{"id":8936,"date":"2020-05-21T11:21:26","date_gmt":"2020-05-21T18:21:26","guid":{"rendered":"https:\/\/www.mynewsmile.com\/blog\/?p=8936"},"modified":"2021-12-30T17:04:43","modified_gmt":"2021-12-31T00:04:43","slug":"normal-porcelain-veneers-pop-off","status":"publish","type":"post","link":"https:\/\/www.mynewsmile.com\/blog\/normal-porcelain-veneers-pop-off\/","title":{"rendered":"Is it normal for veneers to keep popping off?"},"content":{"rendered":"<p>Dear Dr. Hall,<\/p>\n<p>I\u2019ve been going to the same dentist for three years. I started on the path of veneers in November 2019 and I\u2019ve been miserable since then. My teeth weren\u2019t that bad, one shorter than the other in front, chipped here and there, and not a pretty white anymore. My dentist ground my eight front top teeth down to little dark yellow nubs. I wore temps for two weeks then got my permanent veneers done.<\/p>\n<p>Every week since then I\u2019ve had one or more teeth pop off. I call and they get me right in and glue my tooth\/teeth back on. She knows I grind and I\u2019ve been wearing a nightguard since I\u2019ve had my veneers. She said she doesn\u2019t know why they keep coming off and keeps blaming me for grinding. She also told me I needed the veneers because all my teeth were getting cracks from the grinding and I needed to protect them by wearing veneers. Some of the veneers have like a ledge on the backside and those are often the ones that pop off.<\/p>\n<p>I\u2019m beginning to know when one is getting ready to come off because my breath starts to smell horribly and when the veneer pops off, omgosh it stinks! On Christmas with all my family here I had three teeth missing in the front. I was so embarrassed. In March I went to DC with my 10-year-old&#8217;s class and had to carry super glue around because one tooth kept popping out.<\/p>\n<p>Last week she told me to come in and she wants to try something different. I\u2019m beginning to think I\u2019m being her guinea pig and in my humiliation and expense. I cry every day when I look at myself and don\u2019t want to go out for fear a tooth is going to pop out. Are dark yellow little nubs normal? Is it normal to grind them down so little? She told me they\u2019d last 20 years. Are they going to keep falling out for 20 more years?<\/p>\n<p>Yesterday two veneers fell off just while eating a banana! I cried off and on all day! We spent so much money already and I don\u2019t know what my options are. Can my teeth be fixed? Can I still wear veneers or am I going to have to get all my teeth removed and get dentures? We\u2019re a military family and moving out of Texas in one month. I\u2019m scared I\u2019ll be moving toothless and another dentist won\u2019t even touch me and my gosh I can\u2019t imagine how much more fixing my teeth is going to cost. We can\u2019t afford this. I don\u2019t know what to do, is there anything I can do?<\/p>\n<p>Another question. She has me take an Ativan pill the night before my appointment, then one right before I go in. I have to bring in the other two pills that came with the prescription and she gives me them while I\u2019m being worked on as well as having nitrous. I don\u2019t remember anything while I\u2019m there and don\u2019t even remember leaving her office. My husband tells me I\u2019m out of it for the rest of that day and the next day as well. Is this normal?<\/p>\n<p>&#8211; Dorianne from Texas<\/p>\n<p>(See Dr. Hall&#8217;s answer below.)<\/p>\n<div class=\"responsive-post-content\">\n<div class=\"post-left-column\">\n<script>\/\/ <![CDATA[\n(function(d, s, id) {\n  var js, fjs = d.getElementsByTagName(s)[0];\n  if (d.getElementById(id)) return;\n  js = d.createElement(s); js.id = id;\n  js.src = \"\/\/connect.facebook.net\/en_US\/all.js#xfbml=1\";\n  fjs.parentNode.insertBefore(js, fjs);\n}(document, 'script', 'facebook-jssdk'));\n\/\/ ]]><\/script><br \/>\n<span style=\"font-family: Arial; font-size: small;\">We thank our advertisers who help fund this site.<\/span><\/p>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Square for mns blog - 2020 --><br \/>\n<ins class=\"adsbygoogle\"\n     style=\"display:block\"\n     data-ad-client=\"ca-pub-4419877247826466\"\n     data-ad-slot=\"6484616093\"\n     data-ad-format=\"auto\"\n     data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script>\n<\/div>\n<div class=\"post-right-column\">\n<p>Dorianne,<br \/>\nMy, what a real <a href=\"https:\/\/www.mynewsmile.com\/horrorstories.htm\">cosmetic dentist horror story<\/a>!<br \/>\nThe short answer for you is that no, the things you are experiencing are not normal. You have had an awful time with what should have been a wonderful experience. I&#8217;m so sorry about what was done to you, and I do believe it crosses the line into <a href=\"https:\/\/www.mynewsmile.com\/blog\/tag\/dental-malpractice\/\">malpractice<\/a>. There are several things that were done wrong to you\u2014let me take them one by one.<\/p>\n<p>First, your dentist did not do veneers\u2014she did crowns.<\/p>\n<div id=\"attachment_3486\" style=\"width: 410px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3486\" class=\"size-full wp-image-3486\" src=\"https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-veneers.jpg\" alt=\"two front teeth, prepared for porcelain veneers, showing about half a millimeter of enamel removed\" width=\"400\" height=\"280\" srcset=\"https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-veneers.jpg 400w, https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-veneers-300x210.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><p id=\"caption-attachment-3486\" class=\"wp-caption-text\">A typical porcelain veneer preparation<\/p><\/div>\n<p>For porcelain veneers, about half a millimeter is usually reduced from the front of the tooth only. For a crown on a front tooth, the preparation is rather aggressive, and the tooth can be ground down to a nub, as you have put it. This is major overkill. Your experience with these crowns not staying on suggests to me that your dentist didn&#8217;t know how to do porcelain veneers, because she does not appear to be familiar with bonding technology.<\/p>\n<div id=\"attachment_3487\" style=\"width: 410px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3487\" class=\"size-full wp-image-3487\" src=\"https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-crowns.jpg\" alt=\"two front teeth, prepared for porcelain crowns\" width=\"400\" height=\"280\" srcset=\"https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-crowns.jpg 400w, https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-crowns-300x210.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><p id=\"caption-attachment-3487\" class=\"wp-caption-text\">A typical porcelain crown preparation<\/p><\/div>\n<p>So now you are stuck with teeth that have been ground down to nubs, and your options for fixing this are fairly limited.<\/p>\n<p>Second, even doing the crowns, there was lacking what we call proper retention form. A crown can be kept on with conventional dental cement, if the tooth is prepared correctly. It doesn&#8217;t need bonding technology. But she hasn&#8217;t even been able to do that. My guess is that your teeth have been left even shorter and stubbier than the photograph I&#8217;m showing. And this is the major legal problem that she has. While many dentists do not know how to properly do porcelain veneers, every dentist is taught in school how to properly do a crown preparation and get a crown to stay on. So in this she has grossly violated the standard of care and is legally liable. What is happening to you is that the crowns are getting loose in function, and that looseness allows saliva and bacteria to get in under the crown, which is where the awful smell and taste are coming from.<\/p>\n<p>Third, the sedation. I&#8217;m not even sure why you need sedation. You haven&#8217;t said anything about any problems with <a href=\"https:\/\/www.mynewsmile.com\/dental-fear.htm\">dental anxiety<\/a>. Why can&#8217;t you just have novocain? Or maybe just nitrous oxide plus novocain if you are anxious? And so much sedation that you don&#8217;t even remember going home. But maybe you didn&#8217;t tell me that part and you need some type of sedation. So let&#8217;s say that you need sedation. Why Ativan? Ativan has a serum half-life of about 24 hours, which means that after 24 hours, half of the dose is still in your bloodstream. It can take a couple of days for it to be eliminated. For oral conscious sedation, most dentists use Halcion (triazolam), which has a serum half-life of about three hours, which is plenty for a dental appointment.<\/p>\n<p>So what to do now? As I said, your dentist, in my opinion, is legally liable for the damage done to you. Your teeth have been ground down to nubs when that didn&#8217;t need to be done. You grind your teeth, which puts extra stress on your teeth, and with them ground down so severely, they are at serious risk of breaking off at some point later in life. In a just world, I believe this dentist should first pay to have your teeth done right by someone who knows what they are doing, but then should go beyond that to compensate you for what else could go wrong with these teeth over your lifetime because of this aggressive over-treatment. You sound like a sweet person who wouldn&#8217;t want to cause any trouble with anyone, and you maybe need someone to go to bat for you.<\/p>\n<p>I would start by finding a competent dentist who could fix what has been done. I would do that in your new location. You can let me know where you are going and I would be happy to help you find a dentist to help you. Then, that dentist can help you confront the dentist who did this. Hopefully she will take care of you without your having to go to court. Her malpractice insurance should cover whatever you need to have done. If you do end up going to court, my prediction would be that you would get a substantial award.<\/p>\n<p>&#8211; Dr. David Hall<\/p>\n<p>Do you have a comment or anything else to add? We&#8217;d love to hear from you. Enter your comment below. Or click here to <a href=\"https:\/\/www.mynewsmile.com\/askdr.htm\">ask Dr. Hall a question.<\/a><\/p>\n<p><iframe loading=\"lazy\" style=\"border: currentColor; width: 450px; height: 80px; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/like.php?href=http%3A%2F%2Fwww.mynewsmile.com&amp;layout=standard&amp;show_faces=true&amp;width=450&amp;action=like&amp;colorscheme=light&amp;height=80\" width=\"300\" height=\"150\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dear Dr. Hall, I\u2019ve been going to the same dentist for three years. I started on the path of veneers in November 2019 and I\u2019ve been miserable since then. My teeth weren\u2019t that bad, one shorter than the other in front, chipped here and there, and not a pretty white anymore. My dentist ground my [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[5],"tags":[1264,1270,303,613,1350,1271,1269,1267,1266,1268,176,84,665,553,646,995,1265],"class_list":{"0":"post-8936","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-cosmetic-dentistry-mistakes","7":"tag-ativan","8":"tag-bonding-technology","9":"tag-cosmetic-dentistry-horror-stories","10":"tag-crown-fell-off","11":"tag-difference-between-veneers-and-crowns","12":"tag-grind-your-teeth","13":"tag-ground-down-to-nubs","14":"tag-halcion","15":"tag-lorazepam","16":"tag-malpractice","17":"tag-nightguard","18":"tag-nitrous-oxide","19":"tag-porcelain-veneers-falling-off","20":"tag-sedation-dentistry","21":"tag-standard-of-care","22":"tag-teeth-ground-down","23":"tag-triazolam","24":"entry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Is it normal for veneers to keep popping off? - Cosmetic Dentistry Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mynewsmile.com\/blog\/normal-porcelain-veneers-pop-off\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is it normal for veneers to keep popping off? - Cosmetic Dentistry Blog\" \/>\n<meta property=\"og:description\" content=\"Dear Dr. Hall, I\u2019ve been going to the same dentist for three years. I started on the path of veneers in November 2019 and I\u2019ve been miserable since then. My teeth weren\u2019t that bad, one shorter than the other in front, chipped here and there, and not a pretty white anymore. My dentist ground my [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mynewsmile.com\/blog\/normal-porcelain-veneers-pop-off\/\" \/>\n<meta property=\"og:site_name\" content=\"Cosmetic Dentistry Blog\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-21T18:21:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-12-31T00:04:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.mynewsmile.com\/blog\/wp-content\/uploads\/2017\/08\/prep-porcelain-veneers.jpg\" \/>\n<meta name=\"author\" content=\"David A. Hall\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"David A. Hall\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Is it normal for veneers to keep popping off? - Cosmetic Dentistry Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.mynewsmile.com\/blog\/normal-porcelain-veneers-pop-off\/","og_locale":"en_US","og_type":"article","og_title":"Is it normal for veneers to keep popping off? - Cosmetic Dentistry Blog","og_description":"Dear Dr. Hall, I\u2019ve been going to the same dentist for three years. I started on the path of veneers in November 2019 and I\u2019ve been miserable since then. My teeth weren\u2019t that bad, one shorter than the other in front, chipped here and there, and not a pretty white anymore. 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Hall","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/4615c869fad982a8b037801e6bd5181b104e67228b9c0525d2ad490de1e7b78e?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/4615c869fad982a8b037801e6bd5181b104e67228b9c0525d2ad490de1e7b78e?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/4615c869fad982a8b037801e6bd5181b104e67228b9c0525d2ad490de1e7b78e?s=96&d=mm&r=g","caption":"David A. Hall"},"description":"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. 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