I’m worried. I got four porcelain veneers not too long ago. They didn’t feel quite right even from the beginning. I asked the dentist about it and he said it’s just because it is new and I’ll get used to it. Then my gums started bleeding every once in a while when I brush. That was weird and I’d never had that happen before in my life. I called the office and they said it’s likely I’m not brushing as well with my veneers and my gums are irritated. I really don’t think I’ve changed anything. So I went in and insisted they look. They said I’ve developed gum disease. I don’t understand how this could have happened. Is this typical of porcelain veneers?
No, it’s not normal with porcelain veneers. I’m concerned about this. And I never like it when I hear about a dentist telling a patient, “You’ll get used to it.” It’s not fair to the patient. They should have double checked their work. Porcelain veneers are not painful in any way. They certainly don’t cause bleeding or gum disease unless something is wrong with their placement. That is my suspicion with you.
Problems with Poorly Placed Porcelain Veneers
Excess cement or bonding can cause irritation on your gums. It would explain the bleeding but not gum disease. However, if the porcelain veneers have bulky margins that could do both. Bulky margins mean the porcelain veneers aren’t sitting flush against your gum line. This can happen with inexperienced cosmetic dentists. Unfortunately, it leaves a tiny ledge between your porcelain veneers and your gums. This allows things, such as tiny bits of food to get stuck there. If not properly removed (which can be very hard to do), they can lead to gum disease and decay.
You have a few options:
First, You can try to do some extra things to try to keep those margins clean. You may have to get something like a water pick to really get in there. Truthfully, you shouldn’t have to deal with this so I would suggest the next option.
You can talk to your dentist and see if he’ll admit his mistake and agree to repair it by giving you a new veneer or veneers depending on how many are faultily placed.
Sadly, some dentists don’t like admitting their mistakes. He may be one of them. If that’s the case, I would get a second opinion from an expert cosmetic dentist. If they agree there are bulky margins, it gives you a case for a refund. Then you can have that same dentist give you new porcelain veneers which are well made and placed.
How Many Porcelain Veneers Should You Get?
You said your dentist gave you four porcelain veneers. That is not very many. Unless you have a very narrow smile, it is likely the adjacent teeth are exposed when you smile. Unless you got your porcelain veneers to match your natural tooth color they likely mismatch.
If that’s the case and it bothers you, you can get your teeth whitened to try to get it close to your other color. It would be hard to match perfectly, but doing at home teeth whitening, you can get close. However, because you’re are likely going to have to get new veneers placed, it’s better if you get your teeth whitened them to the lovely color you want and then an expert cosmetic dentist can match the veneers to that color.
Another option is to get enough veneers to cover all your exposed teeth when you smile. Be sure you get a skilled cosmetic dentist. Check the mynewsmile.com website. They only list expert cosmetic dentists which have both skill and artistry.
This blog is brought to you by Dr. Steve Murphree.