I had porcelain veneers placed about 18 years ago to cover very severe tetracycline stains on my teeth. Even though the veneers looked gray, it was better than living with almost black teeth. Now my veneers need replaced, but when I consulted with my current dentist he and his lab tech decided on crowns instead. I’m not sure this is the best choice… any advice? — Ann
In this case, crowns would be a bad choice. Tell your dentist this is not an acceptable option and seek out a cosmetic dentist to get a second opinion. Since you’ve lived with your current veneers looking gray for all these years, you know that tetracycline stains are not easy to mask. But it sounds like your dentist (and the lab tech for that matter) simply don’t have the experience or skill needed for porcelain veneers – thus their reasoning for suggesting crowns. A true cosmetic dentist would not grind your teeth completely down.
If you want a beautiful, natural looking white smile, do some extra homework and find a cosmetic dentist in your area. Even if you have to drive a few hours to find one, it will be worth the additional time and effort because you want to do this right.