I paid for a beautiful new smile with porcelain veneers using some prize money I won. I went to a top of the line cosmetic dentist and ended up with a gorgeous results. I really love my new smile. However, I can’t afford this dentist on a regular basis. I need to go to my normal dentist for things like cleanings, etc. It’s only been about four months and one of them is cracked horizontally near the incisal edge. I’m worried it is going to fall off because a lot of what they needed to do is lengthen my teeth. What do I do?
Pamela
Dear Pamela,
Under normal circumstances, even a cracked porcelain veneer will stay bonded. However, based on what you’ve said, I agree that this particular veneer is at a greater risk. There may not be much bonding material on this part of the tooth. I would call the cosmetic dentist who did your veneers and let him know about the crack. He’ll want to replace that porcelain veneer. Because of how little time has passed since they were bonded on he may even replace it for free.
Regarding check-ups in the future, I would be perfectly honest with them that you love the smile, but your regular office is where you’ll be returning for cleanings, etc. because of the cost difference. He shouldn’t be offended by that.
I would, however, make sure your regular dentist and hygienist know how to deal with porcelain veneers during cleanings. For instance, many hygienists will use a power prophy jet or acidulated fluoride during your cleaning. This is will absolutely destroy the glazing on your porcelain veneers.
They’ll look fine at the end of your appointment, but the glaze is what protects them from picking up stains. In just a few days, you’ll notice them looking dingy and it will only get worse. If they’re going to be the ones caring for them, ask the cosmetic dentist what they need to avoid in order to make them last for years.
This blog is brought to you by West Seneca Dentist Dr. Warren Krutchick.