Specialty & Implant Care
Veneers & Cosmetic Dentistry
Cosmetic dentistry done well should not be noticeable as dentistry. The goal is teeth that suit your face and your age — not a row of identical white rectangles.
Treated by
Dr. Jonathan Berkowitz, DMD
Residency-trained Prosthodontist
- University of Michigan prosthodontic residency
- Ten years attending prosthodontist, Northport VA
- Implants placed and restored in-house
What veneers are, and what they require
A porcelain veneer is a thin shell bonded to the front of a tooth. Veneers can correct discolouration that whitening cannot touch, close small gaps, repair chips, and improve the shape or alignment of teeth that are slightly crooked.
What matters, and what is frequently glossed over, is that most veneers require some permanent removal of enamel. It is a modest amount, but it does not grow back, and the tooth will need a veneer or a crown for the rest of your life. Some cases can be treated with minimal or no preparation, and where that is possible we will do it — but it is not possible in every case, and any practice promising it universally is overstating what is possible.
This is a decision worth making slowly and with full information, which is why we discuss the trade-off directly rather than presenting veneers as a purely additive procedure.
Designing a smile that fits the person
The most common failure in cosmetic dentistry is teeth that are technically well made and obviously wrong — too white, too uniform, too long, or simply belonging to a different face.
Natural teeth are not identical to one another. The two central incisors are slightly wider than the teeth beside them, the edges follow the curve of the lower lip when you smile, and the colour is not flat but graduated, lighter at the edge and warmer near the gum. Reproducing that variation is what makes a result convincing.
Age matters as well. A shade appropriate for someone in their twenties looks conspicuous on someone in their sixties, and there is a version of cosmetic dentistry that reads instantly as work rather than as teeth. Prosthodontic training covers the esthetics of the whole face — how the teeth relate to the lips, the midline, and the way you actually smile — and that broader view is what keeps the result believable.
For patients in their fifties, sixties, and seventies, the aim is usually a return to how the teeth looked twenty years ago, before wear and staining took their toll. That is a considerably more flattering outcome than the uniform brightness of a much younger mouth.
Alternatives worth considering first
Not every concern requires veneers, and we would rather talk you out of unnecessary treatment than into it.
Professional whitening handles most general discolouration at a fraction of the cost, with no removal of tooth structure. If colour is the only issue, start there.
Composite bonding can repair a chip or close a small gap in a single appointment. It does not last as long as porcelain and is more prone to staining, but it is reversible, far less expensive, and often entirely sufficient.
Clear aligners address crowding and spacing by moving the teeth themselves rather than covering them. When teeth are crooked, straightening them is frequently the better answer, and sometimes it is the only treatment needed.
Where teeth are worn or the bite is unstable, veneers alone would be treating the symptom. Those cases belong in a broader reconstruction plan, or the new veneers will chip exactly as the natural teeth did.
The veneer process
- 1
Consultation and photographs
A discussion of what you would like changed, an examination of the teeth and bite, and a full set of photographs. We check for grinding or bite problems that would put veneers at risk.
- 2
Smile design and preview
A proposed design based on your facial proportions, which can be previewed in the mouth so you can see the shape before any tooth is touched.
- 3
Preparation and temporaries
Minimal enamel reduction where required, an impression or digital scan, and temporary veneers made to match the approved design. You wear these while the porcelain is fabricated.
- 4
Try-in and bonding
The finished veneers are tried in and assessed for fit, shade, and appearance in natural light before being permanently bonded. Adjustments happen at this stage, not after.
Questions
Things people ask
If your question is not here, call the office. Nobody will pressure you into booking.
Call 212-874-1700How long do veneers last?
Porcelain veneers commonly last ten to fifteen years and frequently longer. They can chip or debond, usually as a result of grinding or biting something hard.
If you grind your teeth, a nightguard is not optional — it is the single most effective thing you can do to protect them.
Will they look fake?
Not if they are properly designed. Veneers look artificial when the shade is too bright, the teeth are all the same shape, or the proportions do not suit the face.
The design preview stage exists so you can see and approve the shape before anything is permanent, and we will give you an honest opinion if a shade you are considering will read as conspicuous.
Do I have to have my teeth filed down?
Usually some enamel is removed, though the amount is small — often under a millimetre. In selected cases, particularly where teeth are slightly undersized or worn, veneers can be bonded with little or no preparation.
Whether that applies to you depends on your teeth, and we will tell you at the consultation rather than promising it in advance.
Am I too old for veneers?
No. Cosmetic work is common and often particularly rewarding for patients in their fifties through seventies, because decades of wear and staining have usually created a real difference to restore.
The consideration at any age is the condition of the teeth and gums underneath. Healthy foundations matter more than the year on your birth certificate.
Related
You may also want to read about
Crowns & Bridges
Porcelain restorations that protect a damaged tooth or replace a missing one, designed to match the teeth beside them.
Learn more about Crowns & BridgesTeeth Whitening
Professional in-office whitening and custom take-home trays that work far better than anything sold at a drugstore.
Learn more about Teeth WhiteningFull Mouth Reconstruction
Rebuilding an entire bite when years of wear, grinding, decay, or old dentistry have caught up with you.
Learn more about Full Mouth ReconstructionTalk it through with a specialist.
Most people considering implants or major reconstruction have been thinking about it for a long time. A conversation costs nothing and there is never any pressure.
40 West 86th Street, Suite 1C · New York, NY 10024