Dos and don’ts in the cosmetic dentistry treatment

Composite veneers and then laminates were introduced in 1983. Since then, this cosmetic dentistry has been one of the most popular dental procedures.

Many people want to perform beauty treatments and improve their smile to achieve a beautiful and attractive smile.

But about how the treatment is done, how much time it takes, how much the treatment costs, how long it lasts and whether it causes damage to the teeth. . . There are questions that many patients want to know about before starting treatment.

Although having white and neat teeth and an impressive smile are common reasons for patients to visit dental centers, are these treatments feasible for all patients? And if they can be done, are they the most appropriate treatments?

What are the limitations of each person’s beauty treatments? What are the keys to successful treatment? What is the unsuccessful treatment? What are the symptoms? And is there a solution to turn a failed treatment into a successful one?

In this article, we intend to briefly review ten common mistakes in veneer and laminate beauty treatments:

1- Choosing the best treatment plan or choosing the right patient:

Most patients visit dental centers after comparing their smile with beauty standards with the aim of improving the appearance and correcting the smile line.

They have been looking for a conservative and rational and sometimes inexpensive way to correct their dental problems in a short period.

Performing cosmetic treatments, like any other dental and even medical treatment, has limitations that sometimes affect the results. The patient who wants to be more beautiful imagines the most ideal changes for himself, while due to individual differences, the result is often different from this idea. For this reason, the use of 3D and pre-predicted computer designs “cannot be a reliable reference for patient decision-making.”

These effective limitations should be identified in the first step, then explained to the patient. The possible corrections should be checked in the interaction with the patient and the patient should be informed as much as possible about the approximate result of the treatment, then if it is justified and after the patient’s satisfaction, the treatment should be started.

Most of the dissatisfactions resulting from the composite veneer and laminate treatments are due to the lack of time allocated in the visit session and the patient’s justification, which ultimately, despite the best efforts of the dentist, the patient is not satisfied enough.

2- Ensuring the main goal of maintaining gum health and preventing gum infection and bad breath:

The relationship between the gum and composite veneer and laminate is significant in two ways:

A- Beauty: The harmony of the gum line is designed with veneers and laminates, which often go hand in hand with the beauty of the teeth. In general, the treatment plan should be a combination of beautification and teeth along with the gums.

A continuous and two-way communication, to the extent that sometimes cosmetic treatments are recommended to solve gum problems, and on the other hand, sometimes precise dental corrections are lost along with gum inconsistencies! (For example, one of the effective ways to fix a gummy smile is the simultaneous changes of teeth and gums.)

B- Treating and providing gum health:

Gingival inflammations and subsequent infections that show themselves as symptoms of unexplained bleeding and bad breath have been evaluated as one of the most important reasons for patient dissatisfaction, which sometimes occurs shortly after cosmetic dental treatment. Laminations are glued together, composite veneers are not properly installed.

I have seen many patients who have become anxious and worried after undergoing cosmetic veneer and laminitis treatments with the symptoms of “bad breath” or “frequent bleeding”, but with illogical justifications such as “bleeding is normal after cosmetic treatment”, “you are the reason”. You have heredity” and even “it will heal by itself after six months”, they have entered the advanced phase of gum infection and have suffered a lot of physical and more importantly mental injuries.

3- Improper design:

The demand for beauty treatment, as the name implies, is to improve the beauty of the smile.

In the design of composite veneers and laminates, there are specific criteria that meet these criteria according to the dental conditions of different people and require special skill and art.

Unfortunately, the thing that is seen in abundance in the samples done recently is the failure to observe the correct anatomy and the difference between the teeth and their standard arrangement, which sometimes causes unpleasant judgments from the public!

The design of the smile line should be done naturally according to the elements of the person’s face and based on the principles of dentistry. This means that serial laminates and veneers that are uniform and too white are obsolete from the point of view of beauty. Unfortunately, these days It’s over.

4- Improper preparation and lack of teeth: You must have heard the slogan “no-cut laminate or no-cut veneer”.

 Is such a thing possible? The answer is very simple: No, except for a few cases, to carry out a standard and long-term treatment protocol.

Although this preparation and sharpening of the teeth have some benefits according to the skill of the dentist in Ottawa and the type of cosmetic work that has been chosen, doing it without sharpening will not bring long-term satisfaction to the patient.

The reason is very simple: if space is not considered for the volume added to the tooth, whether it is composite veneer or laminate, the thickness of the composite or laminate should be considered very low, which is clear that it will not have much resistance and will become brittle. In addition, the brightening of the tooth color, which is usually desired by the patient, will not be provided, especially in dark or discolored teeth.

So, if the standard thickness of veneer and laminate is considered to solve this problem, we will have protruding teeth from the jaws. So much so that sometimes the patient’s lips are not closed even with great effort!

In addition, the boundaries between composite and laminate should end in areas far from sight and far from chewing pressure, which is not possible in the condition of no grinding. As a result, after a short period, changes in these borders are observed in the form of multicolor and even decay.

More importantly, such a thickness will not be tolerated by the gum tissue, and as a result, after a short period, the patient will experience the symptoms of bleeding, gum infection, and bad breath.

5- Excessive tooth preparation:

In contrast to a group of dentists who believe in less than standard sharpening or no sharpening, a group of dentists enters the dentin space with unprincipled sharpening instead of proper tooth sharpening that is within the enamel limit. As a result, dental sensitivities will occur, which sometimes lead to root canal treatment (nerve removal), and unfortunately, veneers will be needed. In addition, the adhesion durability of the composite and laminate connection to the dentin is weak, and in addition to increasing the probability of caries, the patient is constantly separated from the laminate or composite. He is struggling with his teeth.

6- Cooperation with amateur and cheap laboratories:

In correcting the smile line with the help of laminates, part of the work is done in the laboratory by a prosthetist or ceramist.

Lamination is a combination of a dentist’s science and a prosthetist’s art. Different laboratories announce different costs based on the skill and productivity of the prosthetist from aesthetic science and the time spent for the basic construction of laminates and of course the materials and materials used in the structure of the laminate, which consequently affects the cost paid by the patient. Since the work of a dentist, however wonderful, loses color in interaction with a cheap and weak laboratory, choosing a reliable and artistic laboratory and prosthetist is one of the important factors in the long-term success of laminate.

7- Compliance with the law 10-8-4

How many dental units should be laminated or composite?

When the patient looks at his face in the mirror, he sees his front 6 teeth. While in reality, people around him see his teeth as 8-10 based on his smile line.

If to reduce the cost of 6 teeth, they undergo cosmetic treatment, either composite or laminate, the fourth and fifth teeth from each side enter a space called the corridor of darkness due to the more prominent position of the third tooth or canine, which means that their mismatch with six teeth The front is clearer to the viewer.

Therefore, except in special cases, if for any reason the patient is not satisfied with performing 8-10 teeth, it is recommended to perform 4 teeth so that two canines are removed from the treatment process. Unless the patient decides to continue the treatment on other teeth in a short period, or the canine has obvious anatomical or color problems.

8- Multicolor or color change around composite veneers or laminates:

After gum infection, one of the common reasons for patients to visit dental centers is multiple and multicolor changes around composite veneers or laminates, and these color changes will turn into decay in the not-so-distant future.

The most important reason for the emergence of these colors is the improper preparation of the dental bed, which was mentioned earlier, in short, the creation of the wrong cutting line, along with the use of inappropriate band (glue under composite veneer and laminate) and sometimes the products of unreliable companies will have such results.

9- Ignoring the special habits of different people:

The fact is that some limitations, such as uncontrollable grinding of teeth and nervous clenching of teeth, and abnormal jaw relationships (abnormal protrusion or receding of one of the jaws) affect the durability of cosmetic treatment, whether composite veneer or laminate. In many cases, this problem can be solved with the wisdom of the dentist and prosthetist and following a few tips on the part of the patient, but in severe cases, it is better to follow the advice of dentists to withdraw from cosmetic treatment.

10- Inadequate skills of the dentist:

  Cosmetic treatment is perhaps one of the most important dental treatments. The result of most treatments is determined after a relatively long time, while the beauty treatment can be evaluated immediately after completion.

The dentist must continuously participate in courses related to familiarization with newer methods or newer materials. Although the basic principles of work do not change much, in the current situation, newer and better materials and equipment are constantly entering the dental system.

The most important factor in the success of cosmetic treatment, including composite veneer and laminate, is tooth preparation, which is performed by a dentist. The lack of sufficient skills of the dentist at this stage can lead to irreparable problems.

As mentioned, in the creation of dental corrections, from the harmony of the gums around the teeth to the speech changes of the individual, it should be taken into account. So the dentist must use his multifaceted science and art to provide the patient’s goal as much as possible.

Since the patient is judged by society with his new face, the process and result of veneer and laminate beauty work are very scary for the applicant.

In the examination session, the steps of doing the work, whether composite veneer or laminate, should be explained to the patient so that the patient is aware of the possible advantages and disadvantages of each treatment method, the limitations, and tips, although small but effective for health, and even the exact cost of this work should be explained to the patient. Be announced so that the patient can make his decision with full knowledge.

Rushing in any of the preparations and stages of the work will cause dissatisfaction in the patient in the end.

What should I do with an unsuccessful composite veneer or laminate treatment?

The fact is that re-treating a patient is much more difficult, time-consuming, and expensive than the initial treatment.

Imagine that the tailor has sewn a dress according to your wishes, now the second tailor is going to sew the dress again according to your wishes and of course according to the correct principles of tailoring. What will be the scope of his action?

How should the limitations created by the first tailor be resolved?

In the term smile line, instead of a lifeless and predictable fabric, we are faced with a living and unpredictable tooth.

Of course, this does not mean to disappoint the unhappy Patient you should know that re-treatment will be your last chance in a way.

• So choose your dentist and treatment method with full knowledge. For example, to whiten teeth, laser bleaching (not halogen) is enough, you don’t need lamination!
• Don’t look for cheap work, the cheapness of treatment will make you happy temporarily, but after a while, you have to pay several times to get rid of your treatment.
• For any reason, after performing non-standard work, you encounter new and persistent symptoms such as food retention, discoloration, bleeding gums, teeth sticking together, and worst of all, bad breath, avoid justifying yourself, and take treatment to get better today. It is from tomorrow.