I’ve worn braces in my teens, twenties, and forties. In 1990, I had orthognathic surgery to lengthen my jawline. My teeth are beginning to crowd again. Do I need braces or porcelain veneers? I consulted a dentist who recommended six upper veneers for my front teeth. I prefer not to wear braces again, but neither do I want the expense of porcelain veneers. Veneers cost as much as, if not more than, braces. What are my options? Thank! Wyatt from IL
Wyatt,
A skilled cosmetic dentist must examine and X-ray your teeth before recommending treatment.
Why Would a Dentist Recommend Extensive Treatment for Crowded Teeth?
A dentist may recommend more extensive treatment than necessary for crowded front teeth for financial reasons, ethical concerns, or to balance aesthetics and function.
Overtreatment or Ethical Concerns
One possibility is that the dentist may be suggesting unnecessary procedures for financial gain. However, it is also possible that the dentist is acting in a patient’s best interest, considering factors such as long-term stability and aesthetic outcomes.
Balancing Aesthetics and Function
Ethical cosmetic dentists prioritize creating beautiful smiles that look good and function well. They understand the importance of patient satisfaction and strive to deliver results that reflect their artistic skill and expertise.
Alternatives to Porcelain Veneers for Teeth Crowding
Clear Invisalign retainers may be an option to prevent further crowding
While porcelain veneers can be an effective solution, other options exist, such as dental bonding combined with orthodontic retainers. Adult teeth can continue shifting over time, making retainers essential to maintaining the desired alignment.
Retainer Usage and Monitoring
Gradually reducing retainer usage can help determine whether you need it continuously. Start by wearing it full-time as directed by the orthodontist, then transition to nighttime wear. Closely watch for teeth movement. If you notice shifting, continue wearing the retainer more frequently.
Permanent Retainers
You may need a permanent metal or clear retainer to ensure long-term stability. This option can be particularly beneficial for patients with a history of tooth movement or who require ongoing orthodontic maintenance. Some orthodontists bond a retainer to the backs of the teeth, and you would wear it for your lifetime. That option may work for you.
Seeking a Second Opinion
If you have concerns about the recommended treatment or want to explore alternatives, get second opinions from a skilled cosmetic dentist and an orthodontist.
