Veneers

Quality meets perfect aesthetics

Before and after effects

Nowadays, prosthodontics offers a wide range of options and optimally suited materials to realise even the most demanding patient wishes for an aesthetically perfect smile.

We will be happy to assist you with our expertise and advise you in detail in advance to give you the perfect smile afterwards!

Small change, amazing effect!

Who hasn’t looked in the mirror and wished for even, radiantly white teeth? A smile like a Hollywood star – aesthetically perfect! But not everyone is born with a film-ready smile. Many people have crooked teeth, large gaps or severely discoloured teeth.

Nowadays, beautiful teeth are a decisive factor for success at work and in private life. Our visual appearance has a major influence on how we appear to others and how we are perceived. Last but not least, our appearance influences our own demeanour. If we feel comfortable in our body and with our teeth, we can radiate this and appear attractive and self-confident to others. A charming smile creates closeness and is infectious. Many people now wish for an “invisible” restoration of aesthetically imperfect teeth. This is no longer the preserve of film and television stars. “Veneers offer the opportunity to improve the appearance of teeth gently and permanently, while at the same time preserving your own teeth and coming as close as possible to the ideal of beauty.

Our specialists attach great importance to minimally invasive treatment wherever possible, i.e. treating the teeth gently and preserving them. Veneers are very often chosen for this.

What are Veneers?

Veneers are translucent, wafer-thin, custom-made veneers (ceramic shells) that are permanently and stably bonded to the teeth to correct the shape, colour or position of the teeth and achieve a very natural effect. In contrast to conventional crowns, the preparation of the tooth is more gentle on the substance and a maximum amount of enamel is preserved. High-quality ceramic and a special plastic are used to guarantee you the longest-lasting result possible.
The more pronounced disproportionate teeth, defects on the teeth, chipped edges or old fillings are, the more we will tend towards laboratory-made solutions. With all-ceramic restorations – such as Veeners – teeth can be restored “invisibly”, given an optimised appearance and the tooth colour can also be individually corrected.

Types of veneers

In dentistry, we differentiate between 4 types of veneers according to indicators such as thickness, material and application:

Conventional veneers

(up to 1 millimetre thick)

This type is made entirely of ceramic and is customised to the tooth shape in the laboratory. Only minimal removal of the tooth structure is necessary when preparing the tooth. With conventional veneers, it is also possible to cover discoloured teeth very well and thus lighten the tooth colour according to your wishes. This type of veneer can be used to treat larger misaligned teeth and defects.

Non-prep veneers

(at only about 0.3 millimetres, much thinner than conventional veneers) – representatives are the “Lumineers”

With this variant, the tooth structure is not affected, as prior preparation of the tooth is not necessary. Due to the low thickness of this type of veneer, it is only possible to influence the tooth colour to a limited extent and a discoloured tooth that is to be veneered could shine through. Small gaps and misaligned teeth can be treated with non-prep veneers.

Veneers-to-Go

(Sofort-Veneers)

are a new veneer development, prefabricated in various sizes from all-ceramic or a mixture of plastic and ceramic, which are applied directly to the tooth in just one session.

They can be attached to the tooth with little or no removal of hard tissue. However, as the panels are already prefabricated, the colour and shape cannot be optimally adapted.

Composite veneers

are made of dental plastics and are modelled directly onto the tooth in the same way as immediate veneers
As a rule, these are initially temporary veneers that are modelled on the tooth until the laboratory has completed the conventional veneers.

In consultation with you, we clarify in advance exactly what aesthetic requirements you have for your new smile in order to then select the right type of veneer according to further criteria.

When do we recommend veneers?

  • for minor positional and/or shape defects of the teeth
  • for smaller tooth gaps
  • for chipped edges
  • for rough, irregular tooth surfaces
  • for root canal-treated anterior teeth with colour deviations
  • for defective fillings or minor fractures
  • For discoloured teeth that do not respond sufficiently to bleaching

When do we advise against it?

  • for anterior teeth stressed by heavy grinding
  • in the presence of large fillings or large defects in the tooth (more than 2/3 of the tooth structure affected)
  • with insufficient oral hygiene
  • For major tooth position corrections (clarify an orthodontic correction in advance)
  • In case of unsightly gum line (prior correction may be necessary)

Advantages of veneers

  • Gentle, dental method that enables outstanding aesthetics with maximum protection of the tooth substance
  • Very safe procedure with fewer treatment complications than with a full crown preparation
  • the transparency of the veneers favours a natural appearance
  • best tissue compatibility
  • Low plaque build-up on the ceramic surface
  • Colour stability and gloss retention
  • Very good mechanical properties

Disadvantages of veneers

  • Aesthetic optimisation of the teeth is only possible if the dentist and dental technician have the appropriate expertise
  • For larger defects, a crown restoration is recommended due to the lower stability of veneers
  • Preparation of the tooth results in a low risk of chronic pulpitis (inflammation of the pulp)
  • Loss of tooth structure, even if minor, cannot be reversed – the treated tooth region will always be dependent on a veneer or crown restoration in the future (exception: non-prep veneer and Lumineer)

Consultancy/planning phase & mock-up

The first step towards a perfect prosthetic restoration with veneers is a detailed consultation and planning in co-operation with the dentist and dental technician. With the help of the “PlaneSystem” or the “Planefinder” – developed by Udo Plaster in co-operation with Zirkonzahn – possible compensations in dental restorations are detected before a treatment plan is drawn up. This minimises or avoids sources of error and transmission errors as far as possible when fabricating the prosthetic restoration or planning. The system provides greater planning reliability, intensifies patient counselling and results in significantly simplified and therefore improved, even highly productive communication between dentist, dental technician and patient.
Once the planning phase has been completed, the so-called “wax-up” (“demonstration model”) follows. With the help of this procedure, optimal, predictable treatment results can be achieved before starting a veneer restoration. Using a true-to-scale model, the necessary measures – both functional and aesthetic – can be determined precisely in advance and enable the dentist and patient to influence the final design in advance of the treatment.

In the in-house laboratory, the dental technician then transfers the mould of the teeth obtained from the initial wax model onto temporary plastic shells, which are fitted onto the existing teeth. These “demo veneers” are then perfectly adjusted according to your wishes before the teeth are processed for the final restoration. This preliminary transfer in the patient’s mouth is called a “mock-up”.

Conclusion: Nowadays, a “preview” using a mock-up is indispensable for the fabrication of high-quality dentures. This will give you a feel for your future dentures in terms of their aesthetics and functionality.

Conclusion: Nowadays, a “preview” using a mock-up is indispensable for the fabrication of high-quality dentures. This will give you a feel for your future dentures in terms of their aesthetics and functionality.

How is a veneer attached to the tooth?

1. preparation of the teeth

Firstly, the teeth are thoroughly cleaned, if necessary. older fillings are renewed and any existing caries is treated. Care must be taken to ensure holistic oral health before veneers can be used.

This is followed by preparation of the enamel, whereby the dentist removes between 0.3 and 1 mm of the tooth structure – this corresponds to approx. 5-10% of the total tooth structure. The preparation of the tooth prevents the tooth from looking unnatural when the veneer is attached.

Preparation of the enamel

For comparison: When preparing ceramic veneered crowns, approx. 30-60% of the total tooth structure is ground away.

2. impression and fabrication of the veneers
In preparation for the creation of the final veneers, an impression of the prepared teeth is taken. Based on extensive photo documentation and a determination of your tooth colour directly in our practice laboratory, our dental technician is provided with the best possible conditions to fabricate the ceramic veneers individually in the laboratory using layering, pressing and painting techniques.

Impression of the prepared tooth situation

The technical effort required to achieve an optimal natural shape and colour is very high and requires comprehensive dental expertise. The dental technician becomes an artist who has to translate the patient’s wishes into an aesthetically perfect work.

During the fabrication period – usually one to two weeks – our patients wear high-quality temporary veneers, which are already very similar to the definitive ceramic veneers. This means that you do not have to accept any aesthetic losses and can enjoy your new smile in advance.

3. mounting

After conditioning the ceramic veneer and the tooth with a colour-matched resin, it is attached to the prepared tooth using a special adhesive (so-called two-component adhesive) in a time-consuming process (30 minutes per tooth).

Applying the special adhesive

Applying the veneer

The thickness of the veneers used, the patient’s tooth colour and the colour of the special adhesive ultimately determine the final shade of the veneer. With two-component adhesives, however, the final colour only becomes visible after curing. This is remedied by so-called “try-in” pastes, which can be used to determine the optimum aesthetic shade before the veneers are finally applied.

What costs do you have to expect and will they be covered?

The costs for each type of veneer vary (ranging from €800 – €1500 per veneer), so we should discuss the exact costs in advance during a consultation.

Since in most cases this is a cosmetic enhancement that you order yourself and the use of veneers is not a medical necessity in such cases, health insurance companies do not contribute to the costs incurred. Even if there is a medical necessity, you should clarify the possible assumption of costs in advance.

If you have private insurance and there is a medical necessity or justifiable treatment, the insurance company is generally obliged to reimburse the costs. In each case, however, we advise you to consult us and the insurance company in advance.

Durability of veneers

According to current findings, the durability of veneers is in no way inferior to that of normal crowns. The covers have a very high durability. With good dental care, regular check-ups at the dentist and dental cleanings, an optimally designed veneer can last for 15 years or more.

Not least due to the outstanding material properties of modern ceramics in combination with the extremely durable adhesive bond, veneers are particularly long-lasting, even when processed very thinly, and even stabilise weakened teeth.

The German Society of Dentistry, Oral and Maxillofacial Medicine (DGZMK) recognised the veneer restoration as a scientifically recognised definitive restoration method that combines aesthetics and function.

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Put your trust in Leipziger14, a strong and experienced team, and put your smile in our hands

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