Five Dental Tools and Materials That Damage Porcelain Veneers

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I have eight veneers on my upper front teeth. I received them last October from a dentist in Indiana. Now that I live in NM, I am concerned about my dental exam and cleaning appointment with a new dentist. Is it possible that the hygienist will break or loosen my veneers around my gumline? – Thank you. Damon from NJ

 

Damon,

Thank you for your question.

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

Porcelain veneers

It is good that you are concerned about how a dental hygiene appointment will affect your porcelain veneers. A hygienist will not loosen or break your veneers. But if a hygienist uses incorrect tools, they can damage the glaze, which will make the surface of your veneers dull.

Dental Tools and Materials That Damage Porcelain Veneers

A dentist and hygienist who received advanced training in caring for porcelain veneers will avoid these tools and chemicals:

  • Power polishing equipment – Although some equipment is safe for natural teeth, it can harm porcelain veneers. For example, Dentsply’s Prophy Jet is a device that sprays a mixture of sodium bicarbonate and water on your teeth to clean them quickly. But the chemical blasts away the glaze on your porcelain veneers, and they will begin to stain. And other brands of power polishers will damage your veneers.
  • Ultrasonic scaler – The scaler can cause small chips at the margin of you veneers as it gets rid of calculus and bacteria. Plaque and stain can accumulate around your veneers and cause decay.
  • Heavy-duty manual scalers – If used on the margins of veneers, a heavy-duty scaler can scrape or chip porcelain veneers.
  • Coarse polishing pastes – Although polishing paste restores the gloss of natural teeth, it can scratch porcelain veneers. Trained hygienists use ultra-fine polishing paste instead.
  • Acidulated fluoride – Acidulated fluoride etches the surface of porcelain veneers and removes the glaze. A hygienist will use neutral fluoride gel instead.

Ensure your new dentist is an advanced cosmetic who regularly places porcelain veneers. Team members know how to take care of your teeth and veneers without damaging them.

Dr. Steven Brooksher, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

My Dental Bonding Is Too Thick

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After I chipped my right center tooth and the one behind it last September, my dentist applied bonding on them. But the bonding did not match my teeth. She did the bonding twice, and with her previous attempt, the bonding is tooth thick. I can see and feel the difference. Although my dentist tried to correct it by shaving it down, the tooth still looks thick but distorted in shape. My dentist suggested that we try porcelain veneers to cover the whole tooth, and a lab can contour them. I don’t want my dentist to do any more work on my teeth. Is it too late to start over with another dentist, or will removing the bonding damage my teeth and require veneers? Thank you. Cassie from OK

Cassie,

Thank you for your question. Your thoughts about not letting your dentist do any more work on your teeth are valid. Your dentist’s lack of training and experience with cosmetic work prevents her from giving you natural-looking results.

Natural-Looking Dental Bonding

Natural-looking dental bonding requires advanced training and an artistic eye for a dentist to select mixed colors, textures, and translucence to match your teeth. Then a dentist must apply bonding by hand and sculpt it on your teeth to achieve your natural tooth shape. Few dentists can manage to bond well enough to make it look so realistic that you cannot tell your tooth was ever damaged. More dentists can do a good job but not as well as a trained cosmetic dentist. It seems that your dentist has no cosmetic training at all.

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

If you want dental bonding instead of veneers, see an advanced cosmetic dentist

We recommend that you search for an advanced, preferably accredited, cosmetic dentist to examine your teeth. A skilled dentist understands how to remove bonding without damaging your teeth and reapply it to match your tooth color and shape. It will not look too thick. And it can prevent the need for porcelain veneers.

If your current dental bonding looks inferior, your dentist should agree and be willing to compensate you instead of offering porcelain veneers. You may request a refund from your dentist and hope she is reasonable.

Best wishes on a smooth resolution.

Dr. Steven Brooksher, a Baton Rouge, Louisiana cosmetic dentist, sponsors this post.

Which brands of whitening strips work best on porcelain veneers?

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I have 8 veneers that I got in 2004. I smoke socially, so my veneers look a little yellow. When I first noticed the stains, I put whitening strips on them. I didn’t see much of a change, but my veneers are starting to really look yellow. I don’t want to keep buying different brands of white strips that don’t work, so I wonder if you can tell me which brands work best on porcelain veneers. – Jet from NJ

Jet – Regardless of the brand, whitening strips won’t remove stains from porcelain veneers. Even professional-strength bleaching gel from a dentist won’t whiten veneers. After a lab makes your veneers, the color cannot be changed. They are colorfast.

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

Ask an accredited cosmetic dentist to polish your veneers

Although porcelain veneers are virtually stain resistant, some things can make them more susceptible to attracting stains. You should use only non-abrasive toothpaste on them. Grainy toothpaste or baking soda can scratch the glaze and cause the veneers to stain easily.

Schedule an appointment with an experienced cosmetic dentist to examine your veneers. An artistic cosmetic dentist knows how to polish your veneers to remove stains and add luster expertly. Depending on how long you’ve had your veneers, the age and condition can affect how well they polish.

The cosmetic dentist you choose can let you know the results to expect after your veneers are polished. If they are fifteen to twenty years old and a bit worn, it may be time to replace them. If it is time to replace your veneers, be sure to find a cosmetic dentist willing to design a natural-looking smile. Your new veneers should last for many years, so ensure they are precisely the smile you want.

Steven Brooksher, DDS of Baton Rouge, LA, sponsors this post. Dr. Brooksher is an accredited cosmetic dentist.

Will My Gray Tooth Lighten After a Root Canal?

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If my front tooth is turning gray and dying, will it get whiter after root canal treatment? I fell a month ago and hit my mouth. I was hoping that the tooth would feel better, but it did not. I went to the dentist, and he tested the tooth and did an x-ray. He says that he can save it with a root canal. But he said that he could not promise me that the tooth will lighten up. Then, he mentioned that he could use a porcelain veneer on the tooth if it does not improve. Should I see another dentist about this? – Thank you. Linda W. from GA

 

Linda,

Thank you for your question.

Will Root Canal Treatment Lighten Your Tooth?

If your dentist performs traditional root canal treatment on your tooth, it will not get lighter. Usually, after root canal treatment, a tooth turns darker. Root canal filler material and dental cement left after the process will darken the crown of the tooth.

A dentist can improve tooth color with these steps:

Consider an Endodontist for Root Canal Treatment

If your dentist has limited experience with root canal treatment, consider asking your dentist to refer you to an endodontist (root canal treatment) who uses the GentleWave® system.

  • GentleWave uses sodium hypochlorite to dissolve the infected tooth pulp (tissue and nerves), which may lighten the tooth somewhat.
  • The procedure only lasts about ten minutes, which is not enough time to lighten your tooth as much as you want
  • Bleaching the tooth afterward can achieve good results

 

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

A porcelain veneer can conceal a gray tooth

Your dentist can insert a flexible fiberglass post into the root for a front tooth and fill the space with composite. The post will help stabilize the front tooth and avoid needing a dental crown—which can weaken a front tooth and increase the risk of fracture.

Most family dentists find color correction a challenge after root canal treatment on front teeth. So, unless your dentist has advanced cosmetic dentistry training, we recommend getting a second opinion from a cosmetic dentist.

Steven Brooksher, DDS of Baton Rouge, LA, sponsors this post. Dr. Brooksher is an accredited cosmetic dentist.

Is my electric toothbrush damaging my porcelain veneers?

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Two of my porcelain veneers loosed three times within the past five months. My dentist rebounded them. But during my last visit, my dentist asked me what kind of toothbrush I use. I use an ultrasonic toothbrush and Supersmile toothpaste. My dentist blames my toothbrush on the loose veneers, but I know better. And if a toothbrush could cause loose veneers, I asked my dentist why he didn’t tell me that before I got veneers. Please tell me that I am right, and my toothbrush is not causing loose veneers. Thank you. Max from TX

Max,

Although ultrasonic cleaning devices in a dental office can damage dental bonding or veneers, an ultrasonic or sonic toothbrush will not harm them. Let us explain the difference.

Is Your Toothbrush Damaging Your Porcelain Veneers?

Your toothbrush is not damaging your porcelain veneers. And there is a difference between ultrasonic dental tools and your toothbrush.

Ultrasonic dental tools

Ultrasonic dental tools have metal tips that can damage bonding or veneers. The devices can crack the glaze on porcelain veneers. And professional ultrasonic speeds are much higher than your toothbrush.

Ultrasonic toothbrush

An ultrasonic toothbrush has soft bristles that will neither nick bonding or veneers. Instead, they polish your veneers and clean them. And toothbrushes are usually sonic—not ultrasonic—which means their vibration speed is slower and more gentle than dental equipment.

What Is Causing Loose Porcelain Veneers?

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

Porcelain veneers do not loosen if a dentist bonds them properly

Loose porcelain veneers result from failure of your dentist’s bonding technique, aggressive preparation of your natural teeth, or both.

  • Aggressive tooth preparation – Often, a dentist who lacks advanced cosmetic dentistry training removes too much tooth enamel when preparing teeth for porcelain veneers. As a dentist removes more enamel, it becomes difficult for the bonding to adhere to your teeth. And if a dentist grinds your teeth down to the dentin (the layer beneath the enamel), it increases the risk of veneers falling off.
  • Bonding technique – Dentists who take advanced cosmetic dentistry training after dental school learn techniques to bond porcelain veneers securely to your teeth. And they know the importance of removing excess bonding material to avoid irritation and inflammation.

Get a Cosmetic Dentist’s Opinion

Although your dentist is blaming your toothbrush for loose porcelain veneers, that is not the problem. We recommend that you schedule a consultation with a skilled cosmetic dentist to examine your teeth and veneers to identify the issue. A cosmetic dentist will explain the treatment options to keep your veneers intact.

 

Dr. Steven Brooksher, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

Looking for a cheaper alternative to porcelain veneers

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I am looking for an alternative to porcelain veneers for tetracycline stains on my teeth. I got prices for veneers on 8 upper teeth, the consistent quote I get is about $15,000 – 20,000. That would take a big chunk out of my savings, and I am not sure I want to do that. The stains are horrible, and the older I get, the more self-conscious I am about them. Someone suggested a university dental school. Is that a reasonable option? Any other cosmetic treatment that may work? Thanks. Nathan from

 

Nathan,

Thanks for your inquiry.

If you want to save money on porcelain veneers for tetracycline stains, it is best not to get veneers at all. Premier porcelain veneers are priced to reflect the quality of the veneers you will receive and the work of the cosmetic dentist.

Porcelain Veneers for Tetracycline Stains

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

Porcelain veneers cover the fronts and sides of teeth to conceal tetracycline stains

It is demanding work for a cosmetic dentist to conceal tetracycline stains with porcelain veneers. If a dentist charges less than $1000-$1200 per tooth, you won’t get the results you want. High-quality veneers can last 20 years or longer if you take good care of them.

What About Dental Schools for Veneers?

Three reasons not to get porcelain veneers for tetracycline stains from a dental school:

  1. Dental schools teach techniques for fixing teeth—not the artistry required to produce beautiful results.
  2. If you go to a dental school, your teeth may be in the hands of a student doing their first porcelain veneers or tetracycline case.
  3. And their instructor may not be much help either.

What About Dental Bonding or Teeth Whitening?

Will dental bonding or teeth whitening improve tetracycline stain?

  • Teeth whitening – Only a skilled cosmetic dentist can use a high-strength whitening system to lighten your tetracycline stains. Although the results will not be as good as porcelain veneers, you can get whitening for a fraction of the cost.
  • Dental bonding – Applying dental bonding requires great skill and time from a cosmetic dentist. The necessary precision and application will cost more than porcelain veneers.

When You are Ready for Porcelain Veneers

When you are ready to get porcelain veneers to conceal tetracycline stains, we recommend that you find an accredited cosmetic dentist with accreditation from the American Academy of Cosmetic Dentistry or the American Academy of Esthetic Dentistry. Accreditation requires a cosmetic dentist to pass rigorous exams and present numerous successful cases that demonstrate the quality of their work.

Please do not leave your tetracycline-stained teeth in the hands of an inexperienced dentist.

Best wishes.

Dr. Steven Brooksher, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

Why is my dentist pushing veneers for tetracycline stains if I can’t afford it?

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For the past 15 years, I’ve had dental bonding for tetracycline stains. The bonding is beginning to wear and look dull. My dentist of four years is pushing porcelain veneers, but I cannot afford them. I’ve told him several times that I cannot afford veneers. I can barely afford to get the bonding redone. I do not know if there are any new dental products or techniques that work well but are less expensive than dental bonding for tetracycline stains. I cannot rely on my dentist to tell me about all my options. Are there alternatives to veneers or bonding? Thank you. Lynn from MO

Lynn,

Tetracycline deposits in the dentin of your teeth if you take the antibiotic as a child while your teeth are still developing. Dark gray or brown spots develop inside the teeth show through to outside of your teeth and detract from your smile.

It is risky for a general dentist to conceal tetracycline stains. You need a dentist with post-graduate training in cosmetic dentistry.

What If You Cannot Afford Porcelain Veneers for Tetracycline Stains?

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

Visit an advanced cosmetic dentist to discuss alternatives to veneers

If you cannot afford porcelain veneers for tetracycline stains, your options are dental bonding or teeth whitening—but only from an advanced, preferably accredited cosmetic dentist. Don’t try whitening your teeth yourself. You can make them look worse.

  • Teeth whitening – A cosmetic dentist can take impressions of your teeth for custom bleaching trays. The dentist can provide you with the most potent bleaching gel you can tolerate without making your teeth sensitive. Bleach your teeth nightly for two months. Although your teeth will not look as good as porcelain veneers or dental bonding, they will look much better.
  • Dental bonding – An advanced cosmetic dentist can remove your existing bonding and apply new bonding to your teeth. But to do it correctly will be expensive. And if you maintain the bonding properly over the years, it can become more expensive than porcelain veneers. Porcelain veneers can last up to 20 years—or a lifetime.
  • Combination of whitening and bonding – A cosmetic dentist may recommend treating your teeth with a combination of teeth whitening and dental bonding.

Schedule a consultation for tetracycline stains

Look for an accredited cosmetic dentist in your area to discuss treatment options for tetracycline stains. Ask to see patient photos of cases like yours. The dentist may offer payment plans or financing to make treatment more affordable.

 

Steven Brooksher, DDS, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

Can I Get Only One Porcelain Veneer Replaced?

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I received six porcelain veneers in May 2019. My dentist didn’t get the bonding quite right on one veneer, and I had a lot of sensitivity in the tooth. At first, he suggested that I use Sensodyne toothpaste, but it didn’t help much. I mentioned the sensitivity at my next dental cleaning appointment, so my dentist looked at the tooth and said that the veneer is not in its original position and the dentin is exposed. He suggested replacing the veneer (upper left center) and the right-center veneer next to it to ensure the veneers match. I’m disappointed because this dentin exposure business was my dentist’s fault. Why did the porcelain veneer move out of place? He offered to reduce the cost of replacing the two veneers, but I don’t think I should have a fee at all. And why can’t he just replace the one veneer anyway? I’m afraid that if he must remove the veneer on my right front tooth that it might become sensitive, too. Should I insist that he only replace one veneer? Thank you – Zachary from GA

 

Zachary,

You didn’t mention if your general or family dentist provided the veneers. But it seems that you saw a dentist with limited training in cosmetic dentistry who aggressively prepared your teeth.

Is It Possible to Replace One Porcelain Veneer?

Photo of the tip of dental forceps holding a single porcelain veneer; from the Baton Rouge office of accredited cosmetic dentist Dr. Steven Brooksher.

A skilled cosmetic dentist can replace a single porcelain veneer

Yes, it is possible to replace a single porcelain veneer. Any dentist with advanced cosmetic dentistry training can replace one veneer and perfectly match the color with your existing veneers. Dentists who are skilled in aesthetics use dental laboratories that keep color formulas for each patient’s case so they can perfectly match it in the future.

Dentin Exposed with Porcelain Veneers

When a dentist prepares your teeth for porcelain veneers, and the dentin is exposed, they over-prepared your teeth. When tooth preparation is necessary, skilled cosmetic dentists only remove a fraction of a millimeter of tooth enamel for several reasons:

  • Preserve as much tooth structure as possible
  • Provide better bonding—veneers adhere better to tooth enamel than dentin, which is softer.
  • Avoid exposing dentin because dentin tubules lead to the pulp and risk irritation and infection.

Insist on Replacing One Veneer?

If your dentist says he must replace veneers on both central incisors (center front teeth) to achieve a color match, he probably doesn’t know how to do otherwise. You can decide if you trust your dentist to do the work or want a second opinion. If you choose to get a second opinion on your porcelain veneers, look for a dentist with post-graduate training and experience in dental aesthetics.

You probably want to get the issue resolved quickly, so don’t delay—especially because dentin exposure is unhealthy for your teeth.

Steven Brooksher, DDS, an accredited cosmetic dentist in Baton Rouge, LA, sponsors this post.

Get details from a previous post on reasons that porcelain veneers might fall off.

Why do my veneers make my teeth look thick and bulky?

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One of my best friends and I both received porcelain veneers about six to eight months apart. But my veneers make my teeth look thick and bulky. We went to the same dentist, and he used the same veneers on both of us. My friend got veneers to make her teeth look larger, but I wanted veneers because my teeth were inconsistently shaped and uneven at the edges. My friend’s smile looks beautiful, which is why I used her dentist. She received no-prep veneers, so I asked for the same type.

I’m disappointed with the results from my smile (eight upper veneers) because my teeth look thick and bulky. The dentist explained that sometimes that happens with no-prep veneers. But if the dentist knew the results, why wouldn’t he tell me how they would look? And yes, I did try on temporary veneers, but I let the dentist convince me that I would get used to my “fuller” smile. Why did I get such drastically different results? Will I have to start over with veneers? Thank you.  Kennedy from Memphis, TN

Kennedy,

From your description, it seems that your friend’s case was successful because her teeth were small, and she wanted to enlarge them. The results of no-prep veneers vary with each patient. And not every patient is a candidate for no-prep veneers.

Thick and Bulky Porcelain Veneers

Your porcelain veneers can make your teeth look thick and bulky if you have average-sized or large teeth and your dentist doesn’t prepare them first. Even ultrathin veneers—as thin as 0.3 mm—add thickness to your teeth and slightly extend their length. Cosmetic dentists with advanced training in aesthetics use several brands of veneers and select one to match your case and your smile goals. And they work with master ceramists to ensure give you beautiful results.

Although Dr. Brooksher would need to examine your teeth, minimal preparation is probably the solution to helping your veneers fit well and look natural.

Correcting Thick or Bulky Veneers

If you want to correct the look of thick or bulky porcelain veneers, we recommend that you schedule a consultation with an advanced cosmetic dentist. You can ask your dentist to redo your veneers, but based on your experience, you will probably be disappointed with the results again.

  • Look for a dentist with accreditation from the American Academy of Cosmetic Dentistry (AACD) or the American Academy of Esthetic Dentistry (AAED).
  • Read the dentist’s patient reviews about porcelain veneers and the results.
  • Ask to see the before-and-after photos of the dentist’s patients who had cases like yours.

Before and after cosmetic dentistry photos from Steven Brooksher, DDS of Baton Rouge

Dr. Brooksher used cosmetic dentistry to even this patient’s smile


A cosmetic dentist will explain your treatment options. And unlike your current dentist, they won’t try to convince you that you will eventually like your smile. Skilled cosmetic dentists don’t bond veneers to your teeth unless you are confident that your smile is exactly as you want it.

Best wishes for a beautiful smile.

Steven Brooksher, DDS, an accredited cosmetic dentist in Baton Rouge, sponsors this post.

Her Porcelain Veneers Are the Wrong Color – Again?

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In October, I went to my dentist to get a second set of six porcelain veneers on my front teeth because he can’t get the color right. The first set of porcelain veneers looked horrible. On this new set, my dentist allowed me to speak with the lab tech. I chose a specific white shade that is whiter than what my dentist likes, but it still looked natural. When I went to get the veneers bonded on, they were darker than what I requested. I complained, and my dentist said that he asked the lab tech to add color.

I’ve read too many horror stories online about porcelain veneers, so I didn’t let my dentist bond them to my teeth. I asked him to hold while I am thinking about what to do next. Is there a way to lighten the veneers? Or will I need another new set to get the color corrected? Thank you! Carlie from S. Carolina

 

Carlie,

We are sorry that you’ve already had two bad experiences with porcelain veneers. Unfortunately, your dentist puts his preferences above yours. Dr. Brooksher would need to examine your veneers to explain accurate treatment options, but we will discuss the possibilities.

Can Porcelain Veneers Be Lightened?

It is impossible to lighten porcelain veneers if a dark shade is within the porcelain. But if a stain was applied over veneers to add color, an advanced cosmetic dentist might be able to remove it. Over-the-counter products will not lighten porcelain veneers.

  • Over-the-counter products – Neither teeth bleaching gel nor whitening toothpaste will whiten porcelain veneers. Abrasive toothpaste might scratch the surface.
  • Cosmetic dentistry polishing – If the lab technician applied stain to your veneers to add color, an expert cosmetic dentist might be about to polish or grind out the color. Afterward, the cosmetic dentist can polish the veneers to improve their appearance. After examining your veneers, a cosmetic dentist will let you know if this is an option. But don’t ask your dentist to complete the work. It seems that he has limited skill in aesthetics.

Replacing Your Porcelain Veneers

You have a right to ask for new porcelain veneers. Although the process might be inconvenient and take up more of your time, you didn’t receive what you paid for and requested.

We recommend asking for a refund from your dentist and finding a dental artist to complete your smile makeover. Dentists who receive post-graduate training in cosmetic dentistry are concerned about creating a smile to match your preferences—not theirs. And cosmetic dentists are concerned with function and beauty. You will get porcelain veneers in the color you want.

How to Ask for a Refund from Your Dentist

Speak with your dentist respectfully and explain your concerns:

  • You’re unhappy with your veneers because they are not the shade you requested.
  • You believe that your dentist violated your right to be informed of the color change.
  • You did not receive what you paid for and requested.

Explaining it in a way that helps your dentist see his negligence should influence him to give you a refund. Dental law classes emphasize that it is essential to get a patient’s consent before providing treatment.

If the color of your porcelain veneers is the only thing you dislike about them, consider these options:

  • You can ask your dentist for a refund.
  • If you want your dentist to replace your veneers, insist on a third set of porcelain veneers in the color of your choice.
    • Remind your dentist that you want clear, tint-free bonding resin that will not alter the shade of your veneers.
    • Bring a friend or family member with you to look at your porcelain veneers after your dentist places them on your teeth with a try-in paste—before the dentist bonds them to your teeth.
  • Whether you receive veneers from your dentist or an advanced cosmetic dentist, please do not allow the dentist to bond them to your teeth unless they match your request. Don’t compromise.

How Can You Find a Cosmetic Dentist?

Before and after porcelain veneers photos from Baton Rouge cosmetic dentist Dr. Steven Brooksher

Before and After Porcelain Veneers from Dr. Brooksher

Look at dentists’ websites and read their biographies to see if they have advanced cosmetic dentistry or dental aesthetics training. Most dentists with membership or credentials in cosmetic dentistry organizations, such as the American Academy of Cosmetic Dentistry or the American Academy of Esthetic Dentistry, are concerned about the beauty of your smile, not just the function.

Steven Brooksher, DDS, a Baton Rouge cosmetic dentist and accredited member of the American Academy of Cosmetic Dentistry, sponsors this post.

What if you have an issue with just one veneer? Read our post about replacing a single porcelain veneer.