Question:

A dentist quoted me for bleaching then talked me into having porcelain caps instead. Half of them have fallen off and I'm reluctant to go any further with this process. I have pre-paid and it's working out to be a financial disaster as he still has the lower ones (10) to fit. What should I do? Would bleaching be a better option?

Answer:

I'm not sure I understand correctly but it seems that you have had porcelain "caps" instead of bleaching?

If the objective is to whiten your teeth, then bleaching is almost certainly the first treatment modality to be explored, but for some people, there exist concurrent problems such as heavily-filled or worn-down teeth that may require restoration.

Without knowing the reasons why tooth whitening was rejected in favour of "caps" it's difficult to advise as to the appropriateness of treatment. Your dentist should have given you some sound clinical reasons to pursue one form of treatment over another.

Given you have had issues with the veneers de-bonding, this is reason for some concern. Once bonded veneers should virtually be fused to the teeth and not fall off.

I see many cases in my practice for second opinions where patients present with treatment outcomes they have been unhappy with. Certainly, even at this stage, you would be well advised to seek a second opinion from a well qualified and recommended dentist with experience in tooth whitening and porcelain veneers. From there you can make an informed decision as to the best way to deal with your current predicament.

For more information please visit Dr Angelo Lazaris's website.