Extracted Teeth Questions

[cedric101]

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So, a question has been on my mind since I came across this article: http://www.ncbi.nlm.nih.gov/pubmed/9479921

Would it be possible to make veneers out of extracted teeth. Although the article does not really hit on ths topic, this hypothetical question popped in my mind.

On a side note, and this may be the novice student in me, does anybod else think veneers are just being overly pushed in our profession. I was thinking in class, veneers are really just " fake" teeth when it boils down to it, I mean I really don't know how they transcended the notion that that they are better than real teeth is besides. That being said, there s a place for veneers, meth mouth,seriously messed up teeth granted, but slight imperfections give a person character, and I believe the instant orthodonist plug is bound to be get someone in our profession in trouble for misrepresentation. I just think they are being plugged like nose jobs,and often the results are just wtf. I was also thinking when discussing options with potential clients, we should do more to tell them that this may not last forever, there could be a high chance you may have to get the job done again in say 15 to 20 years. So why not consider braces, bleach procedures etc. I just had to vent, maybe just being naive, but I think the profession should really look into the veneer fascination more carefully.

 

[Vapor1122]

Of course those options are considered and presented to the patient where applicable (by an ethical dentist, at least), but patients often want an instant fix. As long as they're informed as to what they're getting into and its limitations, there shouldn't be a problem.

 

[cedric101]

But to me, it is great from a savvy monetary standpoint to always be trying to push these varous cosmetic procedures, but my whole problem is that the over abundance of these procedures have seemingly taken away from the beauty of dentistry. I am of the firm belief veneers should be used in limited circumstances, but then again when I am practicing, who knows if I will keep my mouth shut. Veneers have really opened doors to making the profession that much more stable, but to me it has just got to an a point of no return from an ethical standpoint.

 

[cedric101]

Vapor I would love to hear your thoughts on the article and on the hypothetical question of using extracted teeth as veneers or crowns.

 

[Vapor1122]

Cool idea I guess, but not really sure it'd be practical. It works a little better for inlay/onlay because your donor tooth can be a third molar extracted because of impaction, but why would you extract an intact anterior tooth (short of a lower central for ortho, on rare occasion)? Even if you did find such a tooth, your donor would still have to have the same countours and shade as the host, and matching that would be near impossible.

I'd much rather have the control you get with porcelain.

 

[cedric101]

Yeah, I knew it was a pipe dream, in regard to porcelain, I may be in the minority when thinking composite offers a better all around natural look,then what we are seeing on the market. All to often, I see results like the links I provided below, where I am not sure what dentists are striving for: My goal in my practice would be to make the most natural result possible.

http://www.google.com/imgres?imgurl...page=1&ndsp=20&ved=1t:429,r:9,s:0&tx=38&ty=52

I actually like the before picture on this one.

http://www.google.com/imgres?imgurl...e=2&ndsp=21&ved=1t:429,r:17,s:20&tx=137&ty=82



Although I am just a novic embarking on the career, I know veneers will play an integral part in my practice, do you notice the veneers on the market today look just fake?

 

[Vapor1122]

I'l agree there's a lot of bad veneer cases out there, but I've yet to see a composite that keeps its aesthetics for the long-term the way porcelain does.