Kyle Taylor, DDS

Tranquil Bay Dental

2415 Penny Road Suite 203

High Point, NC 27265

336-884-8989

At Deep River Pointe

Porcelain Veneers and Porcelain Crowns

Improve Your Smile with Porcelain Crowns, Dental Veneers, and Onlays

The rehabilitation of a smile with thoughtfully and carefully placed all-porcelain, metal-free restorations can be dramatic. Porcelain/Ceramic veneers and crowns are wafer-thin, custom-made shells of tooth-colored material that a dentist bonds to the front exterior of your teeth in order to change their color, shape, size, or length. The truly natural appearance of crowns, veneers, and onlays is due to the physical properties of  the porcelain/ceramic, which allows light to be transmitted through these restorations similarly to the way it is transmitted through a natural tooth.

Porcelain Veneers

Illustration of dental veneer

A porcelain veneer is a very thin layer of shaded dental glass, shaped like the front side of a tooth that is custom made to the patient’s own front tooth, either following minor enamel removal, or very often with the Lumineers technique, which requires no enamel removal. The sides and the biting edge of the tooth may or may not have to be altered, but the palate (roof of the mouth) side, for the most part, remains unaltered. Veneers are more conservative with regard to tooth removal than full crowns.

Some patients who are unhappy with their front teeth choose porcelain/ceramic veneers as a relatively fast way to transform their smile.  While more conservative than full crowns, and with quicker results than with orthodontics (both regular braces and Invisalign), veneers are not a good match for all patients. Let us help you evaluate your options if cosmetic issues are concerning you.

If the teeth already have large fillings, or the patient is a heavy grinder or clench grinder, then veneers may fail and full crowns may be the treatment of choice.

Dental Crowns

Illustration of dental crown

Crowns are placed when there is a desire and need to fully protect the entire tooth, such as when the patient already has large fillings, or when the patient is a heavy grinder or clenches the their teeth. The PFM or porcelain-fused-to-metal crown is still around, but has seen a drastic decline in usage. In its place have come newer porcelains that have virtually eliminated the need for metal in crowns.  Crowns made of lithium disilicate (E-Max) or zirconia can not only be very aesthetically pleasing, but also are much stronger than past porcelains.

Another reason why crowns may be selected instead of veneers is to reduce the amount of susceptible area of breakdown, where the porcelain meets the tooth. This susceptible area of breakdown is called the “margin.”  The margin of a crown is basically an oval and is located at the neck of the tooth, just at or below the gumline. The margin of a veneer, however, is much longer and convoluted as it basically traces the outline of the face of the tooth and goes behind the tooth toward its biting edge. In patients who have more susceptibility to decay due to diet or hygiene struggles, often a crown is more predictable from this standpoint alone.

Illustration of dental onlay procedure

Onlays

Sometimes, we want to maintain the basic structure of the tooth, but one or more of the tooth cusps is damaged, worn, or ineffectively restored. Tooth cusps must be strong, since they are the primary mechanism in chewing. An onlay is a porcelain section of tooth that’s cemented onto a tooth that requires only partial cusp replacement. A crown, in comparison, is basically an onlay that covers all the cusps, while an onlay only covers part of the tooth surface.

When Are Veneers Used?

There are a variety of reasons why veneers may be a good solution:

  • Changing the length of a tooth to achieve a natural appearance
  • Covering the front of a tooth to conceal an unattractive appearance or modify its color
  • Repairing a broken or otherwise damaged front tooth
  • Closing gaps between front teeth to rehabilitate a smile
Why Use a Crown or Onlay?

Porcelain crowns and onlays are used on back teeth for reasons that include:

  • Repairing or completely covering a back tooth which has been broken or damaged by decay
  • Modifying the color or shape of the tooth to create a more attractive appearance
  • Serving as “anchors” for an artificial tooth to replace a missing tooth (Bridge)
  • Improving the bite between upper and lower teeth
How Long Do Veneers, Porcelain Crowns, and Onlays Take?

When our dentists improve your smile with veneers, crowns and/or onlays, here’s what to expect:

  • During your first office visit, we will prepare your teeth for your restorations and make an impression or mold of your teeth to send to our partner dental lab, where custom veneers, crowns, or onlays will be prepared to meet your specific needs.
  • When the veneers, crowns, or onlays are ready, we will clean your teeth thoroughly, then gently roughen the surface of any affected teeth to help the veneer bond tightly to your existing tooth surfaces. The dentist will check the fit and color of the veneers to be sure they are suitable, then attach it with a special cement that is hardened quickly with a high intensity light.

We are proud to provide accurate and attractive dental restorations, including porcelain crowns, veneers, and onlays. Please call us today at 336-884-8989 to discuss your dental needs or to schedule an exam. We are located in the Deep River