High Speed Braces® Institute.com
Why are braces better?

Having braces is often a better choice than porcelain veneers for improving the appearance of crooked, but otherwise healthy teeth.  These are a few of the reasons:

1.Porcelain veneers usually require the tooth to be re-shaped to make room for the restorative material.  Unless the teeth are already heavily filled with composite restorations (white fillings) or the color of the enamel is unresponsive to tooth whitening, the teeth are better left in their natural state.  A new type of veneer called "no prep" veneer is glued on top of the enamel with little or no grinding.  However it often leaves the tooth looking bulky and when it requires replacement a certain amount of enamel will be lost in the process.Grinding the teeth down irritates the nerve of the tooth.  Sometimes the nerve will die and further treatment and expense will be required.  The process of reshaping the tooth for veneers also weakens the remaining tooth structure and increases the likelihood of fracture.

2. Porcelain veneers chip easier than natural teeth.  The porcelain dental materials have become extremely life-like but they still have a difficult time holding up under severe conditions which often occur in a person's mouth.  Tooth grinding  (often during sleep) is a very common condition which causes the premature failure of  many porcelain veneers.  In layman's terms, porcelain fractures or breaks while natural enamel is more forgiving and wears down under these stresses. This makes the wearing of a night guard a common prescription after a veneer makeover.

3. Veneers are often MORE EXPENSIVE!  A full smile makeover usually involves at least 8-10 teeth, and sometimes all the teeth eventually get recovered in the process.  At about $1000 per tooth the math is pretty easy... but over time veneers require replacement so the lifetime cost can be even greater.  High Speed Braces cost much less than a porcelain makeover and offer a compromise in time compared to traditional orthodontics.

4. Porcelain veneers have many other limitations.  Trying to close large gaps with veneers results in excessively wide teeth with unusual proportions that do not look normal. When teeth are very twisted or rotated, the grinding of the teeth required to fabricate the veneers can be quite aggressive.  Many times the amount of grinding required necessitates the need for a root canal.

If a tooth is tipped inward towards the tongue, the veneers need to be very thick to make the tooth look like it is aligned.  This situation can often be corrected in a few short weeks or months with High Speed Braces.

5. Gum surgery is often used in conjunction with veneers to do things that orthodontics could have done naturally. A "gum lift" is a nicer term for the gingival surgical repositioning procedure used to uncover parts of a tooth that are covered by the gums because of the poor position in the mouth.  It is much preferable to actually move the tooth to the proper position than it is to cut the gums to make it look like it is correct.  The cutting often removes healthy tissue which would have been left if orthodontics was used instead.

Visit www.highspeedbraces.org for actual "before and after" photographs of orthodontic patients who chose High Speed Braces. This site also contains a search area to locate dentists who offer rapid orthodontic care.

This is the 3rd Edition of the book Bioethics of Shorter-term Orthodontics specifically written for dental boards & committees - it can be ordered through this link.
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