Frequently Asked Questions

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Answers to Commonly Asked Questions About Veneers, Smile Makeovers, and Dental Implants

Table of Contents

VENEERSMINIMAL-PREPARATION VENEERSNO-PREPARATION VENEERSDENTAL IMPLANTSTEETH WHITENINGINVISALIGN
Veneers
01
What are porcelain dental veneers?
01

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.

02
What are composite veneers?
02

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.

02
Should I choose composite veneers or porcelain veneers?
02

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.

04
How many veneers do I need?
04

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.

05
How long does the veneers process take?
05

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.

06
What are temporary veneers?
06

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.

07
How long do dental veneers last?
07

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.

08
What is the most common reason veneers have to be replaced?
08

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.

09
How long are the veneers guaranteed?
09

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.

10
How much do veneers cost?
10

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.

11
How can I pay for my veneers?
11

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.

12
What are Lumineers?
12

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.

13
Why would a tooth need to be shaved to make the cosmetic outcome better?
13

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.

14
What should I ask my doctor before getting veneers?
14
  • Ask your doctor to show you other cases of veneers they have done, specifically cases that look like your situation.
  • Ask how many patients they have treated with veneers.
  • Ask if they use a dental lab that specializes in cosmetic dental veneers.
  • Ask about longevity. How often do veneers fail that they have done?
15
Does the veneers process hurt?
15

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.

16
Will I need gum contouring and what does it cost?
16

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.

17
What happens once I receive my porcelain veneers?
17

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.

18
‍What if I am unhappy with my veneer results?
18

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.

19
Do dental veneers damage your teeth?
19

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.

20
Can veneers correct crooked teeth?
20

Yes, veneers can reshape teeth and correct mild misalignment, offering an instant orthodontic effect for a straighter, more aesthetically pleasing smile

Minimal-Preparation Veneers
21
What are minimal-preparation veneers?
21

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.

22
Are minimal-prep veneers less invasive than traditional veneers?
22

Yes, minimal preparation veneers require less removal of tooth enamel, making them a more conservative and natural-looking option.

23
Who is a good candidate for minimal-preparation veneers?
23

Those with healthy teeth and mild cosmetic concerns are ideal candidates for minimal-prep veneers.

24
How long does it take to get minimal-preparation veneers?
24

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.

25
Do minimal-preparation veneers stain over time?
25

Minimal-prep veneers made of high-quality porcelain are stain-resistant and maintain their appearance with proper oral hygiene.

No-Preparation Veneers
26
What are no-preparation veneers?
26

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.

27
How are no-preparation veneers different from traditional veneers?
27

No-preparation veneers involve no alteration to the natural tooth, while traditional veneers may involve removing some tooth enamel.

28
Who is a good candidate for no-preparation veneers?
28

No-preparation veneers are ideal for individuals with healthy teeth, limited misalignment, and aesthetic concerns like discoloration or wear.

29
How long do no-preparation veneers last?
29

With proper care, no-preparation veneers can last five to 10 years or longer, depending on maintenance and oral habits.

30
Can no-preparation veneers correct misaligned teeth?
30

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
31
What are dental implants?
31

Dental implants are titanium posts surgically placed in the jawbone to provide a stable foundation for a replacement tooth or dental restoration.

32
How long do dental implants last?
32

Dental implants can serve as a durable, permanent restoration that may last a lifetime with proper care, regular dental visits, and good oral hygiene.

33
Is getting a dental implant painful?
33

The dental implant procedure is performed under anesthesia, so most patients report minimal discomfort during and after the procedure.

34
How long does it take to get a dental implant?
34

The process typically takes several months, as the implant must integrate with the jawbone through a process called osseointegration.

35
Can anyone get a dental implant?
35

Most people are eligible for dental implants, but Dr. Soto will evaluate your oral health, bone density, and overall medical history to determine suitability.

Teeth Whitening
36
What is professional teeth whitening?
36

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.

37
How long does professional teeth whitening last?
37

Results can last from a few months to a couple of years, depending on lifestyle habits like smoking or consuming staining foods and beverages.

38
Is teeth whitening safe?
38

Yes, professional teeth whitening is safe when performed by our dental team, as they use safe, controlled whitening agents.

Invisalign
39
How does Invisalign work?
39

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.

40
How long does Invisalign take to straighten teeth?
40

Treatment with Invisalign typically takes six to 18 months, depending on the complexity of the case.

41
Are the aligners removable?
41

Yes, Invisalign aligners are removable, allowing you to eat, drink, brush, and floss normally during treatment.

42
Is Invisalign as effective as traditional braces?
42

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.

43
Will Invisalign treatment affect my speech?
43

Some patients may experience a slight adjustment period with their speech, but most adapt quickly to wearing aligners.

44
How much does Invisalign cost?
44

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.

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Where to find us

Robert Soto, DDS, Cosmetic Dentistry Location

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.

Robert Soto, DDS, Cosmetic Dentistry Location

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