Weiners teeth. Ceramic veneers. Glass ceramic veneers E.max -

Seeing a person with beautiful and snow-white teeth, it becomes clear that he has achieved a certain professional success. A beautiful smile indicates how important health and appearance are to him.

Unfortunately, today not everyone can boast of natural whiteness and ideal tooth shape.

Various factors can prevent this, among which the most common are bad habits, congenital pathologies, unhealthy diet, lack of proper oral hygiene, untimely visits to the dentist. And all this together ultimately leads to the appearance of unpleasant yellow plaque and deformation on the teeth.

But modern medicine is constantly monitoring the problems people face. And today innovative technologies and the latest materials are actively used, which allow anyone to turn even the most hopeless teeth into a Hollywood dream. One of these solutions is vinyl records, which provide an excellent opportunity for each owner to show others a beautiful smile.

Teeth veneers: what are they, which ones are better?

In simple terms, veneers are microprostheses, with which you can give the desired color and shape to one or a group of teeth. These plates are attached to the front surface of the tooth. They are most often used by those patients who want to change the appearance of the front incisors that form the smile.

By their appearance, teeth with veneers look the same as real ones. A similar effect is provided due to the fact that during their manufacture the color of the patient's teeth is very accurately copied.

Vinyl records are often the last hope for the patient to return the teeth to the desired shape and whiteness after they have been disappointed with other methods. The main advantage of using veneers is that they can eliminate serious defects very quickly.

In recent years, many dental clinics have begun to offer installation services to patients ceramic or composite linings... With them it is very easy to find an even and radiant smile. The most popular today are the following types of onlays used to restore the appearance of teeth.

Composite veneers

Their main advantage is that the procedure for making and installing on the chewing teeth is carried out directly in the dentist's office, and it takes place very quickly. To create onlays, filling material is used, while the patient only needs to visit a specialist once to return home with beautiful snow-white teeth. The installation of veneers does not harm the enamel in any way, since there is no need to grind them to improve the quality of the composite-to-surface connection. In some cases, veneers can be made to restore one or two teeth... This option is much cheaper, but they will also serve much less.

No less often, patients order ceramic veneers from dental clinics. This is a fairly versatile solution, since they can be installed in a wide variety of places. Their disadvantage is that they are made for a very long time, since this process takes place in the laboratory. In addition, the installation of such veneers requires a lot grind down the top layer of enamel.

In terms of other characteristics, these veneers do not lose, and even surpass composite analogs. This is due to the fact that ultra-strong medical porcelain or zirconia is used to create them.

For decades, they retain their original appearance and color, and therefore the patient does not have to polish them. Such a solution will interest people with severely damaged teeth, who previously had to treat caries or remove a dental nerve. The opaque material is also attractive because it can be used to mask the variable color of the enamel. This type of veneer is mainly used to restore the smile area.

Ultras

Experts distinguish one more type of linings - Hollywood Ultra Niers or Lumineers... But they are not intended for the restoration of teeth damaged as a result of medical intervention. They are used as decoration, since the thickness of the plate is so small that it is impossible to mask the changed color of the enamel with its help. Therefore, if you have teeth in which a nerve was removed, then you should not put Hollywood onlays on them.

In order to choose the best option for overlays, it is advisable to first discuss this issue with your doctor. To do this, he will have to take into account not only the pros and cons of modern veneers, but also the condition of the patient's teeth.

Indications and contraindications

Veneers are an effective way to correct bite, and most often they are prescribed for the following defects:

But it should be remembered that not all patients are shown veneers. First of all, this concerns the owners of deformed teeth. To be able to take advantage of these overlays, they will first have to cure all carious lesions... In addition, there should be no weak gums in the mouth. Sometimes, with prolonged tooth decay or as a result of treatment, the enamel can be severely damaged. In such cases, it is best to install not veneers, but a crown. Veneers are not recommended for patients with bruxism.

Are veneers harmful: pros and cons, pros and cons

The installation of any prostheses is always a definite intervention in the oral cavity, which can lead to both positive and negative consequences. If you have doubts about what is better to choose - onlays or crowns, then you, first of all, need to take into account the contraindications for veneers. If you are sure that you can use veneers, then before making a final decision, you should familiarize yourself with the advantages and disadvantages of using them.

Advantages

disadvantages

Veneers require the topcoat of the enamel to be ground down, which can severely damage the enamel. If you want to remove the veneers, keep in mind that you will no longer be able to return your teeth to their original appearance without special treatment. The fact is that as a result of processing the upper layer of the tooth enamel, serious damage is caused.
A serious obstacle, due to which a patient may lose the desire to install veneers on teeth, can be their high price. But you can put up with this, considering what an excellent result can be obtained, because these plates can easily hide any visible defects and consequences of injuries.
Remember that the color of the tooth will remain the same if you do not provide it with proper care. Any substances that enter the mouth will change the color of the cement base under the porcelain plate. And if you do not provide the necessary care, then after a while the colored cement will become noticeable. A similar disadvantage can appear in the case of using composite plates.

Today it is practiced two methods of installing veneers on damaged or deformed teeth:

If, after evaluating all the pros and cons of veneers, you nevertheless decided to install them, then it will not hurt you to get to know with the technology of their manufacture and installation... First of all, you need to discuss this issue with your dentist. To begin with, he will examine your teeth, determine if you have contraindications for installing veneers, and then sanitize the oral cavity and prepare the teeth to make an impression or immediately start installing composite plates.

After finishing the preparation procedure for veneers, the doctor will receive an impression, which will help to create the ceramic onlays. The process of making veneers takes place in the laboratory, and you will have to be patient, as it takes an average of one week.

Teeth will have to be processed before veneers are installed. It is necessary not only to cure caries and eliminate defects, but also to remove the top layer of tooth enamel. This procedure can be frustrating for people with hypersensitive teeth. To avoid painful sensations, the doctor may use pain relievers... Until the permanent plates are installed, temporary veneers can be attached to the teeth.

The main difficulties in manufacturing are associated with the selection of the appropriate color of the overlays and the observance of the exact dimensions, which must correspond to the previously obtained print. If these issues were successfully resolved, then all that remains is to install veneers. Once the veneers have been pre-fitted, they are bonded to the teeth using a flowable composite adhesive and cement. For their speedy solidification, the light of a special lamp is used.

At the stage of finishing, the dentist is required to remove the existing defects and roughness so that the patient does not experience the slightest discomfort while using the veneers. Remember that veneers do not guarantee the preservation of a Hollywood smile for many years, but if you take good care of them, then you will not soon be faced with the question of restoration or replacement of linings.

Conclusion

To look beautiful and personable in society, you have to pay special attention to your appearance. And the condition of the teeth plays an important role here. Few can boast of even and snow-white teeth today. Therefore, they are trying to find a solution that will help fix existing dental problems. In recent years, veneers have become very popular, which help to acquire a beautiful smile even for those people who have teeth that have hopelessly lost their attractiveness.

This is by far the easiest way fix most of the defects on the teeth... But before ordering the production and installation of dental plates, you should definitely consult with your dentist. After all, only a specialist will be able to advise the most suitable type of records that will help a person find a snow-white smile.

Photo: Veneers on the front teeth

Veneers are micro-prostheses that allow you to restore the color and shape of one or a group of teeth.

The veneers are placed on the anterior surface of the tooth. They are used to restore the front teeth that fall into the smile line.

Teeth with veneers are no different from real ones, since the color of the patient's teeth is taken into account in their manufacture.

Veneers are used in cases where restoration and whitening of teeth will not give the desired result. Restoration of teeth with veneers allows you to quickly restore teeth with large defects.

Types of dental veneers

Veneers are made from ceramics and reflective composites.

Classification veneers, according to the type of material used for the manufacture of plates, may be as follows:

Ceramic veneers. For their manufacture, medical porcelain and zirconium dioxide are used. They are considered the best because they have high strength, do not change color over time, and are outwardly indistinguishable from real teeth. The thickness of ceramic veneers is only 0.3 - 0.5 mm.
Composite veneers. This type of veneer is obsolete and less preferable, as it has many aesthetic drawbacks and limitations in terms of service life. The advantages of using them are quick installation (in the dentist's office) and a gentle technique.
A variety of porcelain ceramics are Hollywood laminates. The thickness of such plates is only 0.2 mm. Compared to conventional porcelain veneers, they are easier to use and have a longer service life. The technique of their manufacture allows not to grind the tooth enamel. Hollywood veneers can be glued to artificial crowns.

Stages of making veneers

There are two technologies for making ceramic veneers:

Layer-by-layer application of ceramic mass followed by firing (non-pressed ceramics).
Injection molding at high temperature under pressure (pressed ceramics). This technology makes it possible to create very durable veneers. Their service life is longer than that of structures made of non-pressed ceramics.

Composite veneers can be made in two ways:

At the dentist's office. Such constructions are called therapeutic veneers or direct veneers. The doctor removes a small layer of enamel on the front surface of the tooth, and then, layer-by-layer applies a light-polymer composite material to it, restoring its surface.
In the dental technician's office. To do this, the dentist grinds the tooth under the veneer and takes an impression. In the laboratory, a plaster impression of the teeth is made from the cast. The composite veneer will be modeled on it.

Making veneers from ceramics

Preparation for dental veneers and making a three-dimensional impression.
The simulation of the future veneer is performed on a computer.
Grinding a structure on a milling machine from zirconium dioxide (without human intervention).
A temporary laminate is applied to the ground tooth.
Treatment of the inner surface of the veneer (roughening it) for a better fit.
Applying cement to the tooth and the inside of the plate and fixing it to the tooth.

Installation indications

Severe yellowness of the teeth (tetracycline teeth).
Discoloration of teeth due to pulp.
Fluoro teeth.
Erosion of tooth enamel.
Defects of teeth with extensive damage to hard tissues.
Incorrect position of the teeth (crowding of the incisors, rotation of the tooth around the axis). The alignment of teeth with veneers looks more aesthetically pleasing if the plates are applied not to one tooth, but to several at once.
Abnormal tooth shape.
In the case when restoration measures did not give effect.
The presence of old fillings, the color of which is different from the color of the teeth.
Chipped teeth.
The presence of large interdental spaces.
Making a Hollywood smile.

Contraindications

Pathological abrasion of teeth.
Bruxism (teeth grinding).
Bad habits: biting nails, opening bottles, biting nuts, etc.
It is not recommended to place veneers if the patient has an incorrect bite.
Absence of 6 - 7 chewing teeth.
Tooth decay on the part of the tongue.
The presence of a large filling on the inside of the tooth.
The presence of a risk of injury to the front teeth (hobby for boxing, etc.)

How the installation works

The installation of veneer structures takes place in several stages:

Preliminary stage. At this stage, it is necessary to decide on the material from which the veneer will be made, and also to agree on the color of the future plate.
Tooth preparation. Depending on the thickness of the veneer plate, a layer of hard tooth tissues is removed from the anterior surface of the tooth.
Taking an impression from the teeth and sending it to the laboratory.
Installation of a temporary plastic plate.
A plaster cast of the patient's teeth is made in the laboratory. Using it, one of the above methods is used to make a ceramic plate.
Fixation of veneers to the tooth with a special glue.
Removal of excess cement and assessment of bite.

Veneers can be installed without grinding teeth. Modern dentistry has in its arsenal this type of dental constructions, which are called "lumineers". Lumineers are thinner than veneers. They are like petals that are glued to the surface of the teeth with dental glue.

Lumineers are standard and customized. Individual designs are made in the laboratory. Standard - are selected, like nails from a set. about glue.nkier than veneers construction. They are like petals that are glued to the surface of the teeth with dental glue.

Recovery and rehabilitation

After the veneer is installed, you can lead a normal life. It is necessary to follow the doctor's recommendations for the correct use of the structure.
It is possible that in one or two weeks it will be necessary to visit the dentist again for a follow-up examination. The doctor should check the position of the structure on the tooth and check the reaction of the gums to the presence of a veneer plate.
Grinding of a tooth can result in an increased sensitivity of the tooth to cold or hot drinks. The teeth on which the veneers are installed can undergo decay, which may be an indication for the tooth to be covered with a crown.

Video: "Veneers"

FAQ

Currently, there are different methods of prosthetics with veneers. Which way to give preference? What material to choose for dental prosthetics?

Specialists answer these and other questions of patients.

Question: Which veneers are better - porcelain or zirconia?

Answer: Veneers made of porcelain and zirconium dioxide look equally aesthetically pleasing. Porcelain veneers are more fragile and can break.

Question: What to choose - a veneer or a crown?

Answer: If there is at least one contraindication to the installation of veneers, then it is better to choose a crown.

Question: Can veneers be whitened if they darken?

Answer: Veneers made from composite materials can darken. You won't be able to whiten them. Such structures require replacement.

Question: Which is better? Restoration or veneer?

Answer: The restoration is inferior in many respects to veneers. Therefore, a more reliable way to correct a tooth defect is to install veneers.

Question: Are veneers harmful to teeth?

Answer: Veneers are absolutely safe for teeth. They are made from biocompatible materials.

Pros and cons of dental veneers

Advantages of ceramic veneers over composite:

High aesthetics of ceramic veneers.
Veneers made from ceramics retain color consistency, do not tarnish or darken over time.
Reliability. High wear resistance.
Biocompatibility.
Ceramic veneers are durable. Their shelf life is unlimited.

Disadvantages of ceramic structures:

It takes more time to make.
Expensive.
Irreversibility of the preparation process.
Can't be repaired.

Advantages of composite veneer restorations:

They are made quickly, sometimes in one visit to the dentist.
Cheaper than porcelain veneers.

Composite veneers have disadvantages:

Short service life.
Color instability.
Low aesthetic.
Fragility and unreliability of records.
Poorly conceal teeth defects.
Irreversibility of the turning process.
Not being repaired.

Veneer care

Dental veneers do not require special care.
Careful daily oral hygiene should be followed using a toothbrush, toothpaste and dental floss. This will allow the veneer to maintain a shiny finish.
You should avoid eating foods that tend to stain your teeth (red wine, pomegranate or cherry juice, coffee, tea, etc.).
To minimize the possibility of displacement or loss of the veneer, you should not put pressure on the teeth in any way (gnawing ice, nails, nuts, etc.).
For bruxism, a mouthguard should be used while sleeping.
Once every six months, you need to visit a doctor for a medical examination and possible correction of the veneer.

Prices for veneers

The cost of veneering plates depends on the condition of the patient's teeth, as well as the technology used to manufacture the structure.

Composite veneers: the cost of one tooth - from 5000 rubles - with a direct method of manufacturing the structure.

The cost of a composite veneer made in a laboratory will be higher, but slightly less than the cost of a ceramic veneer.

Life time

Composite veneers have the same strength as fillings. But with sufficiently good oral care, they can have a lifespan of more than 7 years. Over time, their appearance deteriorates greatly.

Veneers made from ceramics have a longer service life - from 10 years or more.

They can fail only due to unforeseen situations: hitting the teeth with a solid object while eating, injuries, biting nuts. Opening bottles with teeth, etc.
After 10 years or more, the veneer may fall out due to de-cementing. Such a veneer must be brought to the dentist and he will re-stick it.

Hollywood porcelain plates have been around for over 20 years.

Externally, veneers do not differ at all from natural teeth, since the use of modern dental materials allows you to achieve maximum similarity with the natural shade of enamel. If the patient wishes, it is possible to make the smile lighter, but then it is necessary to cover with veneers not one, but the entire front group of teeth at once.

Anterior veneers: features

Veneers are a special type of microprostheses that are installed on one or more front teeth, significantly changing the aesthetic parameters of a smile before and after treatment. Thin onlays allow you to hide defects in natural dental crowns, as well as gray or yellow teeth.

When the incisors of the upper jaw are veneered, 4 front teeth are often covered with plates at once, and sometimes canines. This approach makes it possible to achieve straight teeth and get the same desired enamel shade. When viewed externally, the coating does not differ at all from natural teeth, so strangers often do not even know that their interlocutor has them installed.

When are veneers placed on the front teeth?

It is not advisable in every case to restore the integrity of the clinical crown by fixing thin plates on the vestibular surface of the teeth; therefore, there are certain indications for installing veneers on the front teeth.

These include:

The location of the carious cavity with the involvement of the outer surface of the tooth.
The appearance of persistent pigmentation due to bad habits (coffee, cigarettes) or non-carious lesions that cannot be corrected with the help.
Discoloration of various etiologies, including due to focal or systemic hypomineralization of the enamel.
Such defects of hard tooth tissues as cracks, unevenness of the incisal edge, chips.
The presence of diastemas and three.
Anomaly in the shape of the crowns of the teeth.
Defects in the dentition caused by the uneven position of the teeth or their deviation from the axis.

Often, not only the causative tooth is restored, but also those adjacent to it. To achieve the most natural effect, the method of simultaneous installation of 4 plates on the front incisors is common.

What are veneers for front teeth?

There are several types of veneers that can be placed on the 4 front teeth:

Composite veneers... The very first of the developed methods of creating an aesthetic design on the teeth. In most cases, pre-treatment of the vestibular surface is required, followed by etching and adhesive preparation of hard tissues. The veneer is created in the dentist's office using modern photo-curable materials. This is the cheapest and fastest veneering method, which has significant drawbacks - there is a possibility of discoloration of the restoration due to the absorption of pigments from food, as well as a shorter service life in comparison with ceramic plates.
Ceramic veneers... These pads are made from a special type of medical porcelain. Microprostheses are performed in a dental laboratory after the dentist takes impressions from the jaws. Fixation is carried out on a special adhesive material, which ensures reliable fastening. The service life with careful handling and good care of the oral cavity reaches fifteen years.
Zirconia veneers... One of the most modern methods of correcting aesthetic teeth defects. Thin plates are made by milling from zirconium dioxide. Their thickness is 0.3-0.7 mm, which allows them to be used without preliminary turning of hard tooth tissues.
Lumineers... The thinnest ceramic laminates, the thickness of which does not exceed 0.2-0.3 mm. Their installation does not require enamel preparation, which is less traumatic for dental tissues. The disadvantages include the high cost.

Advantages

Veneers installed on the front teeth as a substitute aesthetic design have the following advantages:

a high level of aesthetics of the final result;
short term of implementation and installation of a microprosthesis on 4 front incisors;
to create the necessary space for fixing the veneer, preparation of a small volume of hard tooth tissues is required;
when installing the thinnest plates, you can do without turning the enamel layer, which leaves the tooth stronger;
high light transmission rates allow the finished attached structure on the teeth to have a natural look without differences from intact teeth;
long term of use, subject to careful handling and proper hygienic care of the oral cavity.

Veneers allow you to achieve a high aesthetic result with minimal traumatic intervention. This is especially important when the patient wants to have a snow-white and beautiful smile, but his teeth have a slight curvature or visible small cavities. In this case, veneers are the best solution.

disadvantages

The installation of four veneers as a method of restoring lost hard tissue and defects has its drawbacks. For this reason, before deciding on the manufacture of veneers, a consultation with a competent dentist is required, who will tell you about all the advantages and disadvantages of such designs.

Cons of veneers for anterior teeth:

Veneers made of composite dental material have the property of absorbing dyes from food and beverages, therefore, in order to maintain the achieved aesthetic result for a long time, one should limit the use of certain food products.
Veneers are the thinnest plate, the thickness of which does not exceed 1-1.5 mm, depending on the material and manufacturing method. Lumineers have a thickness of no more than 0.3 mm. Microprostheses are rather fragile products that can be damaged in case of injury, as well as in the presence of a habit of gnawing seeds or nuts, pulling off threads with your teeth, etc.
The manufacturing process requires a high level of skill from the doctor, as well as the use of modern technologies in the laboratory creation of veneers, so the cost of such products is high.
For most types, preparation of hard tissues is required, in which a small layer of enamel is cut off on the vestibular and approximal surfaces, as well as in the cervical region, therefore, in the future, the microprosthesis cannot be simply removed - it will require repeated replacement with a similar design or covering the tooth.

Contraindications for installing veneers on anterior teeth

Since veneers are rather fragile structures that perform an aesthetic function, their manufacture and installation is limited to a list of contraindications:

Pathological abrasion of teeth of the second and third degree.
Absence of molars in the dentition.
Acute form of inflammatory processes of the gums and periodontium.
Bad habits associated with increased stress on the front 4 teeth - biting off the thread, cleaning seeds, opening bottles with teeth, etc.
Direct and reverse bite.
Hard tissues of the tooth severely damaged by the carious process.
Extensive restorations and no underlying intact dentin.
Teeth, for the treatment of which the resorcinol-formalin method was previously used, due to the increased fragility of enamel and dentin.

There are certain limitations for various types of microprostheses, so the choice of design often depends on which veneers are suitable in each particular case, and what type of veneers are best placed on the front teeth - you need to inquire with your dentist.

Installing veneers on anterior teeth

Let's figure out how veneers are placed on the front teeth, how much tissue is cut off and with the help of which the plates are “glued” to the enamel surface.

The veneering process requires a high level of manual skills from the doctor, therefore, the choice of a specialist for creating aesthetic overlays on the 4 upper incisors should be approached with special care.

Installation of veneers takes place in several stages:

At the first visit, the doctor must carefully examine the oral cavity to identify possible contraindications to the installation of veneers, after which the dentist offers treatment options. The patient needs to decide what the plates will be made of, as well as choose the desired color and shape of the updated teeth.
After carrying out the preparation, the enamel is prepared on the anterior surface of the tooth with the creation of a bevel in the cervical region and retention points on the sides of the crown and the incisal edge.
With the help of special impression materials, an imprint of the teeth is made and transferred to the dental laboratory for casting individual jaw models and the subsequent creation of veneers using an indirect method.
Fixation of temporary plastic veneers is carried out in order to protect the cut tissue from damage and to prevent the gums from "sagging" onto the prepared tooth surface.
Veneers are created in the dental laboratory, followed by the application of the required color and the final grinding of the product.
Verification of the structure in the oral cavity and fixation with a special adhesive material.

If the replacement is carried out with a composite material in the doctor's chair (by the direct method), then after carrying out preparatory manipulations the dentist begins the restoration using the technique of layering with stage-by-stage exposure of the composite with an LED lamp.

Recovery period

There is no special rehabilitation period with veneers installed on the front teeth, therefore, immediately after fixing the structures, you can return home to your usual way of life. However, in order for the products to last as long as possible, it is required to follow the doctor's recommendations for the care of the oral cavity.

In most cases, a follow-up visit to the dentist is needed so that the specialist assesses the condition of the gums and its reaction to the manufactured microprosthesis, as well as checks the position of the veneer on the anterior tooth surface and the reliability of fixation.

Sometimes, after veneering, vital teeth can occur, so a course application of desensitizers will be required. In especially difficult situations, to eliminate the increased response of teeth to thermal stimuli, depulpation, and sometimes covering the tooth with a metal-ceramic crown, is required.

No special care for teeth covered with veneers is required:

it is necessary to carry out daily oral hygiene with the help of and, which will allow the structure to maintain its shine and original appearance;
it is advisable to limit products that can leave pigmentation on the teeth, especially cigarettes, strong black tea, beets and blueberries;
in order not to accidentally chip part of the plate, you should avoid increased chewing pressure on the front teeth;
once every six months, visits to the dentist are required for a professional examination and possible correction of the product.

Veneers installed on the front teeth make it possible to correct the aesthetic imperfections of the teeth in a short time and make the smile more attractive. Their fixation requires minimal enamel turning, which is a less traumatic restoration method than covering teeth with.

However, before making veneering, it is necessary to carefully study all the pros and cons of the procedure, consult a dentist about the possibility of installing such microprostheses.

Useful video about veneers

In this article, you will learn:

how much do veneers from ceramics and composites cost,
veneers - average cost in Moscow for 2020.

Veneers are ceramic or composite microprostheses that "adhere" to the anterior surface of the teeth. They are usually done on one or more teeth, but only on those teeth that fall into the smile line - these are 10 front upper and 8 front lower teeth. The standard thickness of conventional ones is from 0.6 mm, and it is to the same depth that the tooth enamel on the anterior surface of the teeth will be ground (Fig. 1-2). But there are also thinner veneers that sometimes do not require tooth preparation.

The thickness of thin Emax glass-ceramic veneers (made by pressing) starts from just 0.3 mm. In some cases, this allows the dentist to simply "glue" the veneers to the patient's front teeth, without resorting to grinding the enamel. But in order to do them, dentistry must have a very good dental laboratory. In this regard, residents of Moscow and other large cities are more likely to receive a quality service, of course.

How veneers are installed -

How to choose the right veneers -

First, to begin with, you need to make a fundamental choice between ceramic veneers and the so-called, which are made from conventional composite filling material. The service life of the former is 12-25 years, the latter is 3-5 years. Secondly, if you made the right choice and settled on - you need to understand what material they are best made of, because ceramics can be different (porcelain, E.max glass ceramics, zirconium dioxide).

Veneers made from different types of ceramics will differ greatly in terms of both durability and aesthetics. Thirdly, different technologies can be used in the manufacture of veneers. It can be a method of pressing ceramics, a method of layering a ceramic mass, or a modern CAD / CAM technology for milling veneers on a computer-controlled machine. The strength and aesthetics of veneers will also depend on the manufacturing technique.

Veneers are ideal in the following situations -

when the crowns of the anterior teeth are not beautiful enough, have an irregular inclination or occupy an uneven position in the dentition,
when there are fillings on the front surface of the front teeth that are visible,
when you need to quickly correct a slight crowding of teeth,
when you need to quickly fix wide gaps between teeth,
ugly tooth color that cannot be corrected with.

Veneers with first-class aesthetics, which can last from 12 to 25 years (without darkening or changing their color) - are made only from ceramics. In clinics of the middle price segment for such veneers, the cost starts from 20,000 rubles. And for composite veneers with a much more modest aesthetics - the price will be only about 7,000 rubles. For a detailed price list for veneers, see below.

Veneers: price for 1 tooth in Moscow and St. Petersburg

Depending on what material the ceramic veneers were made of, prices will vary significantly. Therefore, we will write how much it costs to put veneers for each material. As a rule, 3 types of ceramics are used for the manufacture of veneers: porcelain, E.max glass ceramics, and sometimes zirconia.

1. Porcelain veneers: price 2020

For porcelain veneers, the price for 1 tooth in Moscow and St. Petersburg will be about 14,000 rubles (in economy-class clinics for 2020). Approximately the same price is fixed by us in some paid departments of state dental clinics. In clinics of the middle price category, the average cost of 1 porcelain veneer will be about 16,000 rubles.

Porcelain belongs to feldspar ceramics, and it is the very first material from which ceramic veneers began to be made. In terms of its optical properties, porcelain is as similar as possible to real tooth enamel, which makes it possible to make the most beautiful and realistic veneers out of it (Fig. 6-8). However, the disadvantage of this material is its strength.

When making porcelain veneers by layer-by-layer application and sintering of porcelain mass, their flexural strength is only 55-70 MPa. If the method of pressing porcelain is used under conditions of elevated temperature and pressure, then the strength of veneers will be about 150 MPa. This is already quite good, but it is significantly inferior to the strength of veneers made of both zirconium dioxide and glass ceramics E ..

Porcelain veneers: videos of patients before and after

2. Glass-ceramic veneers E.max -

There are 2 types of E.max glass ceramics for making veneers. The first option is E.max PRESS material. It is used for the manufacture of standard veneers with a thickness of 0.6-0.7 mm, as well as so-called "thin veneers" with a thickness of 0.3-0.4 mm. E.max PRESS veneers are made by injection molding under high temperature and pressure conditions, which gives them a strength of 400 MPa.

The second material option is E.max CAD. It is used for the manufacture of veneers no thinner than 0.6-0.7 mm - by milling on a computer-controlled machine (CAD / CAM technology). Veneers made of this material have a strength of 370 MPa, and, by the way, in terms of aesthetics, they are slightly inferior to veneers made from E.max pressed ceramics. In addition, they are also inferior to pressed ceramics in terms of price. CAD / CAM technology requires very expensive equipment.

The cost of E.max veneers will be -

from glass ceramics E.max PRESS - from 21,000 rubles.
from glass ceramics E.max CAD - from 26,000 rubles.

Fitting ready-made veneers from E.max: video

3. Zirconium veneers for teeth: price 2020

In clinics of the middle price category, the cost of 1 zirconium veneer is usually from 30,000 rubles (however, some clinics often hold promotions, and at this time the price can be reduced by 20-30%). In economy class clinics, the price can start from 20,000 rubles, but in this case, veneers will most likely be made not of high-quality translucent blocks of zirconium dioxide, but of much cheaper opaque blocks of milky white color.

As a result, veneers made of such (so-called "raw", "soft") zirconium dioxide will be deprived of the natural translucency of tooth enamel and look like inexpensive metal-ceramic crowns. To obtain high-quality zirconium veneers, it is necessary that they be made from blocks of zirconium dioxide from the following manufacturers: either best of all - Katana ® UTML (Japan), or the option is a little simpler - materials Katana ® STML (Japan) or Prettau ® Anterior (Germany).

Zirconia veneers: video Before and After

Let's say right away that in the video below you will see the standard quality of zirconia veneers. If you look closely at the finished work, then the so-called "body" of veneers (in the middle 1/3, as well as in the third, closest to the gum) is too massive and completely opaque. This makes such veneers more like an inexpensive cermet.

Zirconium veneers are manufactured using CAD / CAM technology. This is a modern technology for three-dimensional milling of veneers and crowns from blocks of zirconium dioxide - on a computer-controlled machine. This technology has especially proven itself for the manufacture of crowns for implants, as well as bridges for the chewing group of teeth, but when prosthetics of the anterior group of teeth, it is very difficult to achieve good aesthetics with zirconium.

4. Ultrathin veneers without teeth turning: price

All of the above classic veneers are installed on the teeth only after partial grinding of the enamel layer from the front surface of the teeth. However, there are ultra-thin veneers with a thickness of 0.2-0.3 mm that do not require preparation of the tooth, and can simply be glued to the front surface of the teeth. It is customary to call such veneers (synonyms - ultra-nir, thin veneer).

The cost will be about 30,000 rubles - for ready-made lumineers from standardized sets. An example of such lumineers is Lumineers ® DUO (USA). If we are talking about individually made lumineers based on the impressions of the patient's teeth, the price will be about 60,000 rubles per 1 unit (not including the cost of delivery from Europe or the USA). An example of such lumineers is Lumineers ® Cerinate (USA).

Do not forget that lumineers are only a patented trademark of DenMat (USA), and in fact they are nothing more than thin veneers. Such thin veneers with a thickness of 0.3-0.4 mm can be made of pressed E.max ceramics (see above), and their aesthetics will not be inferior to the original Lumineers ® Cerinate, and the cost will be from 21,000 rubles (for 1 unit) ...

Comparison of Lumineers ® and E.max thin veneers -

Video 1 - original Lumineers ® CERINATE,
video 2 - thin veneers E.max (without teeth turning).

If you look closely at these 2 videos, you can easily notice that the original Lumineers make the teeth bulky and unnatural - unlike the thin E.max veneers.

How much do composite veneers cost -

Composite veneers are made from a conventional light-cured composite filling material. For composite veneers, the average price is about 7,000 - 9,000 rubles per 1 unit. In paid departments of state dental clinics, as well as in economy-class clinics - the price for a composite veneer starts at 4,500 rubles.

Veneers made from composite filling materials have many disadvantages: a short service life, a modest level of aesthetics, a high risk of chipping of the filling material on the cutting surfaces of the incisors, absorption of dyes (which leads to a loss of gloss, discoloration - darkening of the veneer). In addition, they require regular professional polishing by the dentist - once every 3-4 months.

For the sake of fairness, it must be said that in some cases it is still possible to get highly aesthetic ones, the service life of which (subject to regular professional polishing) will be about 4-5 years. But, unfortunately, there are very few dentists who are fluent in the skills of artistic restoration of teeth ...

How really high-quality composite veneers can look like (before and after photos, patient reviews) - you can see the link above. But in most cases, in an ordinary private dental clinic, you are unlikely to be able to obtain high-quality veneers from a composite filling material. After all, making a regular filling is just a craft, and making the perfect veneer on a front tooth is already an art.

How such veneers will look in 3-5 years -

On this link you can see how the so-called. This review will answer you a very important question - what kind of ceramics are best used for making them (porcelain, zirconium dioxide, E.max glass ceramics)? Which type of ceramic for veneers and crowns can be used to achieve the perfect aesthetics that we often see in American thriller heroes?

The cost of Hollywood veneers starts from 20,000 to 30,000 rubles per 1 unit (in clinics of the middle price segment). Approximately 110,000 rubles can be met to install high-quality ceramic veneers on the 6 front teeth of one of the jaws. We hope that our article was useful to you!

Sources of:

1. Personal experience as a dentist,
2. "Adhesive ceramic restorations" (Manier P.),
3. National Library of Medicine (USA),
4. Harvard Medical School (USA),
5. "Aesthetic dentistry and ceramic restorations (Tuati B.).

Today, as always, people pay close attention to a person's appearance. A pleasant smile is the basis of a first impression and a guarantee of a favorable attitude of others to your person. This important "wardrobe detail" gives its owner self-confidence.

However, if for some reason you are not the owner of a Hollywood smile, then you should not be upset, because modern dentistry can change this. New technologies of dental prosthetics have appeared at the disposal of practical medicine, allowing the patient to find a perfect smile. This article will focus on veneers, technologies for their installation on teeth, the advantages and disadvantages of this type of dental prosthetics.

What are veneers?

Veneers are microprostheses, which are thin plates that are glued to the front surface of the teeth to give the desired shape and color. Good light transmittance of the material allows the veneer to look natural and does not differ in appearance from healthy tissues of the oral cavity. Moreover, the procedure is painless for the patient and takes very little time. Within one to three visits to the dentist, you can achieve a perfectly straight and beautiful row of teeth.

The history of the origin of veneers is directly related to Hollywood. In the 40s of the XX century, when filming in the United States, white linings were glued to the teeth of actors, thereby providing dazzling smiles of cinema stars. But then the development of adhesives for attaching the plates to the surface of the tooth did not yet exist, so the result lasted only a few hours.

Modern dentistry gives clients the opportunity to experience the long-term effect of installing veneers. The warranty period for maintaining the quality of the service provided is from 5 to 20 years, depending on the type of material used.

Indications for use

Tooth deformation, chips, cracks;
Tooth shape anomaly;
Darkening of tooth enamel as a result of depulpation or other cases when whitening does not give results;
Changing the color of the filling that was installed earlier;
Alignment of the shape of the dentition.

Contraindications

There are cases when dental veneering will not be able to provide the required result. In order not to waste money and time, you need to familiarize yourself with the features of this type of prosthetics.

Contraindications to the installation of veneers are:

Malocclusion;
Removal of the sixth and / or seventh tooth;
Playing sports that have a risk of injury to the jaw (for example, martial arts);
The presence of a large filling on the prosthetic tooth;
Bruxism (teeth grinding).

There are two ways to install veneers:

Straight- the veneering procedure is carried out directly in the dentist's chair, which layer-by-layer applies composite filling materials to the tooth surface. In one go, you will achieve the desired result. It should be noted that the beauty and durability of veneers made in this way directly depends on the restorer who performed the work.
Indirect- the manufacture of veneers is carried out in a dental laboratory. Impressions are taken from the patient's jaws with special silicone masses. Based on the impressions presented, the dental technician models the shape of the veneers. And the patient, at the first visit to the dentist, is placed with temporary plastic crowns on the prepared teeth. Upon repeated admission, the manufactured microprostheses are tried on on the teeth, adjusted to the installation site and fixed with a special adhesive.

Types of veneers

Veneers are of different types. They differ in material, and, accordingly, in cost.

Composite veneers

Composite veneers are made directly in the doctor's chair in one go. A distinctive feature is the speed of achieving results and low cost. However, it is necessary to take into account the fact that the used composite materials have a porous structure. Accordingly, they are most susceptible to the absorption of food colorings such as black tea, colored tea and others.

In addition, there is a frequent deformation of microprostheses over time. At the junction of the composite material and the tooth tissue, a pigmented plaque forms along the veneer perimeter, which spoils the appearance of the installed products and requires re-restoration of the teeth. The service life of composite veneers is 5-7 years.

Ceramic veneers are made from ceramics or porcelain indirectly in a dental laboratory.

There are the following production methods for ceramic veneers:

classic (unpressed) - medical porcelain is applied in layers, then fired in an oven;
pressed (cast) - a wax model is covered with a refractory material using a vacuum, a veneer frame is formed under high pressure;
milling method - a micro-prosthesis is cut from a solid block of material using diamond cutters.

After the veneer is made, the dental technician paints it in the desired color.

Ceramic veneers have high strength and durability. The service life is up to 15 years. Moisture resistance and color stability allows the material not to stain over time. They are not affected by food coloring. Installation of ceramic microprostheses is the most popular type of dental veneering.

Zirconia veneers

Zirconia veneers are made from zirconium dioxide by milling. This material is biocompatible with the human body. Its use does not cause allergies. The following characteristics are inherent in zirconium veneers: reliability, durability and natural color. However, due to the complexity of manufacturing, such veneers are expensive.

Hollywood veneers (lumineers)

Hollywood veneers are thinner veneers than other types. Their thickness is 0.3 mm. This structure allows the installation of lumineers without preliminary turning of the tooth surface. Consequently, it is possible to remove such microprostheses without serious interventions while maintaining the integrity of the dental tissues. The highest quality ceramics are used in Lumineers. The service life can be up to 20 years.

As a rule, Hollywood veneers are placed on all the teeth of the anterior row of the upper and lower jaw, creating a dazzling effect of a flawless smile. Most show business stars use this method of veneering to correct the imperfections of their own teeth.

At the moment, Lumineers are the best veneers from the presented types in aesthetic dentistry. But it should be borne in mind that the complex installation of veneers on a large number of teeth at once is an expensive procedure.

Advantages and disadvantages of dental veneering

The advantages of veneers include the following:

Aesthetics and beauty of the achieved result;
Fast production and installation;
Only a small part of the tooth surface is subject to preparation;
High light transmittance of the material allows the restored tooth to look natural and not different from the rest;
Durability.

The disadvantages include:

Fragility;
High price;
Careful care is required.

What to choose: crowns or veneers? A qualified specialist in the field of aesthetic dentistry will help you answer this question. He will individually assess the patient's problem and determine the appropriateness of using one or another method of dental prosthetics. When choosing veneers, remember that you will get a gorgeous smile, but to maintain the effect, you will need to carefully follow the recommendations of your doctor.