The Smile-at-Once clinic in Moscow uses only original brands: Cerinate and DUO-PCH. Unscrupulous dentists may offer lumineers from a variety of companies and manufacturing countries. But this is just a ploy to sell ordinary veneers at an inflated price.
Cerinate Lumineers are created strictly individually for the patient and only in the USA, so their cost is quite high (sending of prostheses is required). DUO-PCH designs have appeared on the market recently; the same material is used for their manufacture, only the onlays themselves have a standard or template shape, which makes prosthetics with their help more accessible.
Indications
- high demands on aesthetics,
- restoration of only a group of 8-10 teeth,
- the need for prosthetics without grinding teeth,
- requirements for long service life,
- any aesthetic violations of the smile area,
- predisposition to enamel wear,
- increased sensitivity of teeth.
Advantages
- no tooth grinding required
- no need to wear a temporary onlay to protect the ground tooth,
- the technology for manufacturing overlays is computerized as much as possible,
- no anesthesia required
- color constancy throughout the entire service life,
- maximum aesthetics - dentures are translucent and look natural,
- durability – service life of 20 years or more.
Lumineers have all the advantages of veneers. However, their significant advantages are the absence of the need to grind the tooth (surface leveling is achieved through the use of varying amounts of adhesive, which is highly transparent and completely invisible under thin overlays), better aesthetics, and durability1. Lumineers protect not only the front, but also the cutting surface of the tooth. Therefore, the linings are not susceptible to chipping, and food fragments do not get stuck between the plate and the tooth. Like veneers, lumineers reliably protect teeth that are susceptible to wear and also reduce enamel sensitivity.
What are veneers?
Veneers are thin plates that are attached to the surface of the teeth.
They are made of ceramics and composite materials. In some specialized literature, these plates are called laminates. Are they like finishing flooring material? hide the base, giving it a more attractive look.
Veneers differ from traditional crowns because they do not completely cover the tooth, but only cover one or two of its surfaces. Most often, such “plates” are installed on the front teeth, forming the smile line.
IMPORTANT: Unlike crowns, veneers look more natural and aesthetically pleasing. With their help, you can give your teeth a more natural shape and correct some defects.
Veneers are classified according to the materials from which they are made:
Ceramic veneers. For their production, zirconium dioxide and medical porcelain are used. Plates made from this material are highly durable and do not change color over time. The thickness of such a ceramic plate is only 0.3 - 0.5 mm.
Such veneers have only one disadvantage - high cost.
Composite veneers. Nowadays this type of veneers is practically not used, as it is considered outdated. In addition, composite plates have a number of disadvantages. They are less attractive and have a short service life. Among the advantages, it should be noted the relatively low cost and fast and gentle installation.
Hollywood laminates. The newest type of veneers characterized by the smallest plate thickness. Only 0.2 mm. Hollywood laminates are made of porcelain, but unlike ceramic veneers, they have a longer service life and are easier to use.
IMPORTANT: Hollywood laminates can be used over an artificial crown.
Teeth covered with veneers are no different from real teeth. It is advisable to use such plates if teeth whitening with conventional technologies does not produce results. Installing veneers can restore teeth with defects in the shortest possible time.
How to care for veneers
The main advantage of ceramic veneers is their unpretentiousness - they do not require special care.
Try to maintain daily hygiene. This allows the veneers to retain their original color and shine for a long time. Do not put strong pressure on the “new” teeth by opening plugs or cracking nuts . It is recommended not to overuse colored drinks.
If you suffer from bruxism and have had a veneer installed, then wear special dental guards at night so as not to wear down the enamel of healthy teeth and spoil the appearance of the veneer.
Hollywood veneers for front teeth
The term “Hollywood smile” originated in the middle of the last century.
- The history of this expression is associated with the name of the famous Marilyn Monroe. She was not lazy to show off her “flawless” teeth on the movie screens in which she took part.
- It’s surprising, but dentist Charles Pincus “corrected” the beautiful Marilyn’s smile. No, these weren’t veneers yet, but the fashion for snow-white teeth started after Monroe’s smile
- If there is demand, then there must be supply. Dentists have long solved the problem of producing materials for the formation of flawless teeth. And the company Cerinate succeeded in this, in whose laboratory a dental correction technology was developed that used lumineers
- Unlike veneers, which had also come into use by that time, lumineers (Hollywood veneers) were comparable in thickness to a contact lens and practically did not require special care
IMPORTANT: Even teeth that are perfectly white from birth fade with age. If a smile is an integral part of your image, then regular dental care is no longer enough to maintain the proper effect. Hollywood veneers are a great way to make your teeth dazzling.
Features of wearing and care
Wearing veneers does not require any special restrictions or care that differs from traditional care. After their installation, the patient can return to their normal lifestyle. You just need to carefully follow your doctor’s recommendations in order to use the installed structure correctly.
After grinding, tooth sensitivity to cold/hot sometimes appears. You should also remember that over time, the surface under the veneers may deteriorate. In this case, there will be direct indications for installing crowns.
It is recommended to visit the clinic after some time for a follow-up examination. The doctor will evaluate the quality of installation and aesthetics of the veneers. The procedure will make sure that there are no defects, in addition, you will learn about the possible negative reaction of the patient’s body to the presence of foreign components.
Dental restoration with veneers
Elimination of defects using veneers is indicated for:
- Non-carious enamel lesions
- The appearance of discoloration of the enamel, the appearance of stains on it and discoloration
- Traumatic chips
- Crooked teeth
Veneers do not discolor during use
Plaques and stains do not form on such “plates”. In addition to their aesthetic function, veneers can provide additional protection to weakened enamel.
IMPORTANT: You can correct your bite with veneers. At the same time, the cost of such a correction will be significantly lower than the cost of braces traditionally used for this purpose. And they install much faster.
Before restoring teeth with veneers, you should consult your dentist. He will tell you whether they can be used or whether they are not suitable in your particular case. In addition, the dentist must examine the oral cavity and, if dental problems are identified, prescribe treatment. Veneers can only be installed on healthy teeth.
The production and installation of the “plates” usually takes a week. After a preliminary examination, the dentist must treat the teeth, heal possible caries and remove tartar. Then he must make impressions of the teeth, from which the veneers will be made.
If correction of teeth is required, then after taking impressions, a model of the jaw is recreated, and with its help plates are created.
At the next appointment, the dentist tries on the veneers and identifies some defects that require improvement.
The plates are installed only after they fit perfectly and satisfy the patient.
Directly installing veneers on teeth takes about three hours.
After such microprosthetics, it is necessary to limit heavy loads on the teeth and visit the dentist several times a year for correction and necessary dental care.
Advantages and disadvantages of lumineers
Enthusiastic reviews from patients who received lumineers emphasize that the structures are very effective when it comes to restoring and transforming the smile area:
- ideal aesthetics and maximum naturalness: teeth are straight, white,
- reversibility of the process: there is no need to prepare the enamel, after removal there will be no need to immediately restore the teeth,
- painlessness: no anesthesia is used for the procedure,
- color and shape stability: the shade does not change over time, is not exposed to external factors,
- protection of sensitive enamel from temperature changes,
- ease and simplicity of care,
- long service life - 20 years or more.
Important! The onlays do not accumulate plaque and tartar on the outside. But pathogenic bacteria can accumulate at the junction of the enamel and the prosthesis. Therefore, it is necessary to carefully carry out hygienic cleansing of the oral cavity, and also undergo professional teeth cleaning at the dentist twice a year.
The records have quite a few disadvantages. The only main thing that can be highlighted is their price. After all, the cost of Hollywood veneers is very high, because it depends on several factors: the designs are created in the USA, and delivery is additionally paid. In addition, you will have to reserve time, since the wait may even take several months.
Veneers before and after
Before installation After installation
Before installation After installation
Recommended: | Not recommended: |
When there is a gap between the front teeth, to hide the gap | For gum disease and caries |
To create a beautiful smile | For weak teeth, it is better to use crowns |
When the color of the enamel changes, spots appear | If you have bruxism (grinding your teeth while you sleep), you cannot use overlays. |
When filling front teeth | For teeth lacking a nerve; |
For crooked teeth | For significant tooth defects |
If the smile zone tooth is broken | In case of severe bite pathology |
Indications and contraindications
What dental problems are considered factors for which the use of veneers is indicated:
- the presence of a tooth gap;
- irregular shape or position of teeth, their anomalies;
- defects with significant tissue damage;
- chips or cracks in the enamel;
- change in natural color due to various reasons;
- with fluorosis;
- erosive processes in enamel;
- abrasion not higher than 2nd degree;
- after restoration, which did not bring the desired result;
- “tetracycline” teeth (high degree of yellowness);
- in the presence of fillings, if their color does not match the shade of the teeth;
- to create a “Hollywood” smile.
The newest effective method also has a number of contraindications:
- high degree of abrasion (from 2nd and above);
- teeth grinding during sleep (bruxism);
- malocclusion;
- bad habits of biting too hard food with your teeth or the desire to open metal caps on bottles, which can quickly ruin installed veneers;
- large filling on the back of the tooth;
- increased tooth decay;
- absence of chewing units (molars);
- high risk of dental injury during certain sports, such as boxing.
Veneers advantages
- Thin ceramic plates perfectly imitate the surface of a tooth. With their help, you can accurately convey its anatomical structure.
- Veneers are installed very quickly compared to other types of prosthetics. In one or two visits to the dental office.
- Ceramic plates resist temperature changes well and can withstand heavy loads.
- They do not stain from coffee and black tea.
- When installing veneers, the thickness of the tooth grinding does not exceed 0.3 mm.
- With the help of such plates you can improve your bite and teeth shape.
- They give teeth natural whiteness and shine.
- With their help, you can eliminate enamel cracks, chips and other defects.
Historical facts
The Swiss technology Chairside Economical Restoration Esthetic Ceramic was first registered in 1985. It became a real breakthrough in medicine and, in particular, in aesthetic dentistry.
Since then, Cerec veneers have been gradually conquering the market and becoming more and more popular in different countries and among different segments of the population.
The name of veneers is an abbreviation of the name of the device for their manufacture. Their uniqueness lies in a single visit to the dentist.
There are no exhausting casts, fittings, or temporary structures; the onlay is made and installed in one visit. This allows you to combine the procedure of caries treatment and restoration.
Veneers cons
- Porcelain “onlays” are very fragile and are unable to increase the strength of teeth
- If you neglect the rules for using and caring for veneers, they may break or peel off over time.
- Sometimes, when installing veneers, significant damage to the teeth can occur. After which you will have to wear such onlays for the rest of your life or replace the tooth with an artificial one.
- Composite veneers are not very reliable and require replacement every 3-5 years.
- Aesthetically, composite veneers leave much to be desired.
Advantages of restoration products
The list of advantages of using this technology is very impressive:
- high-quality dentures in one visit to the dentist;
- there is no need for casts (a very valuable quality for people with an increased gag reflex);
- no temporary structures;
- no risk of infection or injury;
- tight fit;
- maximum proximity to the properties of natural enamel;
- excellent biocompatibility with the oral mucosa and dental tissues;
- a large selection of veneer shades allows you to achieve the exact color of your own element;
- attractive appearance;
- ideal installation accuracy (this protects against chips and cracks during further use);
- long service life of prostheses;
- zero percentage of repeated calls with the same problem (and at the same time a very high percentage of calls for similar restoration of other units);
- minimum weight and thickness of the structure.
And this is not a complete list of all the advantages of porcelain products.
Dental veneers, ceramic and composite
- But, there are several methods that allow you to install plates made of composite material based on dental impressions
- When using composite veneers, the surface is first prepared, and then a layer of special material is applied to it. It is firmly fixed on the tooth and forms a single whole with it.
- Due to the elasticity of this material, it interacts reliably with the tooth. Peeling can only occur under heavy load
- When making composite veneers, a specialist can choose a shade of material that will practically not differ from the enamel of neighboring teeth.
- Ceramic porcelain veneers are made separately and bonded to the patient's teeth using a special dental compound. In modern practice, the template for making such plates is an optical impression of the patient’s jaw
- Ceramic plates are made by turning from solid blocks, by layer-by-layer application of ceramic powders or by injection molding
In any case, ceramic veneers have a longer service life than composite ones and their installation is less difficult for the patient
Today it is believed that composite veneers are more appropriate to use to eliminate enamel defects on 1-2 teeth. When it comes to three or more teeth, ceramic veneers are preferable.
Installation procedure
The process of installing veneers takes a little time. The dentist does this; the whole operation consists of certain stages. Before installing the elements, you should exclude possible diseases of the teeth, gums, and inflammation. To do this, an initial examination of the oral cavity is performed.
- First, the dentist prepares the surface of the teeth for surgery. It is very important that the veneer “sits” tightly into place and is firmly fixed. Therefore, a layer of enamel is removed from the front and top of the tooth. It grinds down to about 0.5 millimeters of bone tissue.
- The dentist then takes impressions of the teeth. It is faster and more convenient to do this right in the doctor’s office, but in some cases, impressions are taken in the laboratory. Casts allow you to determine the location of teeth, dentition and jaw system.
- The procedure for preparing individual records takes some time, usually up to two weeks. During this period, temporary elements are applied. As a rule, these are plastic linings.
- When the veneers on the teeth are ready, they are installed. The dentist invites the patient to the procedure; the finished platins are fixed to the teeth using a special adhesive composition, which provides increased strength.
Some time after the operation, you should visit the dental office again for an examination. It will allow you to evaluate how well and efficiently the installation was done and how the veneers look on the teeth. The examination will make sure that there are no chips, cracks or other defects, and determine the body’s reaction to new elements, because after the installation of a foreign body, inflammatory processes or allergic reactions are possible. But this happens extremely rarely.
Veneers: tips and reviews
Marina. I have had these on my two front teeth for 3 years now. When I installed it, I didn’t know anything about veneers. The dentist suggested composite ones (I understand this now), since the service life was 3-5 years. Now I try not to put any stress on these teeth. I try to eat nuts, apples and other solid foods more carefully. Otherwise, everything is the same as with normal teeth.
Alyona. I installed it 10 years ago from composite material. Very pleased. Now I've converted it to ceramics. They look very beautiful and natural. I hope they will continue to please me.
Video. Hollywood smile before and after. The whole truth about how veneers are placed. Anna Belle
Technology and manufacturing principle
Porcelain is considered the best material for veneers today. It is durable enough for restoration and long-term use, its physiological properties are close to those of natural enamel.
It is hypoallergenic, does not change color during use, does not absorb moisture, and lends itself well to glazing and polishing.
Computer modeling of shape, turning and processing provides undeniable advantages over manual production. In this case, the quality does not depend on the technician’s mood, the accuracy of his hands or other human factors.
This has a great effect on the shape of the bone organ, because when making a prosthesis, the technician does not take into account the appearance of neighboring units and is guided only by casts.
And the computer is able to bring the model into line with the general appearance of all fragments of the row, and will come as close as possible to the natural shape of the tooth with all the veins, tubercles and convolutions.
The technology itself is a whole set of devices and works:
- Intraoral scanning device. It allows you to avoid casts and inconvenient spoons with a solidifying mass.
At the initial stage, the boundaries of the damaged fragment are scanned in 3D format, the image is transferred to a computer and becomes available for modeling.Before scanning, a special spray is applied to the tooth, which removes light glare and allows you to scan as accurately as possible and create a virtual impression. The spray does not cause a gag reflex and is quickly removed with water after the procedure.
- Personal computer with special software. Using the program, the doctor models the missing part of the bone organ. All boundaries, shapes are carefully drawn, and the appearance is selected. The organ is, as it were, recreated in its original form.
- The monitor allows you to work with a 3D projection enlarged up to 12 times , this greatly increases the accuracy of the modeling. The program itself offers product options that are as similar as possible to the other elements of the series after evaluating the scanning results.
- Milling module. This is the part of the grinding block that contains 6 diamond cutters, they cut the finished model and work along 6 axes.
This number of cutters is enough for the perfect and quick execution of the constructed 3D model. The whole process takes 15-20 minutes, the finished model can be tried on. - Sanding block. After fitting, the structure is sanded if necessary, and a layer of glaze with dyes is applied.
- The next step is firing of the finished structure. Using this technology, porcelain is fired only once at a temperature of 9600⁰C. After this, the veneer acquires a natural color and becomes indistinguishable from an ideal healthy organ.
Service life
The wearing period of composite veneers is limited to 3-5 years, while ceramic models will last more than 20 years. The service of Hollywood laminates is designed to last even longer.
The given figures are quite arbitrary, since injuries, bad habits of the patient or his adherence to sports dangerous to the teeth can significantly affect the condition of the dentition, the strength of the enamel, and, accordingly, the service life of the veneers.
A healthy lifestyle and proper nutrition will prolong not only the time of using Cerec, but also the life and good health of any person.
The video explains the Cerec technology in more detail and shows the treatment process.
Is it possible to get veneers under an insurance policy?
Veneers are primarily a purely aesthetic procedure, so they are not covered by government-issued health insurance. However, if you have a policy from another organization, you may be reimbursed for part of the cost. It is worth understanding that in fact, installing veneers is not so purely aesthetic. If a person knows that his teeth are unattractive, he suffers - he smiles less, has complexes and cannot live life to the fullest. So the installation of veneers can be considered psychological help, which will significantly improve the quality of your life.
Recovery period
After the procedure for installing a veneer plate, the patient can safely continue to lead his usual lifestyle. But it is worth listening to the recommendations that the doctor will give about the correct use of new microprostheses.
After 7-14 days, it may happen that you need to visit a dentist so that he can conduct an examination and check the installed plates. The specialist must definitely look at how the gums reacted to the presence of a new microprosthesis and whether the structure itself is properly secured.
A week after installation of veneers, you must visit the dentist again
As a result of the fact that when preparing the tooth for veneer covering, it was ground down, excessive sensitivity to various kinds of hot and cold foods and drinks may appear. It may also happen that it will be necessary to cover the tooth with a crown, due to the fact that the tooth with the veneer plate may collapse.
After installation of veneers, teeth may react to the temperature of food and drinks