What are the other Names for the Procedure?
- Attachment of Dental Veneer
- Fixing of Dental Veneer
What is Dental Veneer Attachment procedure?
- Dental Veneer Attachment procedure involves the attachment of resin or porcelain veneers to existing teeth that are either broken, chipped, decayed, or too stained (and resist whitening)
- The custom-made dental veneers are tiny, but strong pieces of synthetic material of suitable size and shape that are bonded to existing tooth, to present a better or complete (teeth) appearance
What part of the Body does the Procedure involve?
Dental Veneer Attachment procedure involves the problem tooth or teeth.
Why is the Dental Veneer Attachment procedure Performed?
Dental Veneer Attachment is performed for the following reasons:
- To repair chipped or broken teeth
- To help close gaps between widely-spaced teeth
- When dental cavities have eroded a large portion of the tooth
- Stains, discoloration, or contours on teeth that are difficult to remove
- To improve one’s overall cosmetic appearance and give a better confident smile
What are some Alternative Choices for the Procedure?
Some of the alternatives to Dental Veneer Attachment include the use of synthetic crowns, dental bridges, and if necessary, surgical implants.
What are the Recent Advances in the Procedure?
There are no recent advances in the field of Dental Veneer Attachment.
What is the Cost of performing the Dental Veneer Attachment procedure?
The cost of Dental Veneer Attachment procedure depends on a variety of factors, such as the type of your health insurance, annual deductibles, co-pay requirements, out-of-network and in-network of your healthcare providers and healthcare facilities.
In many cases, an estimate may be provided before the procedure. The final amount depends upon the findings during the surgery/procedure and post-operative care that is necessary.
When do you need a Second Opinion, prior to the Procedure?
- It is normal for a patient to feel uncomfortable and confused by the information regarding Dental Veneer Attachment procedure and on what needs to be done
- If the patient needs further reassurance or a second opinion, a physician will almost always assist and also recommend another physician, if required
- Also, if the procedure involves multiple surgeries or has many alternatives, the patient may take a second opinion to understand and choose the best one. They can also choose to approach another physician independently
What are some Helpful Resources?
Complete Guide to Symptoms, Illness & Surgery; Written by H Winter Griffith, M.D.; Revised and updated by Stephen Moore, M.D. and Kenneth Yoder, M.D.; The Berkley Publishing Group, 5th Edition, New York, 2006
https://www.youroralhealth.ca/dental-procedures98/common-dental-procedures#Veneers (accessed on 01/05/2018)
http://yoursmilebecomesyou.com/procedures/porcelain-veneers/ (accessed on 01/05/2018)
Prior to Dental Veneer Attachment Procedure:
How is the Dental Veneer Attachment procedure Performed?
Dental Veneer Attachment may be undertaken in the following manner:
- The dental professional undertakes a complete examination of the mouth and identifies teeth that need repair or dental veneers
- X-rays and teeth impression may be taken to study the condition in-depth and help prepare molds
- Once the problem tooth or area of concern is identified, impressions are taken and the required dental veneer fabricated. Typically, porcelain is the material of choice in many cases
- The existing tooth is cleaned and dried. Following this, the piece of veneer is aligned suitably and glued to the existing tooth
- In some cases, to help with proper bonding of the veneer, a portion of the existing tooth enamel may have to be removed
- Follow-up visits may be scheduled to check on the fitment (dental veneer)
Where is the Procedure Performed?
Dental Veneer Attachment procedure is usually performed in a dentist clinic or office.
Who Performs the Procedure?
A dental professional expert usually performs the Dental Veneer Attachment.
How long will the Procedure take?
The time taken for the Dental Veneer Attachment procedure can range from 1-1.5 hours. In most cases, more than one session may be necessary.
What do you need to tell your Physician before the Procedure?
It is very important to provide the following information to your healthcare provider. This enables your healthcare provider in assessing the risks for the Dental Veneer Attachment procedure and helps avoid unnecessary complications.
- Provide a complete list of medications you are currently taking to your physician. This information is useful for a variety of reasons. For example, it can help your healthcare provider prevent complications due to a drug interaction
- If you are allergic to any specific medication or food items
- If you are taking blood thinners such as aspirin, warfarin, herbal supplements, or any other such medications
- If you or your family members have a history of bleeding disorders, or if there is a tendency to bleed more than normal
- If you have diabetes, high blood pressure, chest pains, or have previously suffered from a heart attack
- If you have ever been diagnosed with blood clots in your leg (deep vein thrombosis) or lung (embolism of lung)
- If you have a history of frequent bone fractures (this may affect bone-healing if bones are involved as part of your procedure)
- A list of all previous surgical procedures you have undergone, for example: Removal of appendix, gallbladder, or any other part, of your body; surgical repair of any body part, such as hernia repair, perforation of bowel wall, etc.
What Preparations are needed, prior to the Procedure?
- The physician may evaluate the individual’s medical history to gain a comprehensive knowledge of the overall health status of the patient including information related to the medications that are currently being taken
- Some medications increase a person’s chances of bleeding and it may be recommended to discontinue them for a period of time before the procedure is performed
- Inform the physician if you are allergic to any local anesthetics, lidocaine, etc.
- Avoid application of any cosmetics, deodorant, or topical medicines on the area prior to the procedure
- It is advisable to quit smoking and the use of any nicotine based products for a while before the surgery
- Consumption of alcoholic drinks must also be avoided for a period of time, as instructed
- The patient must avoid eating or drinking at least 8 hours prior to the surgical procedure, depending on when the procedure is arranged
- For individuals suffering from diabetes, it is important that the blood sugar stays within the normal range; if not, their diabetologist may have to control blood sugar by recommending insulin and/or a combination of oral medicines
What is the Consent Process before the Procedure?
A physician will request your consent for Dental Veneer Attachment procedure using an Informed Consent Form.
Consent for the Procedure: A “consent” is your approval to undergo a procedure. A consent form is signed after the risks and benefits of the procedure, and alternative treatment options, are discussed. This process is called informed consent.
You must sign the forms only after you are totally satisfied by the answers to your questions. In case of minors and individuals unable to personally give their consent, the individual’s legal guardian or next of kin, shall give their consent for the procedure.
What Tests are needed, before the Dental Veneer Attachment procedure?
In many cases, no tests are typically necessary prior to a Dental Veneer Attachment. However, if required, the dentist may recommend the following tests such as:
- Routine blood and urine analysis
- X-ray of the mouth
Before the procedure, any dental issues, such as dental cavities or gum disease, may have to be addressed.
What are some Questions for your Physician?
Some of the basic questions that you might ask your physician are as follows:
- What is Dental Veneer Attachment?
- Why is this procedure necessary? How will it help?
- How soon should I get it done? Is it an emergency?
- Who are the medical personnel involved in this procedure?
- Where is the procedure performed?
- What are the risks while performing the procedure?
- What are the complications that might take place during recovery?
- How long will it take to recover? When can I resume normal work?
- How many such procedures have you (the physician) performed?
- Are there any follow-up tests or periodic visits to the healthcare facility required, after the procedure?
- What are the costs involved?
During the Dental Veneer Attachment Procedure:
What kind of Anesthesia is given, during the Procedure?
Generally, in most cases, there is no anesthesia administered during the procedure.
How much Blood will you lose, during the Procedure?
There is no blood loss involved during the Dental Veneer Attachment.
What are the possible Risks and Complications during the Dental Veneer Attachment procedure?
There are general factors that increase the risk of getting complications during surgery and they include:
- Obesity: Generally, the greater the degree of obesity, the greater the surgical risk
- Smoking: The longer the smoking history (in pack years smoked), the greater the surgical risk
- Advancing age
- Poorly controlled diabetes, as evidenced by a high hemoglobin A1c and a high fasting glucose
- Poorly functioning kidney, as evidenced by increased BUN (blood urea nitrogen) and blood creatinine
- Poorly functioning liver, as evidenced by increased blood liver function tests
- Hypertension (increased blood pressure), especially if it is poorly controlled
- Poor nutritional status (malnutrition with mineral and vitamin deficiencies)
- Poor lung function, as evidenced by abnormal lung function tests
- History of bleeding disorders
- Longstanding illness, such as autoimmune disorders and chronic infections
- Poor immune system due to a variety of causes
What Post-Operative Care is needed at the Healthcare Facility after the Dental Veneer Attachment procedure?
At the healthcare facility, usually there is no requirement for any post-procedure care, unless any complications arise.
After the Dental Veneer Attachment Procedure:
What are the possible Risks and Complications after Dental Veneer Attachment procedure?
Risks and complications after a Dental Veneer Attachment procedure may include:
- Pain in gums and teeth
- Tooth sensitivity
- Poorly fixed or bonded veneer
What is the Prognosis after the Procedure?
The prognosis after a Dental Veneer Attachment is usually excellent for a majority of individuals.
When do you need to call your Physician?
Do contact your physician if you notice any of the following symptoms:
- Pain involving the teeth or gums: Usually no pain is felt, but some slight discomfort may be noted after the placement of the veneer. In such cases, if required, pain medications may be taken
- Swelling around the gums and teeth
- Detachment of the veneer
- The occurrence of any symptom that causes uneasiness such as nausea or vomiting
- Signs of an infection
- Fever, feeling sick
What Post-Operative Care is needed at Home after the Dental Veneer Attachment procedure?
At home, the following post-operative care is recommended after a Dental Veneer Attachment procedure:
- Follow instructions of the dental professional on how to clean and take care of the attached dental veneer
- Have soft foods for a few days; avoid very hot or cold foods
- Avoid smoking or chewing tobacco
- Eat healthy food rich in vegetables and whole grains
- Brush and floss regularly after taking food, or twice daily
How long does it normally take to fully recover, from the Procedure?
Typically, there is no recovery period involved, in a majority of cases.
What happens to tissue (if any), taken out during the Procedure?
Generally, the procedure does not involve the surgical removal of any tissue.
When should you expect results from the pathologist regarding tissue taken out, during the Procedure?
Usually, no tissue is sent for a pathological analysis.
Who will you receive a Bill from, after the Dental Veneer Attachment procedure?
It is important to note that the number of bills that the patient may receive depends on the arrangement the healthcare facility has with the physician and other healthcare providers.
Sometimes, the patient may get a single bill that includes the healthcare facility and the consultant physician charges. Sometimes, the patient might get multiple bills depending on the healthcare provider involved. For instance, the patient may get a bill from:
- An out-patient surgery center facility, the dentist or oral surgeon’s clinic/office, or a hospital
- An anesthesiologist (if anesthesia was administered)
- A dental health expert
The patient is advised to inquire and confirm the type of billing, before the Dental Veneer Attachment procedure is performed.
Thanks and Gratitude:
We sincerely acknowledge and thank Dr. Douglas J. Jones for reviewing the article. His valuable input and feedback has helped enrich the contents of this article.
Douglas J. Jones, MD FACS
Board Certified General Surgeon and Faculty Member
University of Illinois, College of Medicine at Urbana-Champaign
506 S. Mathews Ave., Urbana, IL 61801, USA