Can You Get Veneers with Periodontal Disease?
Periodontal disease, also known as gum disease, is a serious infection that affects the gums and supporting bone structures of your teeth. Getting veneers with periodontal disease is a complex issue that requires careful consideration and a comprehensive treatment plan. The short answer is: potentially, but not without addressing the underlying gum disease first.
Veneers are thin shells of porcelain or composite resin that are bonded to the front surface of teeth to improve their appearance. They can correct discoloration, chips, gaps, and minor misalignments. However, the success of veneer placement relies heavily on the overall health of your teeth and gums. Active periodontal disease compromises this foundation.
Here's a breakdown of why and how periodontal disease impacts veneer placement:
What is Periodontal Disease and How Does it Affect Veneers?
Periodontal disease involves the inflammation and infection of the gums, which can lead to bone loss around the teeth. This bone loss weakens the teeth, making them more susceptible to shifting, loosening, and even falling out. If you have active periodontal disease, your gums may be inflamed, bleeding, and receding. This inflamed environment is not suitable for the placement of veneers.
- Poor Bond Strength: Inflamed gums make it difficult for the dentist to achieve a strong and lasting bond between the veneer and the tooth. The presence of bacteria and infection can interfere with the adhesive process.
- Gum Recession: Receding gums can expose the margins of the veneers, leading to discoloration, sensitivity, and potential failure. Veneers are intended to cover the entire visible portion of the tooth, and receding gums can undermine this.
- Tooth Instability: The bone loss associated with periodontal disease weakens the tooth, making it less likely to withstand the bonding process and the long-term wear and tear associated with veneers.
- Treatment Prioritization: Addressing periodontal disease is crucial before any cosmetic procedures. Untreated gum disease can lead to further tooth loss, rendering veneers pointless or requiring future costly replacements.
Can Veneers Mask Periodontal Problems?
No, veneers cannot and should not mask periodontal problems. Veneers are a cosmetic treatment; they don't address the underlying health of your teeth and gums. Applying veneers over diseased teeth is akin to putting a band-aid on a broken bone—it might look better superficially, but the underlying problem remains and will likely worsen.
How is Periodontal Disease Treated Before Veneer Placement?
Before a dentist considers placing veneers, they'll need to address your periodontal disease. This typically involves:
- Professional Cleaning: Thorough scaling and root planing to remove plaque and tartar buildup beneath the gum line.
- Antibiotics: To combat infection and inflammation.
- Improved Oral Hygiene: Strict adherence to brushing, flossing, and potentially the use of antimicrobial mouthwashes.
- Monitoring: Regular checkups to monitor the progression of the disease.
- Surgical Interventions: In severe cases, gum surgery (like flap surgery or bone grafts) might be necessary to regenerate lost bone and tissue.
What Happens if I Get Veneers Without Treating Gum Disease?
Getting veneers while you have active periodontal disease significantly increases the risk of veneer failure, which can result in:
- Veneer detachment: The veneer may fall off due to weak bonding.
- Receding gums: Gum recession can expose the edges of the veneers.
- Tooth sensitivity: Exposed dentin can cause significant sensitivity.
- Tooth loss: The underlying gum disease could progress, potentially leading to tooth loss.
- Infection: Infection beneath the veneer is a possibility.
What if I only have mild periodontal disease?
Even with mild periodontal disease, it's crucial to discuss your options with your dentist and periodontist. They may recommend treatment to stabilize the gums before proceeding with veneers. The aim is to create a healthy foundation for the long-term success of the veneers.
In conclusion, while it might seem tempting to combine veneer placement with periodontal treatment, prioritising gum health is absolutely essential. Addressing the periodontal disease first ensures the long-term success of your veneers and the overall health of your mouth. Always consult with your dentist or periodontist to determine the best course of action based on your individual circumstances.
