In our Dallas cosmetic dentistry office our patients often ask how much of their tooth will need to be reshaped in order to place their dental veneers and the answer varies depending on the type of veneers they will be receiving. As a dedicated cosmetic dentist in Dallas I offer and recommend different types of veneers to different patients as their individual needs are unique.
Tooth reshaping for veneers falls into three categories:
1. No or minimal reshaping all in enamel - Example Durathins Veneers.
Advantages - strong long 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 - Greater than 50% of veneer bonded by enamel.
Advantages - 90% of all cases have enough room to achieve an excellent result in color and arrangement. With excellent bonding technique no long term sensitivity and good long term bond strength.
Limitation - not reversible, roughly 10% of cases cannot achieve optimum shape, arrangement or color.
3. Heavy reshaping - less than 50% of veneer bonded by enamel. These are the
Reshaping designs that cause most of the problems you read about.
Advantages - it is easier for the ceramist or dentist to achieve dramatic changes to shape, arrangement and color.
Limitations - decreased long term bond strength, more change of post treatment sensitivity, bonding more technique sensitive or demanding.
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