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Case study
Porcelain Veneers for Worn Teeth After More Than 10 Years Without a Dentist
A man who felt his teeth were too small, with cracked premolars and recurrent decay around old restorations, had his gum disease treated first and then received 20 feldspathic veneers from Beverly Hills Dental Lab.
Treated by Dr. Daniel Naysan, DDS
Bedford Dental Group, Beverly Hills
- Case
- Worn teeth after 10+ years without care
- Treatment
- 20 veneers
- Visits
- 2 main visits over about 2 weeks
- Treating doctor
- Dr. Daniel Naysan, DDS
Before
After
Before and after: worn, small-looking teeth restored with 20 feldspathic porcelain veneers from Beverly Hills Dental Lab, placed 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
- 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
- Worn dentition and dental caries after more than 10 years without dental care; teeth the patient felt were too small for his face
- Complicating factors
- Cracks in #4, #12 and #13; cavities; old restorations with recurrent decay; periodontal disease treated before the veneer work
- Patient profile
- Male
Treatment
- Treatment performed
- Porcelain 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
- 1M1 / 0M3 (VITA 3D-Master)
What was the patient’s concern?
This Bedford Dental Group patient, a man who had not seen a dentist in more than ten years, came in asking for a “smile refresh.” He was unhappy with the shape of his teeth and felt they were too small for his face.
What did the examination find?
Dr. Daniel Naysan’s examination found a worn-down bite and cracks in three premolars, #4, #12 and #13. The patient had not mentioned either problem. Dr. Naysan also documented cavities, old restorations with recurrent decay, and periodontal (gum) disease.
What options were considered, and why porcelain veneers?
Dr. Naysan discussed teeth whitening and Invisalign clear aligners with this patient, and both were ruled out at his request in favor of porcelain veneers.
How was the treatment carried out?
The gum disease was treated first. Dr. Naysan then placed 20 feldspathic porcelain veneers, made by Beverly Hills Dental Lab, in two main visits over about two weeks, removing the decay at the same appointment the teeth were prepared for the veneers. Treatment began with full records, including a complete series of X-rays and a 3D intraoral scan, followed by conservative preparation guided by a mock-up and provisional veneers the patient wore before approving the final design. See the full porcelain veneer process.
What made this case difficult?
Key point
This case differed from a routine cosmetic smile makeover because of what sat underneath the patient’s concerns: cavities, old restorations with recurrent decay, and periodontal disease after more than a decade without dental care.
Dr. Naysan describes those underlying problems as what set this case apart from a purely aesthetic one.
What was the result?
Dr. Naysan reports that this case improved the appearance of the patient’s smile and left him with a more balanced occlusion, meaning his upper and lower teeth meet more evenly than they did with the worn bite he came in with.
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 case took two main visits over about two weeks at Bedford Dental Group in Beverly Hills.
Is this treatment right for you?
Porcelain veneers suit someone unhappy with the size, shape and shade of their teeth, including patients coming back to dental care after years away. They are not a substitute for treating active decay or gum disease, which has to be part of the plan before a veneer case is completed.
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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