Dental veneers are thin, durable shells made of porcelain or composite material that are bonded to the front surface of teeth to improve their appearance, shape, size, or color.
Composite veneers are an alternative to porcelain veneers. Plastic filling material is bonded and shaped to a tooth to enhance the appearance. Composite veneers cover the entire face of a tooth.
Ask your doctor which option is best for you. Composite veneers can greatly enhance the look of a smile. They are roughly half the cost of porcelain veneers. They are less durable than porcelain veneers and can pick up stains within the first few years. Composite veneers are excellent for those wanting to enhance the look of their smile but are not ready for porcelain veneers. Many patients will switch to porcelain veneers 5-10 years later. If teeth are crooked, broken, very dark, or the patient clenches or grinds their teeth, more durable, porcelain veneers may be the best option.
A virtual consultation is needed to determine how many veneers are needed, or if veneers are the best option. It is best to have an even number of veneers. Four to twelve upper veneers — and as many as 20 to 24 total veneers for those who wish to enhance their lower teeth as well — will give the best results. It is rare for six veneers to be placed. They can shadow the back teeth and give an artificial appearance to the smile from the side.
Once we decide on the look of the veneers at your first in-person appointment, it will take two additional appointments to complete porcelain veneers. The first treatment appointment is to prepare the shape of the teeth, scan the teeth, and place temporary veneers. The temporary veneers are worn for 2-3 weeks. The second treatment appointment is to remove the temporary veneers and cement the final porcelain veneers. In total, the whole process takes 3-5 weeks.
Temporary veneers are plastic veneers that are worn between the veneer preparation appointment and the veneer cementation appointment. They are worn to protect the teeth that have been modified and to try out the new tooth design. They are made to look like the final veneers. Patients are contacted 48 hours after receiving their temporary veneers to discuss the design. It is an excellent way for patients to experience the new look and color of the teeth and provide feedback to help make design decisions for the final veneers.
Porcelain dental veneers with Dr. Robert Soto last approximately 15-20 years, making them a long-term cosmetic investment. They will last the longest if they are well taken care of. Brushing 2X each day for two minutes, flossing daily, and wearing a bite guard at night is a great way to protect the veneers. Using an electric toothbrush such as Sonicare or Oral-B is preferred. Avoid eating very hard foods like almonds, or cracking shells with the front veneers. For those who don't floss and don't have their teeth cleaned professionally on a regular basis, the veneers may have a shorter lifespan.
The porcelain material that veneers are made of is very strong and should not break under normal circumstances. If gum recession occurs, the root of the tooth may become exposed and patients may want new veneers to cover the roots. The veneers do not completely cover the teeth. If a cavity forms on the tooth, it may be reparable with a filling, or it may require the veneer to be replaced. Accidents can happen that can chip a veneer the same way a natural tooth would chip. This may require a replacement veneer.
Dr. Soto will replace a broken veneer within two years of placement if the patient has been coming in for their regular recommended cleanings and exams, and they are taking reasonable care of their teeth.
There is a wide range of fees among veneer providers, from $1500 to over $3000 per veneer. In our office, the current fee for each porcelain veneer is $2350. Composite veneers are $1150 per veneer. New patients should expect to pay for a full examination and x-rays unless they have a current set.
We accept cash, checks, or wire transfers. All major credit cards are accepted with a 3.5% surcharge. Payments are expected to be completed by or before the veneer preparation appointment. Financing options include Alphaeon Credit and CareCredit with a 5% surcharge.
Lumineers are a brand of porcelain veneers. The company advertises veneers that can be fitted to your existing teeth without the need to drill or grind them down. This is a brand of veneers from a specific lab that Dr. Soto does not work with.
Dr. Soto offers "No-Prep" and "Near No-Prep" veneers that create beautiful and natural-looking smile enhancements without shaving, or only slightly modifying teeth. Not all patients qualify for this type of veneer.
If a thin veneer is placed on a tooth without removing any tooth structure first, it will appear larger. That is fine for those wanting larger teeth but for those with large teeth to begin with, it could make the teeth seem overly large. If a tooth is dark and needs to be lightened, the tooth structure may need to be removed so the darkness of the tooth doesn't show through the veneer. If some teeth slightly protrude, those teeth may need to be moved in with orthodontics or shaved into better alignment before veneers are placed.
Typically patients are numb for the veneering process. There should be no pain during the procedure once numbness takes effect. With smaller cases (two or four veneers), there will be very little or no discomfort after the numbness subsides. Patients should expect some soreness of the gums and possibly the jaw in cases that involve eight or more veneers. The soreness can be alleviated with over-the-counter medications. There may be more discomfort if replacing old veneers that are thick, and in cases with significant gum changes.
In most veneer cases, contouring the gums will result in a better cosmetic outcome. It is done to create symmetry and to lengthen short teeth. Most gum contouring causes no additional discomfort during or after treatment. Dr. Soto does not charge any additional fee for gum contouring. On rare occasions, surgical contouring must be done if the teeth are very short. Patients are referred to a periodontist for this procedure. The periodontist will charge a separate fee for the procedure.
Like any surgical cosmetic procedure, the final esthetic result takes time to fully form. The gums will slowly heal, color-correct, and fill between the teeth. The lips and face will settle and all minor swelling will subside. The bite will normalize. Patients are seen four to six weeks after the veneers are placed to make minor bite adjustments if needed, and to make any minor shape changes. It will take between one month to as many as six months for the veneers to feel and look completely natural.
We try extremely hard to please every patient. A team of ceramists and Dr. Soto put several hours into each smile to make the perfect set of veneers for an individual. A process is followed to help patients express the characteristics they like in smiles and what they are hoping to achieve with the new veneers. It is important that patients follow the process to achieve the best possible results. In rare cases, patients are not fully satisfied with their new smile and wish for a different look, style, color, etc. If new veneers need to be made again, the process starts over again. Veneers would need to be removed and replaced. There is always a fee to replace the veneers since the entire process is repeated. This may be a partial fee or a full fee depending on the situation.
It is not uncommon for patients to require complete healing before they start to appreciate and love their new smile. This may take several weeks or months. For the safety of the teeth and to allow for full healing, veneer replacement is done no sooner than nine months after the first set was placed.
Porcelain dental veneers themselves do not directly damage your teeth, but the process of getting them involves removing a very thin layer of enamel. This is necessary to ensure a proper fit and natural appearance, but it is irreversible. No-prep veneers do not require enamel to be removed.
Yes, veneers can reshape teeth and correct mild misalignment, offering an instant orthodontic effect for a straighter, more aesthetically pleasing smile
Minimal preparation veneers are a conservative cosmetic solution that requires only a small amount of enamel to be removed. This makes them a less invasive procedure that preserves more of the natural tooth structure.
Yes, minimal preparation veneers require less removal of tooth enamel, making them a more conservative and natural-looking option.
Those with healthy teeth and mild cosmetic concerns are ideal candidates for minimal-prep veneers.
The process typically takes two to three visits, offering a quick smile enhancement with a streamlined treatment plan, depending on your dentist’s approach and individual goals.
Minimal-prep veneers made of high-quality porcelain are stain-resistant and maintain their appearance with proper oral hygiene.
No-preparation veneers are thin, custom-made veneers that require no removal of tooth enamel before placement, offering a completely non-invasive approach to improving your smile.
No-preparation veneers involve no alteration to the natural tooth, while traditional veneers may involve removing some tooth enamel.
No-preparation veneers are ideal for individuals with healthy teeth, limited misalignment, and aesthetic concerns like discoloration or wear.
With proper care, no-preparation veneers can last five to 10 years or longer, depending on maintenance and oral habits.
No-preparation veneers can improve aesthetics but may not address significant misalignment. Invisalign or other treatments may be necessary for more advanced cases.
Dental implants are titanium posts surgically placed in the jawbone to provide a stable foundation for a replacement tooth or dental restoration.
Dental implants can serve as a durable, permanent restoration that may last a lifetime with proper care, regular dental visits, and good oral hygiene.
The dental implant procedure is performed under anesthesia, so most patients report minimal discomfort during and after the procedure.
The process typically takes several months, as the implant must integrate with the jawbone through a process called osseointegration.
Most people are eligible for dental implants, but Dr. Soto will evaluate your oral health, bone density, and overall medical history to determine suitability.
Professional teeth whitening is a dental procedure that uses specialized whitening agents to remove deep stains and discoloration. It offers faster and more effective results than over-the-counter products.
Results can last from a few months to a couple of years, depending on lifestyle habits like smoking or consuming staining foods and beverages.
Yes, professional teeth whitening is safe when performed by our dental team, as they use safe, controlled whitening agents.
Invisalign uses a series of clear, removable aligners to gradually straighten teeth over time. It offers a discreet and comfortable alternative to traditional metal braces.
Treatment with Invisalign typically takes six to 18 months, depending on the complexity of the case.
Yes, Invisalign aligners are removable, allowing you to eat, drink, brush, and floss normally during treatment.
Yes, Invisalign is effective for many cases of misalignment, overcrowding, and bite issues. However, your dentist will assess your specific needs to determine the best treatment plan.
Some patients may experience a slight adjustment period with their speech, but most adapt quickly to wearing aligners.
The cost of Invisalign varies depending on the complexity of the treatment and your dentist's location. Dr. Soto will provide a personalized treatment plan and cost estimate during your consultation.
Offering premier cosmetic dentistry, our office is conveniently located on the corner of Post Street and Mason Street, in between the Financial District and Tenderloin.