Brighten teeth with veneers, Replace old "composite bonding"
This Highland Park, IL patient had old discolored bonding and heavy wear on the backsides of her upper front teeth. Already missing a great deal of the original enamel structure, the patient had a reluctance to do much drilling to what remained of her teeth. E Max porcelain restorations can be created that is thinner and does not require the removal of as much tooth surface as previous versions of ceramic restorations. Custom made shells of wafer thin porcelain were used to wrap partially or to cover the teeth changing the length, shapes, brightness, and surface texture. Our restorations that totally cover the tooth are offically classified as crowns but are much thinner than normal crowns and they are bonded over the teeth. Whether veneers or crowns, they yield beautiful strong stain resistant restorations.
Reshaping your teeth with less drilling
Knowing that she was having her teeth done, she decided to idealize her smile. Our patients have the opportunity to help design "their ideal" look. She wanted to have longer, brighter, more symmetrical teeth. EMax porcelain was used to replace the stained bonding. A mixture of crowns, crowneers, veneers were done on eight teeth. Our philosophy is to reduce as little tooth structure as possible and still achieve the esthetic and engineering agenda. It is technically far more difficult to mix preparation designs (due to the translucency of this beautiful porcelain) and still achieve a uniform coloration and brightness. The teeth underneath the porcelain can vary greatly in color and brightness and will show through the porcelain if the dentist and technician do not plan for it. Most dentists will do more aggressive tooth preparation on all of the teeth to make this a simpler shade matching procedure.
Porcelain Veneers vs. Composite Bonding
Composite bonding is a wonderful material for small to medium fillings or for temporary recontouring or reshaping of the front teeth. Composite is used frequently to improve the small imperfections or spaces between the teeth after braces. It is ideal for young adults not quite ready for porcelain veneers. Composite does have some shortcomings. It is about 30% the strength of a natural tooth so it can chip or break more easily. It will loose it’s luster after 4-5 years so it needs maintenance.
Porcelain veneers are considered “more permanent” (nothing is permanent). Porcelain varies in tensile strength but generally, porcelain is 90% the strength of natural teeth and when used in a veneer, will enjoy a long lifespan. It is much easier to create lifelike replicas of natural teeth with porclein veneers.