (non-prep veneers). The price per aperture is around 700 to 1,000 euros.

What do veneers-to-go / instant veneers cost?

Since veneers-to-go do not have to be made individually, the costs per veneer are lower than with conventional veneers or Lumineers. Here are prices of around 350 to 400 euros to be expected per aperture.

Does the health insurance company pay the cost of veneers?

Veneers and Lumineers are usually not covered by statutory health insurances, as this is an aesthetically motivated procedure and therefore a purely private service.

Private health insurances only cover the costs in rare cases and with a corresponding contract. However, this only applies if the measure is not purely aesthetically motivated.

Veneers - costs at a glance

€ 900 to € 2,000Veneers (per tooth)

€ 700 to € 1,000Lumineers (per aperture)

€ 350 to € 400Veneers-to-go (per panel)

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Before and after pictures of veneers

For a satisfactory result of a veneer treatment it is of particular importance to find the right doctor. Relevant criteria are the qualification of the doctor and the number of operations that have already been carried out. Before and after pictures can also help you decide on a veneer.

Since, according to §11 of the Heilmittelwerbegesetz, since April 1st, 2006, we are no longer allowed to present before-and-after pictures on the subject of veneers, we would still like to provide you with the best possible information, so you can view the links we have researched and checked below. There you will find numerous examples of before and after pictures for veneers.

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Frequently asked questions about veneers, Lumineers and instant veneers

Which veneers are currently on the market?

In addition to the conventionalCeramic veneersthe so-called also exist todayNon-prep veneerswith a thickness of around 0.3 millimeters, roughly the same as that of contact lenses. These veneers have the advantage that only a much smaller or no part of the tooth enamel has to be abraded to fix them. In addition, existPlastic veneers. This cheaper alternative to ceramic veneers is less durable and prone to discoloration.

Can veneers be removed again?

Veneers can generally be removed again. However, it must be remembered that - if non-pre-veneers were used - the teeth were ground down beforehand. This leads to thenatural protective tooth enamel is missing. In addition, the veneers can break when they are removed.

Can veneers fall off?

It does comevery raren before, however, veneers can loosen or be damaged due to various factors. This can be done on the one hand by ainsufficient connection between tooth and veneer(including non-qualified use of the adhesive, missing enamel layer of the tooth) and on the other hand throughexternal forces arise (e.g. gnashing of teeth or gnawing of food that is too hard).

Can veneers discolour?

The ceramic veneers themselvesdo not change color. The situation is different with theGlue joints. If these are located in the interdental spaces and are therefore not visible, the discoloration does not impair the appearance.

How long do veneers last?

Clinical studies confirm that veneers are extremely durable. Within six years of using the ceramic bowls, only two percent have to be replaced. Veneers areat least ten years durable, often their wearing time is also significantly longer. The high-quality, special ceramic material ensures that the quality of the ceramic bowls does not deteriorate over time and that the improved appearance of the teeth is retained over the long term.

Do Veneers Increase The Risk Of Dental Disease?

Basically, veneers that are professionally adapted and attached to the teeth increasenot the risk of diseases of the teeth or gums. However, if the veneers are not properly attached, there is a risk that bacteria will penetrate into a space between the teeth and the ceramic bowls (adhesive joints) and thereCariescause. This risk, as well as that which is always relevant in the case of a primarily cosmetically motivated treatmentRisk of an aesthetically unsatisfactory result can, however, be reduced significantly by choosing an experienced practitioner. In addition, people who decide to use veneers should be aware that they always dohealthy tooth structure sacrificed must become. However, modern, wafer-thin non-prep veneers minimize these necessary losses.

When should veneers be preferred over teeth whitening?

Whether veneers or bleaching are preferable depends above all on the desired treatment result. While the result of a veneer adjustment is permanent, theWhitening procedure to be repeatedto achieve a consistent result. In addition, with the help of veneers, slight misalignments or gaps between teeth can be optically compensated and the shape and size of the teeth can be optimized, while bleaching only serves to whiten teeth. So if you want a one-off treatment and want to make further changes to your teeth, you are well advised to adapt veneers. In order to only whiten the teeth, a professionally performed bleeching may be sufficient. Atlarger misaligned teeth However, braces should be used. There are also very inconspicuous variants using "invisible braces".

Can veneers be used instead of crowns?

In some cases it is possible to use veneers instead of crowns. This approach has the advantage that apreserve a larger part of the tooth substance can be. However, if the existing damage to the tooth substance is already too great, preference should be given to crowning, as this procedure allows the natural teeth to be preserved for longer.

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Which dentists fit veneers and lumineers?

A perfectly fitted and fitted veneer requires a special skills of the dentist and therefore requires professional qualifications at a high level. The attending dentist should be very familiar with the preparation and bonding techniques and also have an above-average quality Dental laboratory as well as a well-trained one Dental technician feature.

Years of experience, specialized qualification of the dentist with the adjustment of veneers as well as a modern technical equipment are therefore important prerequisites for an optimal treatment result. In addition, you should Before and after pictures of treatments that have already been carried out the dentist to show.

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