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FAQ:  Porcelain Veneers


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    Veneer Questions Ask The Dentist Richard Winter Question:
    Veneers Turning Bluish: I had veneers put on my two front teeth about 2 months ago.

    About a month later one of them started turning bluish/gray at the gum line (it happens on the actual tooth and not on the gum). The dentist said he had never saw that before and removed the tooth, ordered a new one, and installed it when it came in.

    Well, now the other one has started turning bluish/gray so it will have to be replaced. I asked my dentist and he says he has no idea why this is happening and he has never seen this before.

    I was wondering if you had an answer or a theory as to why this is happening to me. I cannot keep changing teeth every month. HELP! ...Visitor from CA

    Answer:
    First possibility is contamination.

    If their is any saliva, blood or oil from your dentist's handpiece, the bond will be incomplete, the cement will leach out and you will get transudate or leaking under the veneer with a resulting discoloration. Ask the dentist if he or she is packing a retraction cord to eliminate gingival leakage.

    Second possibility involves the preparedness of the tooth surface itself immediately before bonding. The dentist can cleanse the tooth with hydrogen peroxide or desensitizer to clean and disinfect the tooth prior to bonding the veneer to remove any potential contaminant.

    Third possibility involves the root structure. Is the root dark? Sometimes the bluish color occurs because the veneer is more translucent at the gumline and creates a "contact lens effect" to allow the veneer to melt visually onto the tooth. If the root is dark, it can show through at the gumline or lower part of the tooth. If this is the problem the dentist can do a Dickerson Ditch or put a bright filling at the gumline to mask out darkness prior to redoing your veneer.

    These are the most common problems and their solutions. I wish you the best of luck.

    Wisconsin Reconstructive Implant Dentistry
    Wisconsin Prosthodontics
    Richard Winter, DDS MAGD
    Winter Dental Associates
    Hampton Dental Associates
    5323 W. Hampton Avenue
    Milwaukee Wisconsin WI 53218
    (414) 464-9021

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