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Lumineers

Lumineers can be used to fix cosmetic dental imperfections like stains, discolorations and chipped or misaligned teeth.

Can a Lumineer be bonded on to a front tooth that is already crowned?

Michael Apa (New York, NY) on Aug 29, 2011
Well, worst case scenario is you replace the bridge. I would go into that situation realizing that this is a possibility. A better suggestion would be to use a spring aligner to pull the teeth together. Using a Lumineer, in my mind, and without seeing the situation, would not be a good idea. It would protrude, be thick and the color would be difficult to match. Another idea may be to use bonding on top of the existing crown. There are good composites called "porcelain repair kits" that bond well to porcelain.
Brian Gray (Washington, DC) on Aug 29, 2011
Yes. We can bond to porcelain. But why would you want to do that?
Christopher Baer (Aurora, CO) on Aug 29, 2011
Yes, this can be done. It could also be done with our dental composite. Using the dental composite would give you an inexpensive way to fix it. It is, however, not as predictable as the bonding of the veneer to the bridge. However I would need to know more about the bridge and the location of it as a development of a gap could also be a sign of something else going on. I am sorry to hear that the gap causes you problems, but rest assured it can be fixed.
Ramin Tabib (New York, NY) on Aug 29, 2011
I wouldn't feel comfortable placing Lumineers over your existing porcelain crowns, or for that matter, over your natural teeth. I don't like Lumineers as a veneering product. There are better, more natural options. The fact that you have developed a gap between your front teeth after these crowns were placed indicates that there must be an underlying issue which needs to be evaluated carefully prior to moving ahead with new veneers/crowns.
Kamini Talati (Port Saint Lucie, FL) on Aug 29, 2011
A Lumineer may not bond to an existing crown, but it can be tried. I would try it before replacing an entire bridge. But if by placing a Lumineer you might damage the bridge, I would think twice.
Elisa Mello (New York, NY) on Aug 29, 2011
I wouldn't feel comfortable placing Lumineers over your existing porcelain crowns or for that matter over your natural teeth. I don't like lumineers as a veneering product. there are better more natural options. The fact that you have developed a gap between your front teeth after these crowns were placed indicates that there must be an underlying issue which needs to be evaluated carefully prior to moving ahead with new veneers/crowns
Steven Bader (Newton Centre, MA) on Aug 29, 2011
It certainly is POSSIBLE to bond thin veneers to existing crowns or bridges. If the existing crowns have metal under the porcelain it just has to be done by someone with some experience to end up looking OK. Look for a dentist with a lot of veneer experience, like a member of the AACD (American Academy of Cosmetic Dentistry) or a Fellow of LVI - the Las Vegas Institute for Advanced Dental Studies in cosmetic dentistry. Usually I find it is better to replace the existing crowns - but if you actually have a bridge where all four teeth are attached together, it is worth considering veneers. I personally do not care for the brand that is Lumineers. I prefer ultrathin veneers from other laboratories. I hope that helps. Good luck!
Amanda Seay (Mount Pleasant, SC) on Aug 29, 2011
It depends on the quality of your existing porcelain crown. The Lumineer is just a brand name for a veneer, a very thin piece of porcelain that any talented lab technician can fabricate. Most porcelain restorations can be bonded to an existing porcelain restoration, but that is not the standard of care unless it's a minor repair. The standard of care would be to replace the entire restoration as a whole. If you want to close the gap with an additional 2 units of porcelain then you must be aware that your teeth will be slightly thicker unless your dentist removes some porcelain off your existing crowns.
Leonard Tau (Philadelphia, PA) on Aug 29, 2011
I would not recommend trying to place a Lumineer on top of an existing bridge. Bonding to porcelain is unpredictable. The gap is what you should be concerned with.
Les Latner (Los Angeles, CA) on Aug 29, 2011
No. Remember, Lumineers is a brand name for a porcelain veneer. However, porcelain, whether a Lumineer or any other porcelain, cannot be bonded to porcelain. Les Latner, DDS drles@ucla.edu