More people are embracing porcelain veneers in the hope of brightening their yellow teeth and fixing their crooked teeth. However, they usually ended up having sensitive teeth. Dean of Dr. Rabbit Dentist Stephen Chang suggests that patients fix the misalignment problem before using porcelain veneers to achieve better results and prevent irreversible damage.
Stephen Chang once met a patient with similar requests. However, the patient had malocclusion and serious teeth abrasion. Applying porcelain veneers directly to crooked teeth needs to remove a lot of enamel. In addition, porcelain veneers will not stay put on the teeth; they will come off easily and are susceptible to damage.
Teeth without the protection of enamel get sore easily. Exposed dentin has a high water content, preventing porcelain veneers from staying in place on teeth, just like adhering the porcelain veneers to a leaking wall. Stephen Chang stresses that the teeth may become thicker and protruding over time, making the results of the treatment less than expected.（How long should you wear a retainer? Dean of Dr. Rabbit Dental Clinic Stephen Chang shares some cleaning and maintenance tips after orthodontic treatment）
Gaps betweenTeeth Get Bigger after Treatment? Teeth Preparation and Porcelain Veneers Minimize Black Triangles
While orthodontic treatment can enhance the effect of porcelain veneers, people who need to attend social events constantly are usually put off by traditional metal braces which are difficult to clean and unattractive.
With a deep understanding of patients’ psychological context, Stephen Chang began to research Invisalign 12 years ago and formed TAAO (Taiwan Association of Aligner Orthodontics) six years ago with a group of like-minded doctors. He also participated in the cosmetic dentistry programs at the University of Alabama and the University of Michigan in the US for advanced training on dental implant and porcelain veneers. By using these two techniques, Stephen Chang can help patients have a perfect smile in a healthy and easy way.
“There is no need to remove too much enamel and porcelain veneers will work better if the teeth are aligned. In addition, there will be a 1-2mm space between upper and lower teeth for porcelain veneers, significantly reducing the risk of protruding teeth or biting problems.”
Many online forum users ask why teeth gaps get bigger and black triangles appear after treatment? According to Stephen Chang, this is because misaligned teeth put intense pressure on the gums, causing them to recede over time. However, the recession is not detected due to crooked teeth. Once the teeth are aligned, the receding gums are exposed, resulting in black triangles.
During treatment, Stephen Chang would change the interproximal shape slightly before closing the gaps. However, senior patients usually have serious teeth wear and changing the interproximal shape may not yield the expected results. In this case, porcelain veneers can be applied to make black triangles less visible.（What is the best age to start orthodontic treatment? Stephen Chang: 7 to 10 years old!）
Having been awarded Invisalign Platinum Elite and Diamond provider status, Stephen Chang performs orthodontic treatment on more than 150 patients every year. He believes the aspect ratio is the key to beautiful teeth. “Removing the natural curve of the teeth without taking the aspect ratio into account will make the teeth unnaturally straight, like Mahjong tiles. They won’t look nice even with porcelain veneers,” said Stephen Chang.
Nowadays, some nail salons also provide porcelain veneer services. While their services are cheap, their materials and skills are concerning. Dentistry is a profession. Stephen Chang calls on consumers to seek help from reputational doctors and improve their teeth step by step for the long-term health and appearance of their teeth. For more information about pre-treatment evaluation, please visit https://drrabbit.com.tw/.