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Are Lumineers reversible?

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Hi Dr. Hall,

I am seriously thinking about getting Lumineers. I am thinking about using Dr. —- from Los Angeles. I understand that he is one of the premiere Lumineers dentists. I was wondering if you could do some research on him and provide me with any feedback on his training, cosmetic dentistry background, complaints, awards, etc.

Also, would Lumineers be a good option? Are there good reviews and feedback on Lumineers looking nice and also lasting a while? I’m afraid of having my teeth shaved down and wanted to go the route of Lumineers if they are worth it.

Thanks a lot,
Ken from Pennsylvania

Dear Kenneth,
I can find no evidence of any cosmetic dentistry training that Dr. —- has. Sorry. He isn’t even a member of the American Academy of Cosmetic Dentistry, which to me shows a low level of commitment to cosmetic dentistry. And I can’t find his name among graduates of some of the popular cosmetic dentistry training courses that I have access to. And the other question I ask – is he an artist? I don’t know the answer to that. Most expert cosmetic dentists who are artists do post their work on the Internet, and I don’t find any of his posted. So I’m skeptical about that.

And the fact that you are telling me you are afraid of getting your teeth shaved DOWN concerns me. I think you’ve been overly influenced by the commercials. Before you go and possibly ruin your smile, I think you owe it to yourself to get some accurate information. And here are the inaccuracies I believe you have bought into:

1) For porcelain veneers, generally your teeth are shaved a little, but I don’t think it’s accurate to say they’re shaved DOWN. In many cases, from a conversational distance, you can’t even tell that the teeth are changed after they have been prepared for porcelain veneers and before the veneers are put on. That’s how small the reduction is, in many cases, if you get the beautiful porcelain veneers.

2) On the other side, I’m not so sure that Lumineers can be removed without damaging the teeth. Yes, THEORETICALLY, since the teeth aren’t shaved at all before placing the Lumineers. But it is very easy to have an “accident” when the Lumineers are removed and to have a tooth or teeth gouged or nicked.

My advice is not to go only to a dentist who promotes himself too heavily as a “Lumineers dentist” before getting a new smile. You may not get an honest opinion about whether or not they’re good for you. Go to an expert cosmetic dentist first. Any expert cosmetic dentist listed on our website is able to do Lumineers. Just go for an opinion. Then compare what the two dentists say. Armed with more information, you are in a better position to make a good decision about whether or not to do Lumineers.

And I have not seen a really nice Lumineers smile. I’ve seen some bad ones and some okay ones. I’m sure there are some really nice ones out there, but I haven’t seen any. They make your teeth look rounded, a little bulky, and a little longer.

As far as long-lasting, Lumineers are excellent in that department. They’re durable—probably better than average in that department.
– Dr. Hall

Related information:
Click here to find a cosmetic dentist, screened for artistic ability and training in cosmetic dentistry.
Read more about smile design and smile makeover.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

An example of the esthetic sense of many dentists

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I frequently read a popular implant dentistry forum. I thought I’d re-post this one question, asked by one of the participating dentists, to illustrate a point about many dentists’ esthetic sense:

“Dr. M. asks:
“I have a patient who is a beautiful woman with this huge diastema between her maxillary central incisors. I think if I placed an implant between them I could fit in a crown that would add harmony and balance to her smile line. Have any of you tried to solve this particular aesthetic problem with an implant solution like this?”

This dentist was proposing sticking an extra tooth in the middle of this beautiful woman’s smile, simply because she had a space large enough to accommodate one. There followed a serious discussion of the pros and cons of this question, whether or not there would be enough bone to support the implant, and how predictable various options would be. I saw eight replies to this question when I discovered it. Not one of the eight voiced what your average person would think of this suggestion: that it was absolutely ridiculous – maybe appropriate for a hillbilly, but absolutely atrocious for a beautiful woman.

The midline of your teeth should correspond to the midline of your face. And people expect a smile to show two central incisors in the middle, two smaller lateral incisors on the sides of those, and two slightly larger canines on the sides of those.

I repeat – don’t have a new smile from any dentist unless that dentist has strong artistic inclinations. These professionals, most of whom are very ethical and have the best interests of their patients at heart, simply do not understand esthetics. They went into dentistry because they are technical types who love to fix things that are broken. Go to a recognized artist for your smile makeover.

Read more about the difference between a general dentist and a cosmetic dentist.
Read about all the subtleties of smile design.
Read about dental bonding and porcelain veneers, two of the smile design tools of your cosmetic dentist.
And click here to find a cosmetic dentist with the artistic touch and training to create beautiful smiles.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

I have a lisp now with my porcelain veneers

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Dr. Hall,
I had porcelain veneers on my four front teeth #7,8,9,10. My teeth were very healthy but slightly unattractive. They all started to crumble and break within week. After failed attempts to glue them back together, I saw another dentist, who did six veneers, including my canines, #6 and 11. However this second set fractured the next day. I was told they were baked too long and the cracks did not appear until they were wet in my mouth. 

These were replaced, however this third set is much longer and I now lisp. Also # 7 and #10 are rotated and stick out beyond #8 & 9. I never had misalignment before this. The second Dentist said he would replace the four front if I am not happy. I am not happy having over $6000. on my charge card. I wish I HAD MY TEETH BACK – THEY WEREN’T THAT BAD! I plan to have this done for the fourth time in Jan. Any advice? Also why do I lisp now – I never did before. Will it go away?

Thank You, Marilyn
a dental hygienist in New York

Dear Marilyn,
There has to be a reason that you keep ending up getting porcelain veneers from dentists who don’t know how to do them. Maybe someone has given you the idea that these are easy to do and any dentist can do them. Well, you’ve proven that wrong, haven’t you?

Even if a porcelain veneer cracks, none of the pieces will come off the tooth unless there is a problem in the bonding of them. They are very thin and aren’t strong at all by themselves. You can crush one in your fingers. It is the bond to the tooth that gives them their strength. I’ve seen cracked porcelain veneers stay on the teeth for months.

And you would never end up with porcelain veneers that are too long if you went to an expert cosmetic dentist. Dentists that love doing smile makeovers always have some mechanism for making sure that the appearance of porcelain veneers is pleasing to you before they are ever bonded on. Many of them will make a prototype set of veneers and place them before making the final ones. Others will use computer imaging combined with a try-in, or wax-ups, or other tools to make sure that you have a full chance to evaluate the appearance and feel of the veneers before they are finally bonded.

Yes, porcelain veneers that are too long, besides looking funny, could cause you to lisp. Also if they’re too thick.

And’s what’s this with four porcelain veneers and then six? A smile includes either eight or ten upper teeth. I hope you at least bleached your other teeth.

My advice to you? Bite the bullet and go to a true cosmetic dentist – one who makes his or her living doing smile makeovers and not one who does this as a sideline. Someone who has done this enough to be able to work out all the bugs. Someone who has such a passion for creating a beautiful smile that he or she will fly to courses all around the country to learn the best techniques from the masters in the field. These are the kinds of cosmetic dentists we have listed on our New York cosmetic dentists page.

When you go to such a cosmetic dentist to have these fixed, you will end up ecstatic about how your smile looks, so much so that you may smile continuously for about a week, so amazed at how beautiful your teeth look that you’ll be looking at them in your rear view mirror as you drive. That’s what we see with new smiles that are done right.

Dr. Hall

Related links:
Read about Invisalign invisible braces.
Be wary of Lumineers and GlamSmile.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Help in picking a dentist and wanting Lumineers

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Dr. Hall,
My daughter wants to get the lumineers by cerinate – she has visited with a dentist in Lubbock, Texas, Dr. Jones (not the real name), who has quoted her a price of $900 per tooth.

She is needing to have six teeth done.

There is a 5 year warranty and they are estimated to last 20 years. Can you verify if this is a reputable dentist and any information you can provide on the Lumineers by cerinate. Thanks in advance for your reply.
– Betty in west Texas

Dear Betty,
Whether or not the dentist is reputable isn’t the right question. You want to know if the dentist is artistic, and if he or she is trained in cosmetic dentistry.

It is not illegal to advertise as a cosmetic dentist, even if you have absolutely no training in cosmetic dentistry, and that is because cosmetic dentistry isn’t a legally recognized specialty.

I checked my sources about the dentist you mentioned. He may be very reputable, but I don’t see him on any of my lists for cosmetic dentistry training. And from what I did see on the Internet about him, I strongly suspect he is not an artistically inclined dentist.

You spoke about your daughter needing six Lumineers, as if there are teeth broken and they need to be fixed. I suspect that the situation is that she wants a beautiful smile. I would recommend against this dentist you mentioned, and I would recommend against Lumineers. Lumineers will likely make her teeth longer and bulkier, and especially if the dentist only does six, they will look funny. Lumineers work well for people with short teeth that are set back in the mouth a little. So if she wants a beautiful smile, that seems like an awful lot of money to throw at the problem and then not come away with a beautiful smile. That’s why you want an artist to do this.

Reputable dentists fix teeth so that they are functional, and they do work that lasts a long time. But unless your dentist is an artist, you may come away from the office hoping that it wears out or breaks quickly.

I would suggest a second opinion from a Texas cosmetic dentist on our referral list, before you spend all this money.

Good luck,
Dr. Hall

Click here to find a cosmetic dentist
Click here for information about porcelain veneers

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Looking for inexpensive porcelain veneers

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Dr. Hall
I had porcelain veneers put on my teeth over 10 years ago. They have shifted a bit and I would like to get them redone as well as adding some on my bottom teeth. However, as this is not covered by my insurance I was wondering if I could find a less expensive way to accomplish this by serving as a patient to a graduate student. Do you know if this is possible? I am willing to travel if the price difference is significant. Any information you could provide would be appreciated. Thank you.
– Jennifer in Pennsylvania

Jennifer,
The idea of traveling to find a lower fee for porcelain veneers is a possibility. When you get into smaller cities or different states you can get into lower fee areas and still have beautiful cosmetic dentistry. But be sure you go to an expert cosmetic dentist. Most of the dentists who advertise as cosmetic dentists aren’t really what I would call cosmetic dentists. They don’t have the artistic talent to be able to create a beautiful smile. But the idea of getting a new smile done for a lesser cost at a dental school is a very bad idea and won’t work, and I’ll explain why.

You need to understand that dentistry and cosmetic dentistry are two different things. Dentistry is a profession that fixes broken teeth. Cosmetic dentistry is a profession that creates beautiful smiles. They are two very different fields. Only one or two percent of dentists have the artistic inclinations to be cosmetic dentists. I would no sooner go to a dental school and ask them to create a beautiful set of porcelain veneers than I would pay my plumber to decorate the inside of my house. Even if he’s a really good plumber.

What’s the point of doing new porcelain veneers if they aren’t beautiful? If you don’t have the money, then I’d leave things alone. Your teeth probably work okay and this is something that can wait.
– Dr. Hall

Related links:
Read more about the cost of porcelain veneers, the cost of Lumineers, and the cost of cosmetic dentistry in general.
GlamSmile is offered as a low-cost option for porcelain veneers. But Dr. Hall has some grave reservations about the results.
Click here to ask Dr. Hall a question.
Click here to find a cosmetic dentist.

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

My dentist tells ME that my porcelain veneers feel comfortable!

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Dear Dr Hall,

I had 6 porcelain veneers fitted and am extremely disappointed with them. I am currently trying to negotiate a partial refund from the dentist, as they need to be re-done. The dentist maintains that the veneers were perfect, yet they were so bulky and uncomfortable. When I told her this, she disagreed, saying “yes they are comfortable.” I don’t know what gives her the right to make such a statement. She refused to make any adjustments, and I had to see another dentist to get the bulk trimmed down. However the veneers are not aesthetically pleasing, and the work needs to be re-done.

Can you please give me any advice or suggestions, as I feel it is not appropriate for her to make such statements that my veneers are comfortable or that I am too obsessed with them.

I would be grateful for any advice. Thank you
– Alice in London

Alice,
I laughed when I read about your experience. I know you’re exasperated, and to you I’m sure it’s not funny, but this is SO much the attitude of general dentists who try to do cosmetic dentistry. Let me help you understand this. I get many e-mails of patients who complain that their dentist says their new smile looks just fine, in spite of what the patient thinks of it. But this is the first where the dentist contradicts the patient and insists that they FEEL comfortable. That is SO funny!

Dentists are taught in dental school that THEY know best, and not to listen too much to the patient. This is what makes it so hard for them to do good cosmetic dentistry. A good cosmetic dentist, on the other hand, is very attuned to the preferences and feedback of his or her patients. It’s a different personality type.

Dentists decide to be dentists because they like to fix things. But cosmetic dentists need to be passionate about CREATING things. It’s very different. It’s only about one or two percent of dentists that are really good at creating a new smile.

If you want a new smile, you need an expert cosmetic dentist. We’re working on getting one in London. If you’d like us to let you know when we have someone to list, e-mail me back. But that’s what you need – a dentist with a true artistic temperament who really cares how they look and that you’re happy with them.

About dealing with the dentist that did them, my advice is to be as pleasant as possible. You can also try to enlist the support of your new, expert cosmetic dentist. These dentists tend to be very dismissive of the patient, but they may listen better to another dentist.
– Dr. Hall

Related links:
Find a cosmetic dentist
Taking care of porcelain veneers
Cost of porcelain veneers
Read about GlamSmile low-cost veneers

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Porcelain crowns are now rough/dentist on our insurance list

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Dr. Hall,
My wife recently had porcelain crowns on front upper teeth. At a follow-up appointment, the dentist attempted to “buff” the crowns to make the color match color of surrounding teeth. Now her color is still off and the crowns have no shiny appearance. The dental assistant who says she was present during buffing says the color is as close a match as possible with what was available and that porcelain won’t be shiny like natural teeth. Unfortunately, the dentist is not a cosmetic dentist. We are seeing him because he’s on our insurance approved list.

Any advice will be greatly appreciated-
– Charlie from Indiana

Charlie,
A couple of points.

First, yes, you are right, the porcelain should be shiny. But it’s worse than you think. Besides looking dull, when the dentist buffed off the glaze on the porcelain, he or she made them so that now they will stain, so they will look even worse as time goes on. But a cosmetic dentist can bring the shine back with a diamond polish.

Second, you have to decide if you just want your teeth “fixed” so they are functional, or if you want them to look nice, because if you want them to look nice, you will have to pay for it. You will not get a beautiful result from a dentist that is on any insurance company approved list. Dental insurance companies make these approved lists by finding dentists who are willing to cut corners and thus cut costs. That approach is simply incompatible with good cosmetic dentistry.

My advice would be to find a cosmetic dentist near you from our list, and have that dentist bring back the shine and make these look as good as possible. The dentist you are going to may be a good “fixer,” but does not appear to even understand the esthetic problem he or she has created.
– Dr. Hall

Related links:
Read about Cerec crowns

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Looking for Lumineers at a lower cost.

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Dr. Hall,
I read on your page that Lumineers may be a little lower priced than the common cost of veneers that run approximately $1500 apiece. Can you recommend a dentist within an hour’s drive of me, where I may work with a dentist to do a Lumineers remake of my smile in the less than $1500 price range?
– Mike in Illinois

Dear Mike,
Before answering your question, I have a couple of comments.

First, let’s say you can do eight teeth with Lumineers for a new smile and you found a dentist willing to charge only $1125 apiece. And then let’s say you found a dentist who would charge $1450 apiece. The cheap dentist is just a dentist – not an artist, and your teeth would end up a little bulky and funny looking. It would cost $9000. And at the end, your teeth would be straight and whiter but kind of funny-looking. Or, you could go to the other dentist and for $11,600 you could get an absolutely stunning smile, with another brand of porcelain veneers, because this dentist is an artist and is also fully trained in cosmetic dentistry, with a passion for beauty. Which would you choose?

I’m reflecting this back to you, because this seems to me what you’re asking. You’re saying to me that you don’t care how artistic the dentist is or how your teeth end up looking, as long as you can get something pasted over the top of your teeth. You just want the best price. But cosmetic dentistry isn’t like general dentistry. Dentists are trained to fix things, and they generally do a pretty good job of that, with some exceptions. You have a broken tooth, they fix it. You’re in pain, they get you out of pain. But when it comes to creating a great-looking smile, dentists aren’t trained to do that. It takes a dentist with artistic talent and passion to do that, and only a small minority of dentists can pull that off. Oh, you would end up with teeth that would be white and probably would be straight, but they would be about two millimeters longer than your present teeth and would likely be bulky and funny-looking. I don’t know why you would want to spend $9000 for that, when for a little more you could get a truly fabulous smile.

Here’s what I’d recommend: Drop the idea that you HAVE TO HAVE Lumineers, and go for the end result. You’re always better off to pick the dentist/artist and let them use the brand of porcelain they’re most comfortable with. You get into all kinds of trouble when you pick the brand and then ask a dentist to do that brand and no other. You’re in the Chicago area, and we have a number of excellent cosmetic dentists that we list there (see our Illinois cosmetic dentists page). Call each office and ask what the fee is for porcelain veneers. See if you can find a great cosmetic dental office that will talk money with you and that will be in your price range. I bet you’ll find a great cosmetic dentist who will be within your price range. But if you don’t, then my advice is to save up your money for a little longer and get it done right.

I hope this is helpful.
– Dr. Hall

Related links:
Cost of Lumineers
Cost of porcelain veneers
Post-operative care of porcelain veneers
Click here to find a cosmetic dentist

About David A. Hall

Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

Should I get porcelain veneers from a general dentist?

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Dr. Hall,
I have large teeth in a small mouth. I chipped one of my front teeth and my dentist recommened porcelain veneers. He is a general dentist but showed me a book of his veneer work. I looked at all the pictures and I can find no one with big teeth. Everyone has small teeth first and the veneers made their teeth a normal size. If I want smaller teeth, am I making a mistake by asking my dentist to file my teeth down to a smaller size? Also he recommended doing veneers on the front two teeth but I thought that it would be better to do the top six teeth. I was hoping by doing this that I could have all six teeth filed down a bit so they are not so big. Also do you think that it is a mistake to have a general dentist do your veneers? By doing this my insurance will cover a lot of the cost and cosmetic dentist in my area won’t take insurance. Thank you in advance for your advice.
– Troy in Texas

Troy,
Yes, it is a big mistake to get porcelain veneers from a general dentist. Cosmetic dentists have an entirely different approach. And even with a “cosmetic dentist” you have to be careful, because any dentist can say he or she is a cosmetic dentist without going through the extensive training that it takes to be good at that. Most dentists pick dentistry because they like to fix things. They’re generally good at fixing, but they have little artistic sense. And artistic sense is absolutely essential in creating a beautiful smile for you.

A couple of points about your experience with your dentist:

  • Just because your dentist can show you a book of photographs doesn’t make him or her an expert cosmetic dentists. I’ve seen many photographs that dentists display proudly but they’re simply not very good, and they don’t seem to see it.
  • If all the photos show patients with smaller teeth and the dentist makes them bigger, that’s a red flag. Good cosmetic dentists address a variety of situations.
  • If your dentist thinks your case can be done with two veneers, but you think it needs six, that’s a red flag.
  • There’s a reason good cosmetic dentists generally don’t subscribe to most of the insurance plans. The fact that your dentist subscribes to your insurance plan is another red flag. Dental insurance companies like dentists that save money and cut corners, which doesn’t work for cosmetic dentistry.So I think you have two choices:
  • If money is your big concern, then do nothing. This is the cheapest alternative, and you won’t be messing up your mouth.
  • If you want a beautiful smile, then go to a cosmetic dentist who is an artist. There are several in your area. Check our Texas cosmetic dentists page.

    • Don’t try to do both: save money AND get a beautiful smile. It doesn’t work.

    – Dr. Hall

    Related information:
    Read more about dental insurance and cosmetic dentistry on our web site.
    Find an expert cosmetic dentist.
    Ask Dr. Hall a question.

    About David A. Hall

    Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

    Do cosmetic dentists have to be accredited?

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    Dr. Hall,
    I see that some of the dentists you list are accredited in cosmetic dentistry and some aren’t. Does every dentist have to be accredited by the American Academy of Cosmetic Dentistry?
    – Victoria from New York

    Dear Victoria,
    Cosmetic dentistry is a completely unregulated field, and that goes to the heart of why we have published this web site. Any dentist can say that he or she is a cosmetic dentist. But in my opinion, only one or two percent really have the artistic inclinations and the training and skills required to create beautiful smiles.

    The American Academy of Cosmetic Dentistry does have an accreditation program that is fairly rigorous. To become accredited, a dentist needs to pass a written examination and a clinical examination that involves five cases of five different types of cosmetic treatment. Any dentist who has passed this accreditation examination is a qualified cosmetic dentist. But the AACD has no authority to require cosmetic dentists to take this examination, and there are some excellent cosmetic dentists who choose not to go through this grueling process. Others are in the process of becoming accredited, and have the requisite artistic talent and training but haven’t yet demonstrated it to the AACD.

    Whenever we list cosmetic dentists who aren’t accredited, we require them to show photographs of their work that demonstrate the appropriate artistic skills, and we ask about the courses they have taken to receive their training in cosmetic dentistry, so that we may assure our visitors of the quality of the work they receive from any listed dentist. And since I myself am an accredited cosmetic dentist, I know how to evaluate the work to make sure these dentists have the necessary artistic skill.

    I hope this is helpful.
    – Dr. Hall

    Links that may interest you:
    Find an expert cosmetic dentist
    Ask Dr. Hall a question
    Read about porcelain veneers – the flagship cosmetic dentistry procedure
    Read about smile design – the artistry of creating a beautiful smile

    About David A. Hall

    Dr. David A. Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does advanced internet marketing for dentists.

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