How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrThomasMd Your Own Question

DrThomasMd
DrThomasMd,
Category: Dental
Satisfied Customers: 57743
24257177
Type Your Dental Question Here...
DrThomasMd is online now
A new question is answered every 9 seconds

My lower front teeth are worn from an overbite issue all my

Customer Question

My lower front teeth are worn from an overbite issue all my life. They are slightly discolored and I wonder if I am a candidate for a veneer, especially if I don't have a lot of enamel left on these few teeth. Thank you
Submitted: 3 years ago.
Category: Dental
Expert:  DrThomasMd replied 3 years ago.
Hello
one of the indications for a veneer or for caps is to protect enamel
since you don't have a lot left, this would be an indication
I would suggest you simply make a dentist appointment for evaluation of this.
Good luck

Always ask from clarification as needed, Please Click Accept to give answer credit. Come back if needed. Bonuses and positive feedback most helpful. Answers for informational purposes only.

DrThomasMd,
Category: Dental
Satisfied Customers: 57743
Experience: 
DrThomasMd and other Dental Specialists are ready to help you
Expert:  Mark Bornfeld, DDS replied 3 years ago.
Welcome to JustAnswer, and thank you for putting your trust in me!

Your description suggests that you would not be a candidate for veneers-- at least, not on your lower front teeth. This is because:
  1. Veneers rely on the presence of a sufficient expanse of tooth enamel against which a reliably strong bond can be developed. With insufficient enamel, there would be an insufficiently strong bond, and the stresses of chewing would almost certainly dislodge the veneers.
  2. The presence of significant wear on the lower front teeth indicates a strong bite-- one that would undoubtedly place any ceramic veneers on the teeth at risk for breakage. After all, porcelain is inherently fragile, and would not likely stand up to that kind of physical abuse.
  3. The type of dynamic stresses are a particular consideration on the lower front teeth. This is because, in contrast with the upper front teeth that make contact with the opposing teeth on their back sides, in such a way that a veneer does not sustain chewing force, veneers on lower front teeth must by necessity be extended into a location where contact with the opposing teeth is unavoidable. Again, this greatly increases the risk of porcelain fracture or dislodgement of the veneer.
Therefore, another type of restoration-- perhaps a ceramic fused to metal crown-- would be more appropriate than a porcelain laminate veneer, because it is considerably stronger, and does not rely on the presence of enamel for a reliable cement bond.

One more thing: significant wear on the lower front teeth is often accompanied by a closure of the bite-- i.e., the distance between upper and lower jaws is diminished during those years of progressive tooth wear. This can make those lower front teeth quite short. However, those teeth cannot be indiscriminately lengthened to reverse the effects of wear, because over-long lower front teeth will prevent your back teeth from meeting. Therefore, if there is some consideration to lengthening those worn lower front teeth, the utility of bite opening-- i.e., lengthening of the back teeth-- should also be assessed. Alternatively, additional length of the lower front teeth can be obtained by a "crown lengthening procedure"-- in which some gum tissue is trimmed away from the lower front teeth. This will effectively lengthen the teeth and provide cosmetic benefit, although it would not reverse lost facial height in the same way that bite opening would.

You should consult with your dentist. For extensive bite opening or other full-mouth bite rehabilitation, you should consider asking for a referral for a prosthodontic specialist.

Hope this helps...

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
< Last | Next >
  • http://ww2.justanswer.com/uploads/GE/gemini132/2012-6-7_14143_MarkPic.64x64.jpg Mark Bornfeld, DDS's Avatar

    Mark Bornfeld, DDS

    Dentist

    Satisfied Customers:

    5437
    Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA
  • http://ww2.justanswer.com/uploads/drbehere/2010-04-11_192833_IMG_055575.jpg Dr. Behere's Avatar

    Dr. Behere

    Dentist

    Satisfied Customers:

    1850
    Masters degree, years of experience with all kinds of dental problems.
  • http://ww2.justanswer.com/uploads/knecht522/2008-12-17_154020_alex22.jpg Dr. Alex's Avatar

    Dr. Alex

    Dentist

    Satisfied Customers:

    1607
    I am a General Dentist and founder of the American School of Dental Assisting
  • http://ww2.justanswer.com/uploads/doclagoa/2008-10-01_163313_geosmall.jpg Dr. George McKee's Avatar

    Dr. George McKee

    Dentist

    Satisfied Customers:

    1392
    Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
  • http://ww2.justanswer.com/uploads/slodentistry/2009-05-25_004702_h.jpg Dr. Girish's Avatar

    Dr. Girish

    Dentist

    Satisfied Customers:

    788
    19 years of clinical experience in all phases of Dentistry.
  • http://ww2.justanswer.com/uploads/jwcdds/2009-05-09_190942_portrait.gif Julian Chen's Avatar

    Julian Chen

    Dentist

    Satisfied Customers:

    558
    Practicing General Dentist since 2002
  • http://ww2.justanswer.com/uploads/drwilldds/2009-10-29_201512_justanswer.jpg Dr. Winterholler's Avatar

    Dr. Winterholler

    Dentist

    Satisfied Customers:

    266
    4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class
 
 
 

Related Dental Questions