Whitening, Veneers and Cosmetic Work

Cosmetic dentistry gets discussed as one category, but the options are not interchangeable. Whitening works on natural tooth structure and does nothing to crowns, veneers or fillings, which is why whitening around existing front-tooth work can leave a mismatch. Bonding adds material to reshape or close small gaps. Veneers cover the front surface and generally involve altering the tooth underneath, which is not reversible.

Sequence matters more than people expect. If there is decay to handle, gum treatment needed, or old front-tooth restorations that will be replaced anyway, that work usually comes first — otherwise you are matching new cosmetic work to a shade that is about to change.

Sensitivity during and after whitening is common enough that any dentist should raise it before you start. If nobody mentions it, ask. Ask as well how many veneer cases the office does in a month and whether you can see how they plan a case before anything is prepared.

What this usually involves

• In-office and take-home whitening
• Bonding for chips, edges and small gaps
• Veneers for front teeth
• Straight talk on how existing crowns and fillings limit whitening
• Ask how the office plans a case before any tooth is prepared

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