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Porcelain Veneers or Invisalign?

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I have been saving up for quite some time to get my smile makeover done. There’s nothing too major. I want the color whiter, there are some chips here and there, and I have one slightly crooked front tooth. It’s not crooked enough where I ever considered braces. However, my dentist is suggesting I have Invisalign done before getting the porcelain veneers. He said that way there wouldn’t be any need for tooth preparation because he’s using Lumineers. I am not too keen on the idea of adding another 9 months to my smile makeover. Is this completely necessary? I thought porcelain veneers could make a tooth look straight. Am I misunderstanding anything?

Patricia

Dear Patricia,

invisible braces

Bear in mind that I haven’t examined you, but I am skeptical of what your dentist is telling you. In almost all cases, you would either do porcelain veneers or Invisalign–not both. You had the right idea that porcelain veneers can make your teeth look straight. My guess is your dentist is trying to get you to do the Invisalign because he doesn’t know how to shape teeth with porcelain veneers.

He also suggested Lumineers for your case, which is a brand of porcelain veneers highly marketed to inexperienced cosmetic dentists as being “easy to place” because they don’t require tooth preparation. However, in most cases, Lumineers end up looking bulky without some tooth prep. Not to mention inexperienced cosmetic dentists do not generally know how to produce beautiful results. Smile makeovers aren’t taught in dental school.

At this point, you have two choices if you want to get porcelain veneers, I would get them but with a different dentist. Look at their smile galleries to make sure you like the type of results they get. You want to know that they can produce beautiful, natural-looking smiles. Also, make sure they have some type of beautiful smile guarantee.

A second option is to do get Invisalign or another brand of invisible braces to straighten your teeth and whiten your teeth simultaneously using the clear aligners as teeth whitening trays. This will be significantly less expensive than porcelain veneers, but will take longer. You mentioned a few chips on your teeth. You didn’t mention how many or how large, but in most cases, these are repaired with some dental bonding.

Truthfully, wanting all three things repaired, which is what would be necessary for a complete result, the porcelain veneers will be a better idea. I just don’t think your current dentist is the one to do it. He sounds to be in over his head but not wanting to admit it.

This blog is brought to you by Duluth, GA Dentist Dr. David P. Marion.

Porcelain Veneers and Invisalign?

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I want to upgrade my smile. I need them whiter and my two front teeth are a tad crooked. I was thinking of getting porcelain veneers. My dentist suggested I get Lumineers, but before that he wants me to get Invisalign to straighten those two teeth. I just want to get a sort of “second opinion” before going through all that.

Amara

Dear Amara,

invisible braces

Bear in mind when I give you an answer that I haven’t seen your case, so I’m giving generalities here based on what you’ve written. In general, you would either do Invisalign or porcelain veneers, not both. Porcelain veneers can make your teeth look straight. You mentioned it is only your two front teeth which are crooked, which shouldn’t be too complicated. It’s possible your dentist is just in over his head and he doesn’t know how to fashion porcelain veneers except under the ideal conditions.

Rather than say that, he is suggesting you use Invisalign to fix the crooked teeth and then he’ll place Lumineers. That brings me to another reason I think he is in over his head. Lumineers is a particular brand of porcelain veneers that is heavily marketed to inexperienced dentists as being easy to place. Your case is a smidge more complicated.

You haven’t mentioned anything about needing or wanting to change the size and shape of your teeth. Aside from the front teeth, you’ve only mentioned wanting to whiten their color. If that’s the case, porcelain veneers may not be necessary.

You can whiten and straighten your teeth all at once using invisible braces, saving you thousands of dollars. My suggestion is you get Invisalign to straighten your teeth. The aligners can also double as teeth whitening trays. Your dentist simply has to provide you with the whitening gel. Wear the gel while you’re straightening your teeth. When you are done, you’ll have beautifully straight, white teeth.

Additionally, these two procedures are simple enough they can be done even by inexperienced cosmetic dentists. If you were to get porcelain veneers, I would recommend you go to someone with more expertise.

This blog is brought to you by Duluth, GA Dentist Dr. David Marion.

Mouth Collapsing

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It seems that the older I get the less I like my smile. When my mouth is at rest, you can’t see any of my teeth, just empty darkness. Even when I am smiling, I have to force my teeth to show. I don’t know if this is connected, but my jaw hurts all the time, except when I’m wearing my mouthguard, which I got not too long ago when my son told me he noticed I was grinding my teeth. My dentist suggested Lumineers might help, but I wanted to get another opinion before moving forward.

Melanie

Dear Melanie,

woman covering her mouth

I’m glad you wrote. Your dentist is going about this the wrong way. In fact, it is very likely to make things worse. Based on what you’ve described it sounds like your teeth are worn down to the point of being over closed. This can result in serious TMJ Disorder, if it hasn’t already.

Lumineers is a brand of porcelain veneers. This particular brand of veneers is often marketed to inexperienced cosmetic dentists. The fact that he’s even suggesting this as a solution backs up my suspicion that he doesn’t know what he’s doing in this case.

The solution for this is a full-mouth reconstruction. This is a very advanced procedure that has to be done very carefully. It usually involves crowning every tooth. It is beyond the ability of most dentists. Just getting the function of your bite correct is a tall enough order for this however, you will want more than function. You’ll want an attractive smile too.

I want you to look at Dr. Marion’s credentials. This would be the kind of dentist you are looking for when it comes to something like this. Also, if a dentist went to one of the following post-doctoral training centers, they will be qualified as well:

  • The Pankey Institute
  • The Dawson Academy
  • The Las Vegas Institute for Advanced Dental Studies

Do be careful with who does this for you.
This blog is brought to you by Duluth, GA Dentist Dr. David Marion.