I’m trying to figure out what is going on with my gums. I’ve always had remarkably healthy teeth. No cavities and definitely no gum disease. Though, healthy doesn’t mean pretty (at least not in my case) So, I got four porcelain veneers placed on my front top teeth. I’m doing everything the way I normally would. In fact, if anything, I’ve been extra diligent because for the first time, I’m not humiliated to smile. Shortly after that, my gums started bleeding when I brush. I went in for my regular check-up and the hygienist told me I’m developing gum disease and I need to step up my oral care. I am dumbfounded. I don’t know what’s going on. Could this be a result of the porcelain veneers?
Because this developed after you had your porcelain veneers placed and you’ve never had any problems previous to this, like you, I’m suspect of your veneers. They don’t, in themselves, cause gum disease, but bulky margins can.
This is a professional term which means the edge of your porcelain veneers don’t lie flush with your gums. Instead, the dentist left a little “shelf” there. Unfortunately, this allows bacteria to gather there leading to decay at the site where the veneers end near your gums. That would require a filling. It can also lead to gum disease, which you’re experiencing now.
We see this result more when patients have gone to their family dentist for their cosmetic work instead of someone who has really invested time and training in cosmetic dentistry.
What Do You Do with Poorly Placed Porcelain Veneers?
The first thing I’d do is go back to your dentist and have him check the margins. If he admits they’re not flush as they should be, he should fix them free of charge. If, however, he thinks they’re fine but you suspect they’re not you can get a second opinion from a highly skilled cosmetic dentist in your area.
It might not be that your dentist is lying. He may not know any better. The veneers look good to him and it’s business as usual. Be careful at your check-ups and cleanings. If your dentist isn’t well trained in porcelain veneers, it’s likely his hygienist isn’t trained in the proper way to clean them.
If she uses something like a prophy jet, it will remove the glaze from your porcelain veneers causing them to pick up stains.
If you get that second opinion and the cosmetic dentist says they’re faulty, your dentist should give you a refund so you can get them done by someone with more skill and technical knowledge. Plus, most of them have a beautiful smile guarantee, which is much better for you!
This blog is brought to you by Dr. Michael Morgan.