In July, my dentist replaced four old crowns on my front teeth and the two beside them. She recommended veneers on four more teeth – two on each side of the crowns because my teeth were worn. Within two weeks of getting the work completed, two of the veneer teeth started to hurt. I returned to the dentist, and she said that I grind my teeth so much that one veneer is loose. She made a mouth guard for me to wear at night. But the pain did not stop, and one veneer fell off. My dentist offered to replace the veneers with crowns, with I declined. So far, I have returned to her office twice to bond the veneers back on. I do not want her to grind down any more of my teeth for crowns. Neither do I want to keep going back to the dental office to bond veneers back on. Are crowns the only solution for this issue? I never had so many problems before the veneers. – Thank you. Robert M. from KY
Thank you for your question.
Well-bonded porcelain veneers do not fall off. If you have a problem with teeth grinding and your bite, your dentist should have identified it before placing your crowns and veneers. Her response makes us wonder whether some aspect of your treatment is too complex for her.
Can You Wear Porcelain Veneers If You Grind Your Teeth?
Generally, you can wear porcelain veneers if you grind your teeth. A dentist should bond the veneers so well that they do not loosen. But you must wear a mouth guard while you sleep to minimize the impact of grinding on your veneers. However, some cases of teeth trading are so severe that the veneers weaken anyway.
Preparing teeth for veneers takes skill and much post-graduate training in cosmetic dentistry. Many dentists provide cosmetic dentistry without getting enough training, and the results show it.
Get a Porcelain Veneers Second Opinion
We recommend that you find a dentist in your area with post-graduate training in cosmetic dentistry—preferably an accredited cosmetic dentist. Replacing porcelain veneers with crowns is aggressive treatment that you do not want unless it is necessary. Look for accreditation from the American Academy of Cosmetic Dentistry or the American Academy of Esthetic Dentistry. If no accredited dentists are in your area, look for a few cosmetic dentists’ websites for information about their post-graduate training in cosmetic dentistry.
Duane Delaune, DDS, of Metairie, Louisiana, sponsors this post.