Cosmetic Dentist / About Dr Nikita

Veneers, are a popular, virtually painless procedure. With porcelain veneers, you can have the smile that lets you feel your most confident and attractive. For many individuals, correcting dental flaws and recapturing a youthful smile can be a life changing experience. Veneers allow you to broaded your smile, create the ideal tooth shape and conceal any staining or yellowing in fact you can choose the whiteness you want.

Veneers London
Lip fillers are one of the most popular applications of dermal filler injections.

Dr Nikita Nirwan answers FAQ for Veneers:

What are veneers?

A veneer is a very thin, custom made layer of ceramic (porcelain or EMAX) that is bonded onto the face of your natural tooth to improve the appearance of the teeth.

When are Veneers used?

Veneers can change the colour, shape, length, width of your natural teeth and can greatly improve your smile and confidence with your teeth.

1) You may not be happy with your teeth for a number of reasons such as:
2) They are too small for your mouth
3) They are discoloured and whitening cannot help them
4) They are misshapen or ‘peg/ cone-shaped’
5) Worn down teeth
6) Chipped teeth
7) Misaligned teeth (please note that this is something I recommend, see our teeth straightening page)

What are the different types of veneers?

Veneers come in a small variety of materials to choose from.

Porcelain veneers: Porcelain veneers are the traditional types of veneers, when they first came into use. The inherent problem with porcelain, however, is that it can chip and fracture as it is more brittle.

EMAX veneers: EMAX veneers are considered the best by the best of dentists. They are so much stronger than regular porcelain, which not only means you can make them thinner- a fraction of 1mm! Meaning your tooth is preserved to a greater extent but also it means they are less likely to break over time.

Zirconia veneers: These are not commonly used by myself as they do not provide the most cosmetic outcome for most patients, they are more opaque and less like your natural enamel. Another major deterrent for this type of veneer is that porcelain would be layered over the top of it to give it a better cosmetic outcome, but it does not stick to porcelain- meaning the porcelain can chip off.

Composite veneers: These can be made directly in the mouth at your dental appointment or may be made in the lab from moulds of your mouth for a more cosmetic outcome.

These are limited in their benefits; they are the weakest of all the materials and more prone to staining and chipping. They may still give you a limited cosmetic outcome if you are considering veneers for reshaping your teeth on a budget- please also note that they are not the best at masking discolouration from the underlying tooth.

My preference for my patients is EMAX veneers due to their strength and uncompromised aesthetics.

Will veneers damage my teeth?

Veneers are the more conservative option compared with crowns, that you may consider to reshape and redesign your front teeth. As mentioned later, there are other more conservative options that require no preparation of your teeth at all- such as teeth straightening and/ or whitening that can be used instead when teeth are malaligned and mildly discoloured rather than misshapen.

However, if the degree of discolouration is severe then only veneers or crowns can mask this.

If your teeth are small and have gaps then in order to correct these issues it may be possible to have no preparation whatsoever.

If there is little tooth structure remaining then veneers may not be a choice and we may have to go down the crown route. Again, EMAX is a great option for front teeth as it does not leave a grey line on your gum line- visible when you smile, looks completely natural and you would remove half the tooth structure you would need to for the conventional porcelain fused to metal crowns.

How long do veneers last?

Veneers are designed to last if planned and executed with care. Aftercare is an important factor- see the aftercare section below to see how you can extend the life your lovely new veneered teeth.

Research would show that the average life span for veneers is between 10-20 years. Saying that, I have seen them last for well over 20 years in some people, and in the same manner I have also corrected veneer work that was placed under 5 years ago. What I find is that it is all in the planning stage. Factors such as the patients bite needs to be taken in to account- if you are a grinder or clencher then it is a must to have a nightguard to protect your veneer in the long run.

The main reason for failure of veneers is chipping of the porcelain. However, this is not something I see routinely in my practice as I plan in advance to avoid such failures and I routinely use EMAX veneers which are stronger than full porcelain- which inherently chip and break due to their brittle nature.

What does the treatment involve for veneers?

You will need a consultation and then 2 visits for the full procedure.

In the free initial consultation we would do a full assessment of your oral health and what you are unhappy about with your teeth. Sometimes simply whitening and/ or straightening teeth can leave you with a beautiful smile- without the need for veneers.

In the preparation appointment, the following objectives are accomplished:
1) Select the colour you would like your new teeth to be
2) Prepare the teeth with a smallest degree of grinding as required- if no or very little grinding is required- which is usually the case, then you may not need any local anaesthetic.
3) Take moulds of your teeth
4) Make temporary veneers, so you can leave and no one would be any wiser- unless of course you tell them!
5) In the fit appointment, the following goals are met:
- Remove the temporary veneers
- Trial in the veneers to see if you are happy with what we have
- If all is well then finally cement them in definitively

How much do veneers cost?

You will need a consultation and then 2 visits for the full procedure.

In the free initial consultation we would do a full assessment of your oral health and what you are unhappy about with your teeth. Sometimes simply whitening and/ or straightening teeth can leave you with a beautiful smile- without the need for veneers.

In the preparation appointment, the following objectives are accomplished:
1) Select the colour you would like your new teeth to be
2) Prepare the teeth with a smallest degree of grinding as required- if no or very little grinding is required- which is usually the case, then you may not need any local anaesthetic.
3) Take moulds of your teeth
4) Make temporary veneers, so you can leave and no one would be any wiser- unless of course you tell them!
5) In the fit appointment, the following goals are met:
- Remove the temporary veneers
- Trial in the veneers to see if you are happy with what we have
- If all is well then finally cement them in definitively