Porcelain Veneers

00:00:05.672 --> 00:00:09.743 Porcelain veneers are thin shells of porcelain 00:00:09.943 --> 00:00:14.915 that are made of different color or shapes by a lab ceramist, 00:00:15.048 --> 00:00:21.355 and we use these veneers to essentially replace damaged enamel 00:00:21.855 --> 00:00:23.490 or a damaged tooth structure. 00:00:23.560 --> 00:00:25.325 It's almost like an enamel replacement. 00:00:25.392 --> 00:00:26.593 A tooth is built like an M&M 00:00:26.660 --> 00:00:28.295 where you have the hard outer shell enamel, 00:00:28.362 --> 00:00:30.998 underneath it is a softer part called dentin. 00:00:31.560 --> 00:00:35.385 For many patients that have chipped and worn enamel 00:00:35.469 --> 00:00:38.272 or really thin enamel where it's discolored, 00:00:39.506 --> 00:00:43.270 you can either remove the enamel slightly 00:00:43.343 --> 00:00:47.514 or you can just rebuild the veneer over that. 00:00:47.581 --> 00:00:49.249 It depends. Each case is specific, 00:00:49.316 --> 00:00:52.953 but the veneer is essentially an enamel replacement. 00:00:53.787 --> 00:00:56.557 We've gotten to the point where we have 00:00:56.790 --> 00:00:59.593 very strong materials and beautiful materials. 00:01:00.260 --> 00:01:02.863 Some of the earlier materials were not as strong, 00:01:03.230 --> 00:01:06.233 and then the very durable materials weren't as pretty. 00:01:06.300 --> 00:01:10.103 Now we have a perfect blend, so we have these materials that are... 00:01:10.170 --> 00:01:15.275 They look like glass and they just bond to the tooth surface 00:01:15.342 --> 00:01:21.048 in creating a really strong tooth surface, so we can recreate shapes, colors. 00:01:21.615 --> 00:01:22.816 They're amazing. 00:01:22.883 --> 00:01:24.484 The best candidate for veneers 00:01:24.551 --> 00:01:30.324 are patients that have tooth wear, 00:01:30.657 --> 00:01:31.959 tooth fracturing, 00:01:32.459 --> 00:01:37.664 teeth that are darker, that they cannot whiten. 00:01:37.731 --> 00:01:39.933 Bonding is great for small problems. 00:01:40.026 --> 00:01:42.436 You can't bond on the outside of the tooth. 00:01:43.103 --> 00:01:45.706 I prefer veneers because of just their strength. 00:01:45.772 --> 00:01:49.543 Veneers, like any of the full mouth reconstruction veneers, 00:01:49.610 --> 00:01:51.845 we usually give 15–20 years. 00:01:52.245 --> 00:01:56.617 I don't think anything in dentistry we can really say is permanent 00:01:57.851 --> 00:02:01.822 because we can't really predict how long they'll last. 00:02:02.322 --> 00:02:03.934 I'm hoping they'll last forever, 00:02:04.000 --> 00:02:06.193 so when I put them in, I'm hoping they last forever. 00:02:06.260 --> 00:02:08.529 We don't see catastrophic failure, 00:02:08.595 --> 00:02:12.533 but we might see after 15, 20 years, maybe 1 or 2 need to be replaced.