Last month, my dentist recommended full-mouth reconstruction on all my upper and lower teeth. I already have two crowns and three veneers. My gums are receding above the crowns, and I have a dry mouth. I asked my dentist for teeth whitening, but he said that replacing the crowns and veneers with all crowns is best. He hasn’t addressed my dry mouth for the past few years, though. Why would I need crowns on all my teeth? I wasn’t expecting the recommendation, nor could I afford it. Thank you. Karleigh from San Jose
We encourage you to switch to a skilled dentist and avoid aggressive treatment.
Are Dental Crowns the Solution for Whiter Teeth?
Dental crowns are not a solution for whiter teeth; teeth bleaching is the treatment of choice. Few dentists have full-mouth reconstruction skills; unless your teeth are otherwise unsavable, you should avoid rebuilding your teeth. Full-mouth reconstruction can change your bite, speech, and facial appearance. If a dentist doesn’t understand how to harmonize your occlusion and bite, it can lead to lip incompetence, TMJ concerns, and poor oral health.
Do You Need to Replace Porcelain Veneers with Crowns?
You do not need to replace porcelain veneers with crowns unless teeth are tooth-damaged or decayed for porcelain veneers to bond to them. Even so, a skilled cosmetic dentist will determine whether you qualify for a porcelain onlay to preserve as much tooth structure as possible. Replacing a porcelain veneer with a dental crown requires grinding the tooth on all sides to ensure the crown fits over it. For other concerns about porcelain veneers, see our post, How to Get Porcelain Veneers Without Regrets.
What Is Causing Dry Mouth?
A medical condition, stress, or a misaligned bite can cause dry mouth. Allowing a dentist to complete unnecessary full-mouth reconstruction can increase your dry-mouth symptoms. We recommend consulting an advanced—preferably accredited—cosmetic dentist for an exam and digital X-rays. The dentist will evaluate your teeth’ condition and suggest teeth whitening treatment without using dental crowns.