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Teeth Veneers - Page 3

post #31 of 35
7/8/10 at 12:13am
Quote:
Originally Posted by Arrogant Bastard View Post
Problem is that most of my grinding isn't just isolated to the front four teeth. Quick question: what's your best approach to nightguard maintenance, i.e., cleaning it and keeping it from being totally fucking disgusting? I am borderline OCD, keep in mind, so my instinct is never to put back into my mouth some shit that spent an entire night in it -- despite dumping it into mouthwash, rinsing it obsessively, and even brushing it with toothpaste.
The logic with those "front" guards is that it discludes the posterior (i.e. back) teeth. In my opinion however, this logic is faulty and only risks further future problems in the patient. As for cleaning the thing, I'm not really sure what you're asking, but the thing clearly needs to be cleaned and it is not likely to clean itself. (If you're really lazy, or really OCD, you could consider using a denture cleaner on top of what you described above - or buying an ultrasonic, or using a cold sterilizer of some sort, or asking your dentist to make you a couple thousand of them and use them single-use?) Edit: I just re-read your "concerns" AB - to me it sounds like you are going to be looking at full-coverage restorations rather than just veneers (i.e. facades). No dentist in their right mind should be treatment planning veneers for a patient with even moderate signs of bruxism/grinding. This is likely part of the reason why your dentist is brushing off your cosmetic desires. Although, I agree with your dentist's philosophy, there is a point to which attrition (i.e. "ground down-ness") can have a domino-effect on your whole bite not to mention any structural concerns regarding the teeth themselves.
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post #32 of 35
7/8/10 at 12:22am
Quote:
Originally Posted by Notreknip View Post
The logic with those "front" guards is that it discludes the posterior (i.e. back) teeth. In my opinion however, this logic is faulty and only risks further future problems in the patient. As for cleaning the thing, I'm not really sure what you're asking, but the thing clearly needs to be cleaned and it is not likely to clean itself. (If you're really lazy, or really OCD, you could consider using a denture cleaner on top of what you described above - or buying an ultrasonic, or using a cold sterilizer of some sort, or asking your dentist to make you a couple thousand of them and use them single-use?) Edit: I just re-read your "concerns" AB - to me it sounds like you are going to be looking at full-coverage restorations rather than just veneers (i.e. facades). No dentist in their right mind should be treatment planning veneers for a patient with even moderate signs of bruxism/grinding. This is likely part of the reason why your dentist is brushing off your cosmetic desires. Although, I agree with your dentist's philosophy, there is a point to which attrition (i.e. "ground down-ness") can have a domino-effect on your whole bite not to mention any structural concerns regarding the teeth themselves.
What's involved in "full-coverage restorations?" Price-wise, maintenance-wise, etc? Sounds kind of scary. And I think you may have misread my question about cleansing. Really, I'm just wondering what the most effective cleansing method is for nightguards. I want my nightguard to be super-fucking-clean. As sterilized as possible.
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post #33 of 35
7/8/10 at 12:27am
Be carefull with NTI guards and veneers - all the jaw clenching stress is funnelled onto the few teeth under the appliance (and the jaw joints). The lateral edges of the veneered teeth are not under compression when loaded, they are under tension and porcelain doesn't resist that very well, unless the reinforcing substructure (if any) is extended laterally and even then....who knows? If you are considering tooth movement (orthodontics) and veneers, long-term retention becomes an issue, so in that case I would much prefer an upper full-arch guard.
One of the best ways of identifying a good approach is to include a diagnostic wax-up in your planning.
A diagnostic wax-up of your upper teeth can be done several ways; to just close the spaces (probably poor proportions in this case), to close the spaces with increased tooth length either downward or upward, or to cut the teeth off the model, move them into preferred locations laterally and/or vertically and adjust their final contours with wax to optimise their shapes. There are pros and cons to each approach beyond cost and maintenance factors so you need an in-depth discussion before you get going.
http://www.1800dentist.com/adx/aspx/...-appliance.jpg[/quote]
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post #34 of 35
7/8/10 at 10:46am
Quote:
Originally Posted by Notreknip View Post
. That said, it's not that hard to create and maintain a full-coverage physiologically equilibrated splint/guard. This are less likely to cause unwanted tooth/jaw compensatory movements and surely are more comfortable to wear.

I had to switch because after trying a few, full-coverage splint/guards I still found them UNcomfortable and ruthlessly annoying to wear so I'll have to disagree. I believe my current dentist recommends ones that cover the first 6 teeth. I consistently wear the frontal NTI because it is more comfortable. (Real world, real patient experience)
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post #35 of 35
1/22/11 at 8:36am
Porcelain veneers I think is the right way to go. A friend of mine has had porcelain veneers from san francisco dental implants and he told me the pros and cons of it along with the huge amount he had to pay for that marginally around 750USD. These porcelain veneers san francisco shield the teeth and prevent any kind of abrasions to them along with providing a glittering shine. But teeth tend to loose this shine and in order to maintain it good eating habits and teeth cleaning is absolutely necessary.
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