Who is a good candidate for veneers, and when are they not the right option?
The ideal veneer candidate has structurally sound teeth and is looking to improve aesthetics rather than restore a compromised tooth. Common indications include intrinsic staining that does not respond to whitening, such as tetracycline discolouration or fluorosis marks; minor chips or uneven edges; slight gaps between teeth; teeth that appear too small or poorly proportioned relative to the gums and face; and mild crowding or rotation where orthodontic treatment is not desired.
Veneers work best when there is sufficient healthy enamel to bond to. Enamel is the layer the adhesive chemically engages with, and a strong bond is what gives a veneer its durability. If a tooth has been heavily filled, has lost a significant amount of enamel to erosion, or has been prepared aggressively in a previous treatment, there may not be enough surface left for a reliable veneer bond. In those situations a crown is often the appropriate alternative.
Active gum disease is a contraindication. Inflamed or receding gums change the gum line over time, which would alter the appearance of veneers placed during that period. We always treat any existing gum issues before starting aesthetic work. Similarly, patients with severe bruxism, or tooth grinding, need to address that first. Grinding places excessive force on veneers and significantly shortens their lifespan. A nightguard is generally prescribed as part of the aftercare plan.
Age is worth mentioning. Veneers are not recommended for younger teenagers whose teeth are still developing. For adults of any age, there is no upper limit. We regularly treat patients in their 40s, 50s, and beyond who want to refresh a smile that has aged or stained over the years. The consultation is the right place to assess your individual situation honestly.
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