By using a person’s own teeth as a blueprint, a dental practitioner can fit the mouth with dental veneers (also called porcelain veneers) to create a natural-looking smile. Veneers can improve a variety of dental concerns in a fraction of the time required for other treatment options like orthodontia or surgery. Porcelain veneers not only enhance a person’s looks but they can also positively impact oral health.
What are Dental Veneers?
Dental veneers are hard, tooth-shaped outer coverings crafted from porcelain that are adhered to the front surface of the teeth to create enhanced cosmetics. Each veneer is customized from a mold of the patient’s teeth, offering the perfect merge between art and science during the procedure. Dr. Lazare can create a new look by modifying the individual tooth shape, size, color, and its position within the mouth during the veneer-fitting process.
Candidates for Veneer Placement
Those interested in undergoing veneer placement with Dr. Lazare at his New York City office must first have their case evaluated through a thorough examination prior to the modification process. He can perform cosmetic imaging and would also take digital X-rays and collect digital photographs and create impressions of the mouth, including bite registrations and facebow records. These steps address the structure and health of the teeth. The original models of a prospective patient’s teeth are then built up in dental wax to determine if the ideal aesthetics can be accomplished with porcelain and how much tooth structure would need to be reduced in order to achieve this improved version. Veneers can effectively correct the following dental issues by fixing one or many teeth at a time:
- Helping to brighten up one’s smile
- Discolored teeth due to a root canal, excess fluoride, extensive fillings, or specific types of medications
- Irregularly shaped teeth
- Gaps between teeth
- Tooth surface wear
- Chipped and broken teeth
- Misaligned teeth
After the initial appointment with Dr. Lazare, patients can return for their temporary veneer placements. The advantage to having temporary veneers custom created is that the patient has the opportunity to make changes to their final restorations. He or she can adjust to speaking and smiling with the new additions and determine if they suit their aesthetic ideals. With patient feedback, Dr. Lazare can make the necessary modifications to complete the placement process. Temporary restorations may not be necessary with minimal tooth preparation for traditional veneers or Lumineers. Within a couple of weeks after the first visit, the veneers are bonded onto the prepared teeth and polished and adjusted.
How are teeth prepared for veneers?
Prior to the final fitting, Dr. Lazare will prepare the surface of the teeth. In some instances no enamel is removed to prepare for veneers and in others minimal preparation or more is indicated depending on the position of the tooth within the arch and what is trying to be accomplished. Typically, about one-half millimeter is necessary for the new permanent placements, an amount that will be replaced by the thickness of the veneer. After the teeth have been prepared, Dr. Lazare can submit the impressions of the teeth to the master ceramist at his dental laboratory that will use this guide to expertly craft the realistic porcelain dental additions, which will appear in the shape and color of natural teeth. It can take two-three weeks before the patient’s veneers are completed in most cases, and some patients will opt to wear temporary veneers during this time. However, for those who are flying in from other cities or countries or those who are on a time schedule we can arrange with our lab to have the veneers made within a day or two if necessary.
The porcelain veneer placement process will vary slightly depending on which type of material the patient opts to have placed. In a traditional veneer fitting, local anesthetic injections are provided prior to the procedure for patient comfort, although the Lumineer process and some traditional veneers may not require this step in some cases, depending on how much enamel needed to be removed.
Next, the veneer is placed on top of the tooth for a try-in so Dr. Lazare can create final modifications to the model before it is cemented to the tooth. Each tooth to be veneered is thoroughly cleaned and some etching marks will be created to help the material adhere to the tooth. Differently colored bonding agents help him to achieve the correct color for a uniform look. After each porcelain veneer has been bonded, the dentist will use a special curing light to harden the material for permanent fixation. Once this process has been completed, Dr. Lazare will use dental tools to scale away any extra bonding material and floss between the teeth to ensure the patient will be able to maintain good oral health. He will also assess the patient’s new bite to ensure the new additions are a natural fit. Dr. Lazare may ask patients to schedule follow-up visits so patients have the time to adjust to their newly-shaped teeth and provide feedback on how they feel.
Traditional Porcelain Veneers and Lumineers: FAQs
What Types of Dental Veneers are Available?
As a pioneer in modern dental innovations, Dr. Lazare provides patients with the best option available for cosmetic veneer placement: Porcelain veneers are created with materials produced by a number of different dental labs, whereas Lumineers are patented by Denmat, a dental company. The Lumineer material is ultra-durable, crafted from feldspathic porcelain and strengthened with the addition of leucite crystals. Both traditional veneers and Lumineers can be created to be extremely thin (about the thickness of a contact lens), but in their creation, there is no compromise on strength once bonded into place. A cosmetic dentist can comfortably place Lumineers or even traditional veneers without administering anesthetic injections to the patient, but only if the tooth was not significantly prepared. Usually, some local anesthetic is required to ensure patient comfort. In some instances, the patient will not require temporary veneers, although when trying to change the size, shape and look of the teeth it is recommended to have temporaries made so that the patient can try
on a preview and give feedback before the final restorations are made. With Veneers or Lumineers, one can have a completely customized set of teeth in about two visits. While Lumineers are a nice alternative for some patients, Dr. Lazare is partial to the esthetic benefits of traditional veneers customized and layered by his Master Ceramist. This option creates the most natural beautiful smile that you could ever hope for.
Can adults with crowded front teeth be offered correction other than braces?
Dr. Lazare’s New York practice location offers patients a number of ways to improve the look of the teeth through cosmetic dentistry. Patients who exhibit minimal crowding can benefit from enamel shaping, which is when individual teeth are contoured for a better overall look. Bits of the outer surface of the teeth are buffed away to provide an improvement in one’s smile. The results are instant and there is no anesthesia used during this process. Because enamel is a necessary surface, tooth bonding may be a necessary second step to achieve the desired shape and character that you are looking for. Bonding can help to close gaps, fill in spaces and chipped areas and even brighten teeth. Veneers and Lumineers are great options for a long lasting beautiful smile without orthodontics.
What are the disadvantages of Lumineers?
Proper case selection is extremely important with Lumineers as not all people are ideal candidates. Unless a patient’s teeth are very small and inclined inward, the added material of the Lumineers may cause the obvious appearance of added bulk. The material of Lumineers are the thickness of a contact lens, which may be a disadvantage when a patient is seeking to rid one or more teeth of discoloration. In order to make dark teeth appear very white, a certain thickness of porcelain is required. When teeth are already in the ideal position, any additional porcelain would appear unnaturally thick. While anesthesia may not be necessary, extensive tooth reduction to create proper alignment could be painful. Lumineers are a great option for select candidates of porcelain veneer treatments.
Who is the ideal candidate for Lumineers?
The ideal candidate for Lumineers is someone who exhibits worn teeth, shorter or smaller teeth, inwardly positioned teeth (which can stand to be bulked out a bit), and spacing between their teeth that they would like to close. Additionally, the ideal candidate would select a shade that is similar to the natural color of their teeth, especially if tooth preparation is not indicated or desired and the porcelain needs to be thin. Most people are better candidates for traditional veneers, although Lumineers are a nice option for those who fit the above criteria. Either way, you are just a couple visits away from a gorgeous smile.
Dear Dr. Lazare,
Thank you so much for my new smile! My teeth have never looked so beautiful. Between your new tranquil office and your friendly and professional office staff my visits feel more like spa treatments!
Schedule a Consultation with Dr. Lazare – Cosmetic Dentist of NYC
Marc Lazare, D.D.S., M.A.G.D. is a practicing periodontist and cosmetic dentist in New York, NY. He remains current in dental technology and techniques, and he has even invented patented tools to assist with veneer placement, available to other professionals through Cosmetic Innovations, Inc.
Contact Dr. Lazare’s New York office to begin the journey to healthy teeth and gums through the following: