Will my dentist need to replace a new porcelain veneer with a crown if the tooth behind the veneer has a cavity? My dentist found a cavity in my right incisor during my six-month exam last week and recommended a crown. I’ve had my veneers since 2021, so I am concerned that replacing one is overtreatment because they are somewhat new. Thanks. Valene
A dentist would need to X-ray and examine your teeth and veneers for an accurate diagnosis and treatment options. However, we will provide some guidelines.
Does a Dentist Need to Replace Your Veneer with a Crown?
Whether a cavity behind a porcelain veneer requires replacing it with a crown depends on the size of the cavity and the tooth’s condition. Many cosmetic dentists consider ways to save the tooth by building it up with composite so that you can keep your veneer. If your dentist cannot save enough healthy tooth structure to bond a veneer onto your tooth, they may recommend a dental crown.
Matching a New Crown or Veneer with Surrounding Teeth
Whether you need a new crown or a veneer, it takes advanced cosmetic training and skill for a dentist to match your new restoration with the existing ones. Family dentists have limited skill and artistic inclination to understand how to instruct a dental ceramist to create a veneer or crown that perfectly matches the others and your surrounding teeth.
Schedule a Porcelain Veneers Second Opinion
We recommend scheduling a second opinion with one or two cosmetic dentists to examine your porcelain veneer tooth and X-rays. You can compare each dentist’s recommendation for removing your cavity and whether your veneer must be replaced. After consultations, you can decide whether you want your dentist to complete the work or if you prefer another dentist. Regardless of which dentist you choose, they should be concerned enough to determine why you developed a cavity behind a porcelain veneer.
Avoid letting a cavity linger untreated because the decay will spread and require more extensive and costly treatment.