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Plastic fillings or veneers in the area of the anterior teeth

User Level:
Patient
Posted by: boroughs  (1 year ago)
Hello!

Unfortunately, my nos. 12, 22, and 23 teeth have been affected by initial caries about 1/3 away from the gums. Since this really bothers me, I’m searching for an aesthetically perfect solution. The no. 12 tooth has already been treated with a plastic filling, but I’m completely unsatisfied with the result. The color of the filling doesn’t match the color of the tooth at all. I think that the dentist doesn’t place much value on aesthetics and that it could’ve been done much better.

I would like to hear your opinion about plastic fillings in the area of the anterior teeth. Is it possible to prepare a filling in such a way that it’s barely noticeable or not noticeable at all? Is it true that plastic fillings become discolored over time? If that’s the case, what factors promote discoloration or, rather, is it possible to delay discoloration? And what material would you recommend in the area of the anterior teeth?

Furthermore, I would be interested in finding out whether a veneer is still possible if the plastic filling is removed and the tooth is uneven after that procedure. Does the tooth have to be even for a veneer?

Also, I would be interested in finding out whether the WGKK [health insurance] would pay for the provision for the incisors and canines with the plastic fillings.

Thank you very much in advance for answering my questions.

Kind regards,

Boroughs
User Level:
Patient
CheckDent
Dear Boroughs,

I would like to hear your opinion about plastic fillings in the area of the anterior teeth. Is it possible to prepare a filling in such a way that it’s barely noticeable or not noticeable at all?

Yes...

Is it true that plastic fillings become discolored over time?

Yes...

If that’s the case, what factors promote discoloration or, rather, it is possible to delay discoloration?

Smoking, coffee, tea, poor oral hygiene...

And what material would you recommend in the area of the anterior teeth?

If you take good care of them, then I would recommend ceramic veneers...

Furthermore, I would be interested in finding out whether a veneer is still possible if the plastic filling is removed and the tooth is uneven after that procedure. Does the tooth have to be even for a veneer?

No...

Also, I would be interested in finding out whether the WGKK [health insurance] would pay for the provision of the incisors and canines with the plastic fillings.

Yes...

All the best!
User Level:
Patient
Posted by: boroughs  (1 year ago)
Hello!

Thank you for your answer!

Would you recommend plastic fillings as an interim solution or veneers right away?

How unnoticeable is such a veneer? Is it possible to see a difference between a neighboring tooth and the veneer when looking closely? If it’s possible, I would like to only have veneers placed on the nos. 12, 22, and 23 teeth. Or would it make sense to place veneers on the neighboring teeth as well in order to create a uniform look (in my case, nos. 11 and 21 and possibly no. 13)?

Kind regards,

Boroughs
User Level:
Patient
CheckDent
Dear Boroughs,

Veneer only the teeth that need it – the color can be matched. Don’t let them talk you into having more done just because of the color...

If you have the money and clean your teeth well, then have it done right. Every time the teeth are cut, more tooth substance is lost...
User Level:
Patient
Posted by: boroughs  (1 year ago)
Hello,

I can’t decide whether I should have the teeth filled with plastic fillings for now and then, once they become unsightly, have veneers made, or if I should go for the veneers right away. I am well aware that tooth substance is lost during every procedure. However, according to your statement, it’s still quite possible to get veneers after plastic fillings. But what do I do if the veneers no longer look beautiful at some point? Can the veneers be replaced at that point?
User Level:
Patient
CheckDent
Dear Boroughs,

The choice is all yours...

If the veneers are prepared well, then they will not get “bad,” and if they do, it won’t happen for a very long time... then you can have new ones made…

I would proceed as follows:

* If the fillings are small, then use a plastic composite
* If the fillings are large, then use veneers
User Level:
Patient
Posted by: boroughs  (1 year ago)
Hello,

Thank you for your answer!

I will have the defects looked at a dental practice. Maybe I will even come by your practice.

Kind regards,

Boroughs
User Level:
Patient
CheckDent
Dear Boroughs,

All the best!
User Level:
Patient
Posted by: boroughs  (1 year ago)
Maybe another quick question: Will the veneer be pushed under the gums? Because the gums could recede a bit over the years and if this happens, the actual tooth would then become visible. Is it possible to see a transition in this case?

Some websites talk about veneers lasting 15 years of longer; what happens after 15 years? Do the veneers fall off, do they become discolored, or do they break down somehow? Could you give me an exact explanation for this?

Thank you.

Kind regards,

Boroughs
User Level:
Patient
CheckDent
Dear Boroughs,

All preparation margins should always be placed in the Sulcus or just above it – not too much above or below it.

The reason is simple: A “secretion” that is very efficient against bacteria of the oral flora is produced in the sulcus. Since the preparation margins are always a weak spot in crowns/bridges/veneers since plaque and caries can develop there more easily, the “sulcus fluid” helps protect this delicate zone.

Unfortunately, teeth are sometimes prepared with a tangential instead of a groove cut; the result is receding gums over the years...

The question as to how long veneers should last is a good one. There is no exact data on this because bonding procedures are getting better every year. It’s entirely realistic to expect veneers to last 15-40 years if they’re well taken care of. Also, a replacement is possible without any problems.
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