DENTAL VENEERS - Elite Dental Group
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What are dental veneers?

 

Dental veneers are extremely thin, custom-made shells of porcelain or resin usually attached to the front surface of your teeth. This can alter the appearance of your original teeth by changing their shape, size, length, surface texture and/or colour.

 

 

Veneers can also help to rebuild teeth that are severely worn down, cracked or broken.

 

 

Multiple dental veneers placed simultaneously for the upper front six to 10 teeth in a “Smile Makeover” can drastically improve a person’s smile and confidence.

 

 

What are Dental Veneers made of? 

 

Dental veneers are usually made from:

 

 

Porcelain

 

Generally preferred because it is strong and stain resistant. Porcelain is brittle so sufficient thickness (0.3-0.5mm) is required to avoid chipping.

 

 

Composite Resin (plastic)

 

Can be made thinner than porcelain so less or even no trimming of the tooth surface is required. Plastic is more high maintenance because it tends to stain and wear down more easily.

 

 

How can Dental Veneers help me?

 

Dental veneers can help with:

 

  • Discoloured teeth
  • Broken or chipped tooth
  • Worn down teeth
  • Uneven/misaligned/irregular/under-sized shaped teeth
  • Gaps in between teeth
Dental-Veneers-2

Chipped tooth with gap in between teeth

Dental-Veneers-3

Badly discoloured teeth from tetraclycline antibiotics

 

Dental Veneers at Elite Dental Group

 

Step 1: Consultation

 

Before any dental treatment can proceed, it is extremely important to first consult us to assess if veneers are suitable for you. The health and angulation of the supporting tooth/teeth need to be assessed. Your bite patterns and habits (for eg: sleep bruxism) are also important in determining the lifespan of the veneers.

 

 

Digital Smile Design or DSD is a useful tool for deciding on the nuances of tooth proportions, shape, surface texture and overall tooth arrangement. A virtual prototype of the DSD can be superimposed on to a digital photo of your smile for a trial run. This can be transferred to your mouth to evaluate how the proposed design will function in real life.

 

 

DSD ensures that you and the whole team (your dentist, ceramic artist and other specialists) are working off the same blueprint. The DSD and the prototype can be easily customised at this stage to suit your preferences.

 

 

The blueprint is your treatment roadmap, allowing us to identify the steps needed to reach the final result. For complex cases, this may require a combination of minor orthodontics (tooth alignment), gum reshaping, bleaching and veneers. For simple cases, merely bleaching and then adding composite to the edges of your teeth (edge bonding) may be sufficient.

 

 

Step 2: Preparing your teeth 

 

The preparation begins by placing the veneer blueprint on to the surfaces of your teeth. The required material thickness is removed from the blueprint and the required margins are refined. With careful planning, minimal or even no enamel removal may be required.

 

 

If only edge bonding or a space closure is to be done with composite, then no trimming of the teeth may be needed. Your teeth are cleaned, sharp edges are smoothed and the tooth surface is chemically prepared to receive the porcelain or resin material.

 

 

Some patients choose to have this stage done with local anaesthetic since we will be working close to the gum line.

 

 

A mould or digital scan of your prepared teeth is then made and transferred to the dental laboratory. Temporary plastic veneers may be attached to the prepared teeth in the meantime.

 

 

Step 3: Fitting the Veneers

 

If you are receiving resin veneers, we may choose to make the veneer directly in your mouth. The resin is layered on to the tooth surface and the material is hardened with a special light. Further adjustments and fine polishing are completed at a subsequent appointment.

 

 

Once your lab-made final veneers are ready, the temporary veneers are then removed. The colour, shape and fit of your new veneers will be checked against the prototype and blueprint. The new veneers are then carefully bonded to your teeth using a very strong dental adhesive.

 

 

Will the veneers match my other teeth?

 

We work closely with our team of ceramic artists to match porcelain veneers to your own teeth.

 

 

Photographs and moulds of your teeth record fine anatomical details that will be reproduced in porcelain or resin.

 

 

If you are planning to bleach your teeth, this should be completed at least 2 weeks prior to having veneers done. Bleaching will need to be maintained once every 3 months after the veneers are completed to ensure your teeth continue to match the veneers.

 

 

How long do veneers last?

 

Porcelain veneers can last approximately 10-15 years.

 

 

Composite veneers last approximately 5-7 years. The composite needs regular repolishing (every 9-12 months) to maintain surface gloss and to remove stains.

 

 

Veneers may fail due to material chipping/cracking/fracturing (from biting into hard foods) and debonding (due to decay).

 

 

For maximum longevity, retainers should be worn at night.

 

 

What about “Nano/6D/diamond” veneers?

 

You may have seen ads on social media for “nano” veneers done by beauty therapists at a fraction of the cost. The testimonials claim that the veneers do not harm your teeth and that the veneers can be easily removed by a dentist. This all seems too good to be true.

 

 

Unlike dentists, these therapists have no verifiable training, the equipment used may not be properly sterilized/disinfected and the veneer materials used may not be HSA-certified as safe for use in the mouth. You may be risking your health and irreversible damage to your teeth by undergoing treatment at a facility offering healthcare services that is NOT accredited by MOH.

 

 

Here are some articles covering veneers and other dental treatments performed by non-dental professionals.

How safe and effective are cosmetic dental treatments like veneers at beauty salons in Singapore? (Dr Jaclyn Toh’s answer)

How safe and effective are cosmetic dental treatments like veneers at beauty salons in Singapore? (Dr Gerald Tan’s answer)

Are composite veneers reversible, and what happens to the teeth underneath over time?

How effective are “self teeth whitening” treatments?

$350 For Braces? The Carousell Dentist Will See You Now

 

 



FAQ

How much do veneers cost?

Veneer fees vary depending on the dental clinic, the case difficulty, the material used and the lab used.

 

Case difficulty determines how much time and skill will be required to perform the veneer treatment. Patients with limited mouth opening, single-unit veneers, severely discoloured teeth are cases that are considered difficult.

 

Veneers can be made directly in the mouth from resin composite (a type of toughened plastic polymer) or made in the lab from porcelain on a plaster model of your teeth.

 

Direct veneers are very challenging to execute properly and often multiple layers of different shades of material are required. Each layer must be applied perfectly with no  voids or surface contamination to ensure an excellent result. Direct veneers can be a useful transitional treatment if lab-made porcelain veneers are too expensive, if a patient is young and the gum levels have not yet fully matured or to guide orthodontic (braces) bracket positioning.

 

A good dental lab is an important part of making quality porcelain veneers. Dental technicians vary by skill and training. Good labs that do highly aesthetic veneers that fit well do not come cheap. The dental technician has to work closely with your dentist to deliver a high quality veneer according to the requirements of the case.

 

In general, porcelain veneers will look nicer for longer than direct resin veneers.

Do they shave your teeth for veneers?

In order to give a natural and pleasing appearance, veneered teeth should not appear too thick from the front. 

 

For most patients, this means a small amount of enamel has to be removed from the tooth to accommodate the planned material thickness.

 

“No-prep” veneers are trendy but these can only work well in selected cases (where there are gaps between the teeth). If an unsuitable case is prepared for no-prep veneers, the teeth may look bulky and the margins will tend to stain since they cannot be finished properly.

 

If the underlying natural tooth shade is darkened, more material thickness is required to mask the discolouration. In such a case, veneers may not be the most suitable since veneers are very thin (0.3-0.5mm thick) and translucent.

Do veneers ruin your teeth?

Veneers can be destructive if used in the wrong case to fix a problem that should be addressed in another way.

 

A very common scenario is where veneers are used to correct misalignment of teeth. Veneers can be used to realign teeth with very mild asymmetry, wear or crowding. 

 

Severely crowded teeth may have issues with optimal tooth size, spacing, gum levels and bite pattern that will compromise the appearance and longevity of any veneers done.

 

Trying to realign severely crowded teeth with veneers usually means aggressive trimming of protruding teeth. These teeth may need elective root canal treatment done beforehand if the preparation will encroach into the pulp space and such weakened teeth may fracture more easily in the future, meaning that the chances of being able to redo the veneers is nil.

 

A big part of why veneers are technically challenging is that they have to not only look good, but also be biologically-functional. This means that the veneers should be easily cleaned by the patient and be able to function without chipping or breaking. Specialized knowledge, being able to select the right patient and careful planning is why only a licenced dentist is qualified to provide veneers that will not unnecessarily damage your teeth and gums.

How long do veneers last?

A well-made and well-fitting veneer can last for many years if it is maintained well by the patient.

 

Veneers can become damaged if decay develops under the margin or if the surface gets damaged by repeated wear and tear. Wear of the veneer may be accelerated in patients who grind/clench their teeth (bruxism). To prevent this from prematurely damaging the veneer(s), patients who are at risk of breaking their crowns will be fitted with a custom-made night guard to wear during sleep.

 

Your teeth will also shift and lose their alignment over time, so to maintain the straightness of the veneers, you should wear retainers at night.

 

Your dentist will be able to monitor the veneers placed by examining them at your active maintenance appointments (every 4-6 months) and periodic dental x rays.

Are veneers worth it?

It depends. 

 

For some patients, it makes a big difference to their smile and this makes them feel confident. This newfound confidence affects all aspects of their lives positively, both personally and professionally.

 

Many patients need help visualizing the extent that veneers will change their smile. This is where a protocol of planning aesthetic smile changes called Digital Smile Design (DSD) comes in.

What are the disadvantages of veneers?
  • Like any other dental treatment, veneers are not permanent. You will need to have these replaced periodically.
    Composite veneers (~3-5 years) will need more frequent replacement than porcelain veneers (~ 10 years).
  • Your enamel usually has to be shaved to fit the veneers.
  • You have to avoid biting into grit, bone fragments, shellfish or ice as these can damage the veneering material.

 YOUR SLEEP QUESTIONNAIRE

STOP BANG




Snoring - Has anyone ever mentioned you snore loudly?

Tired - Do you often feel tired, fatigued or sleepy during the daytime?
Observation - Has anyone ever observed you stop breathing during your sleep?
Blood Pressure - Have you got high blood pressure?
BMI - Are you overweight?
Age - Are you over 50 years old?
Neck - Is your neck circumference greater than 40cm?
Gender - Are you male?


GENERAL QUESTIONS


Do you feel refreshed when you wake after 7 hours sleep?

Has anyone in your family ever been diagnosed with Obstructive Sleep Apnea?
Have you been diagnosed or are you being treated for depression?
Have you been diagnosed with type 2 diabetes?
Do you wake often during the night to go to the bathroom?
Do you suffer with headaches upon waking?


EPWORTH SLEEPINESS SCORE


For each situation listed below, circle a number from 0 to 3 that best reflects how likely you are to fall asleep. Be as realistic as you can.


0 – No chance of falling asleep 1 – Slight chance of falling asleep     2 –Good Chance of falling asleep 3 – High chance of falling asleep



Sitting and reading
Watching TV
As a passenger in a car for an hour
Lying down in the afternoon
Sitting and talking to someone
Sitting quietly after lunch without alcohol
In a car stopped while in traffic

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