porcelain teeth veneers problems, dental complications

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by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

porcelain teeth veneers problems, dental complications
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Image	Photo Description
	Acute periodontal gum abscess that caused gum pain. 1) This patient presented with a draining fistula in the gums between teeth #'s 7 & 8. Teeth #'s 8 & 9 had acrylic veneers - not porcelain - made and placed at another dental office about two years ago. Her general dentist had performed a gingivectomy minor gum surgery last year to attempt to treat the occasional swollen gums in this same area. 2) The radiograph of tooth #9 shows a healed apicoectomy from 12 years ago that is not related to the current problem. 3) A gutta percha point was placed in the fistula and radiographed to see where it went. It stayed at the coronal gingiva around the margin of the veneer. The patient was put on tetracycline antibiotics for a week. [This is not a recommendation for everybody!] 4) Reevaluation two days later by the Periodontist showed improvement in gum pain symptoms and gingival inflammation. The acrylic veneer gum margins will be recontoured - reshaped - following resolution of the acute condition.
	Acute periodontal gum abscess that caused gum pain. Close-up pictures of the gums. This patient presented with a fistula - gum boil - between teeth #'s 7 & 8. Teeth #'s 8 & 9 had acrylic veneers placed elsewhere about two years ago. Her general dentist had performed a gingivectomy last year to attempt to treat the occasional swelling of the gum in this same area. A gutta percha point was placed in the fistula and radiographed to see where it lead. It stayed at the coronal gingiva the margin of the veneer. The patient was put on tetracycline antibiotics for a week. Reevaluation two days later by the Periodontist showed improvement in gum pain symptoms and gingival inflammation. The acrylic veneer gum margins will be recontoured - reshaped - following resolution of the acute condition. Lumineers were not used in this case but it is a good place for discussion. Lumineers are heavily advertised as being good because there is little or no teeth drilling involved. The lack of teeth preparation - drilling - may result in bulky thick porcelain teeth. The porcelain is also made differently. Lumineers may be easier for a dentist but we do not offer Lumineers for the reasons stated above.
$porcelain veneer fracture, laminate complication, bonding, break, broken, problems Lumineers$	Repair of a broken tooth veneer. The patient preferred to repair this porcelain veneer. This was rebonded in a manner similar to that of the initial dental veneer laminate placement. The patient was willing to accept the slight compromise in aesthetics and prognosis.
$broken porcelain tooth veneer fracture, complication, break, complications Lumineers$	Porcelain tooth veneer failure on an upper left canine. Notice the edge-to-edge occlusion bite in this area and that the original dental veneer did not wrap around to the palatal surface of the tooth. Some teeth veneer cases involve an attempt to improve the occlusion bite like seen in these pictures. This can create unfavorable vectors of force that will create sheer stresses on the porcelain veneer cement. In these cases the teeth preparation - drilling - should be more aggressive to create some mechanical retention to aid the bond strength of the dental cement.
Information about these dental photos In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile. For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side. Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand. This is particularly important because a majority of our visitors are from countries where English is not their primary language. Maxilla or maxillary refer to the upper jaw. Mandible or mandibular refer to the lower jaw. There are many other similar word combinations used throughout this website because our pages are read by patients and dentists. A few of the most common are discussed here. Tooth decay, tooth cavity and dental caries all mean the same thing. Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate. Oral rehabilitation and dental reconstruction mean smile makeover. The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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