August 24, 2016
Most porcelain veneer emergencies are related to:
- Fracture - Breaking, cracking, crazing, chipping, etc...
- Debonding - The veneer has come off, generally intact.
So, if you've notice that something is different about your tooth the first thing to do is determine which of the two has occurred.
1) Check to see if your veneer is still intact.
Carefully remove whatever parts of your restoration are in your mouth without damaging them further.
- If you only find one piece and it's fairly sizable, then your laminate may not have broken but instead debonded (come off whole without breaking). If it has, your dentist may possibly be able to reattach it.
- If it's broken, your dentist's only option will be to make you a new one.
[See below for more information about both scenarios.]
a) What to look for.
To get an idea if it's whole or not, take a look at your veneer's overall shape.
- Intact veneers usually have an outline form that's rounded and fairly symmetrical.
- When you look down on it's convex (shiniest) surface, it should look exactly like a tooth.
You can also evaluate the tooth it came off. You may see broken segments still attached. (If you do, be careful. Shards of porcelain like these can be rough or sharp to your tongue and/or lips.)
b) Store it carefully.
If you do have the whole thing as one piece, and if you can get it to your dentist's office safely, having it may save you the cost of a new one. So, wrap it up in some bathroom tissue and then place it in a hard protective container, like a medicine bottle.
If it's broken, you can save the parts to show to your dentist, but most likely they'll only be a curiosity to them.
2) Let your dentist know you have a problem.
You will, of course, need to contact your dentist's office and report to them what has occurred. And they'll need to arrange an appointment for you so they can evaluate exactly what has happened.
3) What to expect in the mean time.
a) Your tooth will probably be just fine.
In most cases, when your veneer was originally placed only a minimal amount of your tooth's front surface was trimmed away. If that's the case, then it's unlikely that your tooth will experience any significant problems between now and when you get in to see your dentist.
If you need more reassuring -
With many veneer cases, no temporaries are placed. The patient's teeth are left uncovered (like your tooth that's lost its veneer is now) for the entire one to two weeks while their laminates are being made.
b) What you're likely to notice.
Since your tooth has lost some or all of its front covering ...
- It may have increased sensitivity to hot or cold foods and beverages.
- You may find that it's rough or irritating to your lips and tongue. (Especially in the case that a part of a broken veneer is still attached to your tooth.)
... So be careful.
c) Temporary solutions for these problems.
If you do experience trouble with thermal sensitivity, or especially surface roughness, placing a protective layer of wax over your tooth can help to provide relief.
- Most drugstores sell white dental wax. (It's frequently needed by orthodontic patients to cover over sharp brackets and wires.)
- Just squish a small, flattened piece of it over your tooth. Letting it work its way in between your teeth somewhat will help to hold it in place.
4) Your dental appointment.
When you do get in to see your dentist, if there are any sharp or irritating parts of your veneer still remaining on your tooth, they can trim them off or buff them down. Doing so should be painless and just take a few moments.
a) Can your porcelain veneer be reattached?
If your laminate has debonded (has come off your tooth but is still in one piece), your dentist may be able to reattach it.
The success of the repair will be influenced by:
- The type of debonding that took place. Possible scenarios: a) The veneer + cement (together as a unit) separated from the tooth. b) The veneer debonded alone (the cement remained attached to the tooth).
- How successfully the dentist can prepare the tooth, and especially the veneer's internal surface, for the re-bonding process.
Success may be limited.
From a practical and cost standpoint, reattachment is worth a try. But it's likely that perfectly ideal conditions won't be met and the bond created will be subpar. (The more predictable, although more expensive and time consuming, solution is to make plans to have the veneer remade.)
b) Can a broken porcelain veneer be repaired?
If just a very small portion of your veneer has come off, it may be possible for your dentist to create a patch. However, this is not a first choice but simply one that's used as a practical solution.
Generally, there are two main problems that tend to come into play with this type of plan.
- Your laminate is made out of porcelain but the only material your dentist has to make a repair with is plastic (dental bonding/dental composite).
That means that even if the repair looks satisfactory initially (which it very well may), over the long haul (months and years) the less durable bonding will deteriorate (pick up stain, fleck off at the junction with the porcelain) and a distinction between it and the veneer will become obvious.
- With repairs located in areas where substantial forces are involved (like the biting edges of teeth), the bond between the veneer's porcelain and the dental composite patch may (likely will) prove to be troublesome.
Managing minor chips.
If only a small bit of porcelain has flecked off, one solution is for your dentist to trim and buff your veneer until the chip's divot has been polished out.
This makes a very lasting solution. However, neighboring teeth may need to be recontoured in a similar fashion so the symmetry of your smile is maintained.
Cracks in veneers.
You may have encountered the situation where you've discovered a crack or craze lines in your veneer but otherwise it remains whole and in place on your tooth.
In this type of situation, it's impossible for your dentist to know how firmly the fractured parts are still bonded to your tooth. Additionally, over time the crack will tend to accumulate stain, ultimately spoiling the veneer's appearance.
There really isn't any type of repair that can be made in this type of situation. There's no way for your dentist to fill in the crack or bond the two pieces of porcelain back together. You'll simply need to make plans with your dentist to have your veneer remade.
5) What if your porcelain veneer can't be replaced?
Sometimes replacing a veneer either isn't possible or doesn't make a reasonable choice.
Proper case selection is a very important part of being able to create a successful veneering outcome. And it may be that now that problems have occurred (possibly more than once) that it's obvious that your situation really wasn't (or no longer is) a suitable application for this technique.
Misdiagnosing veneers.
That scenario isn't terribly uncommon. As we discuss here, a recent trend in dentistry has been one where dentists and manufacturers have pushed the use of veneers to remedy conditions that far exceed the original applications for this procedure. This includes: a) "Instant" orthodontics for severely misaligned teeth, b) Lightening very dark teeth.
If replacement isn't possible or prudent, then having a dental crown made is the next step for your tooth.
6) Learn from past events.
For future reference, it makes sense to take note of what activity broke, or immediately preceded the breaking of, your veneer. And then, obviously, do your best to minimize or eliminate it (stop biting your finger nails, clenching your teeth, etc...).
Discuss your circumstances with your dentist. They may be able to suggest some solutions.
Underlying causes of veneer fracture and debonding.
The type of veneer emergency that you've experienced can give your dentist a hint about what type of underlying problem lies at hand.
a) Debonding.
A porcelain veneer is a sandwiched affair, consisting of tooth, cement and ceramic. When one debonds (comes off its tooth, primarily in one piece), the separation may have taken place either at the ceramic/cement junction or else the tooth/cement one.
What usually happens.
- Assuming that the original placement conditions were ideal, the most common failure point lies at the tooth and cement interface.
- The most likely cause for this is that the tooth surface to which the veneer has been bonded involves a high percentage of dentin (the tooth layer underneath dental enamel).
Explanation.
Dental materials will create a bond with dentin. But the strength of this bond is far weaker than the one possible with dental enamel (use the link above for more details).
If a high percentage of the tooth's surface is exposed dentin, the strength of the tooth-to-cement interface will be comparatively weak.
Solutions.
As explained above, a dentist can attempt to re-bond the veneer. Unfortunately, the same underlying condition will still persist (not enough tooth enamel is present to create a secure bond) and therefore further episodes of debonding may be likely.
Especially in the case of repeated failure, making a dental crown for the tooth instead may be the only lasting solution.
b) Fracture.
Considering the thin, fragile nature of porcelain veneers, it may be surprising to most people that breakage or fracturing happens as seldom as it does.
These restorations work because when they're bonded onto enamel, it's the more rigid of the two and therefore tends to absorb most of the forces directed to the tooth.
Cracking.
When a veneer cracks, it suggests that the opposite is the case. The forces applied have been directed to it instead of tooth structure.
As an example, when a veneer is bonded to primarily tooth dentin (the problem discussed above) the laminate is the stiffer of the two. This tends to focus forces applied to the tooth to the veneer, thus leading to fracture.
RELATED Food You Can and Cannot Eat if You Have Dental Veneers
Chipping.
In some cases, just a small chip may have broken off a porcelain veneer (like off of its biting edge).
This would simply be testament to the fact that the tooth/veneer complex has been able to successfully withstand the pressures applied to it. However, the forces applied exceeded the internal strength of the ceramic itself.
The activity that caused the chipping might be a one-time event, like unexpectedly biting into something hard. But often it's a parafunctional habit that is the problem and must be curtailed (clenching teeth, biting fingernails).
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Dr. Gorbatov is a highly qualified, very skilled dentist. I came to Dr. Gorbatov to remove amalgam fillings and replace crowns.All the personnel that work in the office are very...
Irene Mandel
I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr...
Shmuil Aronovich (Hallandale Beach, FL)
I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical...
Jazlyne Jimenez (Hallandale Beach, FL)
They have the best physicians and hygienists possible. I have never had a cleaning as thoroughly as lily. They also did an amazing job on my Invisalign
Jamal Mustafa
My experience, couldn’t ask for any better, great office, wonderful people. Professional in his field, with pleasant energy in his office Dr. Gorbatov and all his team members where AWESOME!!...
William Hunt
This is the first time I’m writing a review for anyone. I decided to share as this office and practice deserves the the 5 stars for the 5 stars service...
Oksana Libovych
I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental...
Teresita Camacho (Lake Worth, FL)
Dr. GORBATOV is the most charismatic, cheerful Dentist with tremendous energy. Today I can confirm that he is the best dentist in Florida. He had been looking for a good...
Myriam Harter
It was my first visit to this clinic and I am soooo happy I came here! The doctor Dmitry Gorbatov big professional and wonderful person! Hygienist Lilia is the best!!!...
Tatyana Rodina
My wife went to doctor Gorbatov in case of emergency and pain. Hi offer fast help and resonable price for a future job such a removing tooth and built implant....
lev figman
The best dentist hands done. Great attitude of all here. Doctor Gorbatov uses the latest and most biocompatible materials. I would not trust my teeth to anyone else.
Damaris Nightingale
I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice...
Hype Kay (Royal Palm Beach, FL)
Highly recommend this dental office. Dr. Gorbatov provides high quality, state of the art dental services. He has a very calming demeanor and the entire staff is professional, warm and...
Valerie
Excellent Care, Excellent Costumer Service, Good quality office, and Professional Doctor.
Zbigniew Krawiec
I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel...
Elizaveta C. (Miami, FL)
Dr. Gorbatov including his entire office staff is extremely professional and does amazing cosmetic as well as implant and emergency work. The office operates in a timely manner with no...
Yuri Kalachnik
Nello studio del dott Gorbatov ,Il dottore e il suo team sono stati disponibili e gentili , coccolano il paziente e sono stata seguita a 360 gradi ....Il dottore mi...
Martina D’Alessio
Most beautiful veneers ! Dr. Gorbatov is the most talented doctor ever !Air flow cleaning is the best in their clinic ❤️
Julia Zhguleva
Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.
Lina Lobo (Greenacres, FL)
What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root...
Craig Balsam (Wellington, FL)
Dr. Gorbatov Dmitry - Doctor with a capital letter. Many thanks to the doctor and his team. The clinic employs real experts in their field.It's amazing, but after visiting Dr....
Yulia Dobrynina
Amazing service! The team is in top of what they are doing. I had two emergency root canals needed retreatment and Dr. Gorbatov and his team meticulously saved my teeth...
Yuliia Vienikova
I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over...
Lyn F (Wellington, FL)
I recommend to all ! Fast, high quality!!! Very, very good doctor Dmitry! Top notch professional!!!! Very attentive staff! Thank you !!! I was satisfied and recommend to everyone!
Miami Dance Academy
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
Arthur Rubinovich (Sunny Isles, FL)
One of the best dental offices in my life. Very professional and cordial staff from the front desk to the dentistry team.
Вадик-Ванадик Vadik-Vanadik
I can report that I have had a positive experience at Dr. Gorbatov's office. I have had several procedures done there and all have gone well. The doctor is very...
Christine Stahl
Excellent professionals and Dr Gorbatov was the one in Miami who helped me with the toothache. Excellent Job!
A. El Dani
Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of...
Salt&Light (West Palm Beach, FL)
I had an amazing visit and pleasure to meet Dr Gorbatov and his assistance were very pleasant. Ana is very sweet secretary upfront. I will definitely return as a new...
Gigi Borden
Thanks to Dr.Gorbatov and his team to save my teeth! They helped me to revise other dentist's mistake.Team very professiinal, attentive to my needs and details of case. Will continue...
Sergii Cherednyk
This has been the best dental office I've visited.Gorbatovs work is amazing and I would recommend him to anyone looking for a top quality dentist
Damarys Leyva
Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been...
Sofia Rodriguez (Hallandale Beach, FL)
The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and...
Ruslan Gahramanov (Sunny Isles Beach, FL)
The best Doctor and assistants, who really care about their patients and work professionally. They helped me to save a tooth, when other doctor refused to do so, and what...
A
Excellent staff and the doctor!It took me almost 2 years to find a qualified doctor who will insert two zirconium implants. Dr Gorbachev took his time to explain me the...
Monica Nowak
Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were...
Tatiana Lapushchik (Hollywood, FL)
I don’t usually post reviews but wanted to give a shot out to DR. Gorbatov and his staff at the office. While vacationing in Florida last week, I had unbearable...
Alla Cotler
Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every...
John Kern (Hollywood, FL)
The best dentist! I recommend. The crown that was placed in another country fell out, everything was done in a second, it is more convenient than it was before. thanks...
Алёна Давыденко
My experience was very smooth. When I called for appt, the next available time was in two days, I didn’t expect it will be that soon.Everybody in the office is...
Daria Tis
One of a kind dentist. Always take the time and explain to you all the choices. He does have a smile for me every time I have to go to...
Liviomail
I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone...
Lisa Jerkins (Wellington, FL)
Top-notch and high-quality services are provided at Dr. Gorbatov’s office. Since my last visit, I can't stop smiling ever after. I think I found the dentist for life. My highest...
Val Lovechild
This is the best dental office I’m attending. The dentist and his staff was very knowledgeable. I would recommend this office to my friends.
Irene Fishberg
I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly...
ML GG (Aventura, FL)
I went to the doctor’s office today and the service was great, fast , proficient and very helpful for me. People was very friendly and nice
Natalia Smirnova
I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me...
Gregory Sutton (Wellington, FL)
Dr. Gorbatov and the amazing team took amazing care of me during my extractions and had attended to me last minute. Very conveniently located!
Steven Kupchan
Dr. Gorbatov is our family dentist for many years. The best dentist I ever had in my life. Very professional, gentle and a real artist in his field. The best...
Matvey Padva
Wonderful service! I recently had a dental cleaning for the first time at Dr. Gorvatov Dentistry. The whole process was smooth and relaxed. Their office environment is pleasant and the...
Karol Rodriguez
I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing...
Shiloh Robinson (Wellington, FL)
Dr. Gorbatov's office equipment and services represent highest professional standards in the industry. All procedures and cost are explained in details in layperson language. The doctor and the assisting personnel...
Elena Levitskaya
First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?
Evelyn Garcia (Greenacres, FL)
Always highly satisfied with Dr.Gorbatov and his lovely staff. Very professional and kind , Happy Holidays !!
Haleigh Podrazik
I highly recommend Dr.Gorbatov dentistry . I tried so many doctors and finally I found people who knows what they do, I can trust my and my family to them....
Nuriya Deberdeeva
I was very pleased with the service, the staff was awesome, especially Lidi the assistant that was very professional and made me feel comfortable during my appointment. I will definitely...
Roman Sidler
This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always...
Yuriy Gorobets (Hallandale Beach, FL)
Very friendly and professional attitude by Dr Gorbatov and his team!Thanks a lot!Will recommend to my friand relatives.
Ada Friedman
This is the best dental office!!!. Everyone is very nice and professional. Dr Gorbatov and the Hygienist Lilia have golden hands. No discomfort at all. I Highly recommend Dr Gorbatov...
Al Chaviano
Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?
Patrizia Rondelli (Hollywood, FL)
I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and...
Eugenia Aulov-Volchek (Sunny Isles Beach, FL)
Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed...
Aracelis Figueroa (Wellington, FL)
Very happy with quick service, suggestions & prices. Will be a repeat customer
Jaclyn Franceschini (Fort Lauderdale, FL)
Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!