Case study

Porcelain Veneers for Discolored Teeth and Two Mismatched Veneers

Offered options from replacing only two veneers up to treating the lower teeth as well, this patient chose 20 feldspathic porcelain veneers so every tooth in her smile zone matched.

Case
Two mismatched veneers and discolored teeth
Treatment
20 veneers
Visits
2 main visits over about 2 weeks
Treating doctor
Dr. Daniel Naysan, DDS
Before treatment: discolored teeth with two existing veneers that do not match, Bedford Dental Group patient in Beverly Hills

Before

After treatment: 20 feldspathic porcelain veneers in place of mismatched veneers on discolored teeth, Bedford Dental Group, Beverly Hills

After

Before and after: discolored teeth and two existing veneers that did not match, treated with 20 feldspathic porcelain veneers by Dr. Daniel Naysan.

These before-and-after photographs show one Bedford Dental Group patient’s actual treatment result. The same results may not occur for all patients.

Teeth treated

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  • Porcelain veneer (20)

Universal numbering, shown as if facing the patient.

Dental arch diagram. 20 teeth treated. Porcelain veneer: teeth 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29.

Case details

Diagnosis

Presenting condition
Tooth discoloration with two existing veneers that did not match the rest of the smile; minor crowding
Complicating factors
None reported
Patient profile
Female

Treatment

Treatment performed
Porcelain veneers, replacing the two existing veneers
Teeth treated
20 teeth: #4–13 (upper) and #20–29 (lower). Universal numbering.
Preparation
Minimal preparation, guided by a mock-up
Anesthesia / sedation
Oral conscious sedation
Visits and duration
2 main visits over about 2 weeks
Treating doctor
Dr. Daniel Naysan, DDS

Materials

Materials and lab
Feldspathic porcelain, Beverly Hills Dental Lab
Shade
A combination of 0M3 and 1M1 (VITA 3D-Master)

What was the patient’s concern?

This Bedford Dental Group patient, a woman with discolored teeth and two existing veneers that did not match the rest of her smile, wanted to refresh her smile. Her goal was a result that looked white but still natural.

What did the examination find?

Alongside the discoloration and the two mismatched veneers she came in about, Dr. Daniel Naysan’s examination found minor crowding that the patient had not mentioned.

What options were considered, and why porcelain veneers?

Dr. Naysan walked this patient through every scope of treatment, from the smallest change to the largest. They discussed teeth whitening combined with replacing the existing veneers to match, replacing only the two existing veneers, veneering the front four, eight or ten upper teeth, and extending treatment to the lower teeth. She chose 20 porcelain veneers covering ten upper and ten lower teeth, because she wanted every tooth in her smile zone to match.

How was the treatment carried out?

Dr. Naysan completed the 20 veneers (#4–13 and #20–29), made by Beverly Hills Dental Lab, in two main visits over about two weeks. The shade was chosen in a custom shade session with the ceramist that included the patient in the decision, arriving at a combination of 0M3 and 1M1. She also wore provisional veneers and gave feedback on the design before the final porcelain was made. See the full porcelain veneer process.

What made this case difficult?

Key point

Dr. Naysan considered this a straightforward case with no complicating factors.

The planning question was scope: how many teeth to treat so the two replaced veneers, the discolored natural teeth and the minor crowding resolved into one even smile.

What was the result?

Dr. Naysan describes the outcome of this case as mainly cosmetic. The two mismatched veneers were replaced and the discolored natural teeth were treated in the same plan, for 20 new porcelain veneers in total, in the shade the patient helped choose.

How long will it last, and what upkeep does it need?

Dr. Naysan expects these feldspathic porcelain veneers to last about 20 years. He recommends a night guard and an evaluation every six months. Lifespan varies from patient to patient with home care, bite forces and regular dental visits. Read veneer aftercare guidance.

How long did the treatment take?

This 20-veneer replacement case took two main visits over about two weeks at Bedford Dental Group in Beverly Hills.

Is this treatment right for you?

This treatment suits someone looking for a white, bright, natural smile whose existing veneers do not match their natural teeth. Someone who is happy with the color of their natural teeth may only need the mismatched veneers replaced, a smaller treatment Dr. Naysan also offered this patient. See how many veneers you may need.

See what is possible for your smile

Every case is planned around one patient’s teeth, bite and goals. Book a consultation with Dr. Daniel Naysan at Bedford Dental Group in Beverly Hills.

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