First developed as recently as 1983, small wafers of porcelain ceramic, smaller than a nail on a pinkie finger, are bonded to the front surfaces of teeth. The teeth have been minimally reduced to receive them so as to insure that the final result will look natural in color without bulkiness. "Porcelain (laminate) veneers are potentially the most attractive, most highly compatible with gum health, restoration dentistry has produced," says Dr. Brother. Teeth that have been shortened through wearing and chipping, turned, uneven, have spaces between them, and/or are discolored, are all potential candidates for porcelain veneers. Moreover, the nature of porcelain is such that year after year porcelain retains its lustrous glaze making them possibly the longest lasting and most conservative restoration dentistry has to offer. Most often treatment is accomplished in two visits over a two to three week period.
When Are Porcelain Veneers the Best Choice for You
When your teeth need improvement in alignment (straightening) especially if there are issues of color (not bright or white enough). If your teeth are not heavily filled, especially if the existing fillings are small and most of the tooth’s enamel is still present on the teeth. When you feel orthodontic correction of tooth alignment does not fit your life style.
Deciding How the Teeth With The New Veneers Should Look, how Long should the teeth be and What Shape Looks Attractive
At Smiles by Design Dr. Brother treats each patient as a unique case with their personal goals for an attractive healthy smile as a priority in planning their dental needs. This includes those patients seeking porcelain veneers as well as a great number of other cosmetic dental services.
Dr. Brother always recommends the least complicated solution to help patients reach their personal smile goals which they express at their initial free consultation. Solutions could involve the use of porcelain veneers or possibly by the use of tooth reshaping (see Cosmetic Recontouring under services offered). Sometimes conservative bonding will help the patient reach their goal for their smile.
Dr. Brother works closely with the patient on each porcelain veneer case. He asks patients what they don’t like about their smile. Do they wish their teeth were longer, shorter, or are the teeth already the length they like but the individual tooth sizes don’t have balance or there are unsightly spaces between teeth. Is the smile broad enough to fill the space between the lip corners and the fronts of the back teeth called the “buccal corridor”. These are some of the reasons why an individual might choose porcelain veneers to enhance the attractiveness of their smile.
If there is any question at all whether porcelain veneers can solve the problem smile, Dr. Brother does a model wax-up and either temporarily bonds tooth colored resin to resemble this wax-up or fabricates an overlay of resin material that enables the patient to “field test” the anticipated change to their smile before committing to treatment.
“I feel each patient should have the opportunity to see and feel against their own lips a prototype of what I want to do for them. An impression of this patient approved prototype gives the dental laboratory all the parameters they need to do the work correctly. There should never be an unwelcome surprise at the end of treatment.” – Dr Brother
Dr. Brother is uniquely qualified to perform porcelain veneer procedures.
He has been placing porcelain laminate veneers since 1987 only four years after the concept of bonded porcelain was proved possible. He has conducted seminars in his office for other dentists on the preparation and the bonding of porcelain veneers in a program sponsored by the New England chapter of the American Academy of Cosmetic Dentistry AACD.com See letters of appreciation from other dentist who came to Dr. Brother’s course on “Porcelain Laminate Veneers”
Dr. Brother is a former faculty member of Tufts and Harvard Dental Schools where he taught dentistry for 9 years. He taught these techniques to graduate dental residents at Harvard School of Dental Medicine.