Can You Still Get Cavities with Veneers?

Dental veneers are a popular cosmetic dentistry solution known for transforming smiles by covering imperfections like stains, chips, or gaps. While they are often associated with durability and long-lasting beauty, one common question patients ask is, “Can I still get cavities if I have veneers?” While veneers are made from strong materials like porcelain or composite resin and are resistant to decay themselves, the natural tooth underneath is still vulnerable. Here’s what you need to know about cavities and veneers and how to keep your smile healthy.

What Are Veneers?

Veneers are thin, custom-made shells that are bonded to the front surface of your teeth. They are most often used on the front teeth to enhance the appearance of your smile. Veneers do not cover the entire tooth, only the front portion, leaving the rest of your natural tooth, including the back and the root, exposed.

How Cavities Can Form with Veneers

Since veneers only cover the front of the tooth, the rest of the tooth remains susceptible to plaque buildup and decay. Here are a few ways cavities can still develop:

• At the margin where the veneer meets the tooth: This is a vulnerable spot where bacteria can sneak in if proper oral hygiene isn’t maintained.
• Behind or between teeth: These areas aren’t covered by the veneer and can still collect plaque and food particles.
• Under the veneer if the bond weakens: If a veneer becomes loose or improperly sealed, bacteria can slip underneath and attack the natural tooth.

It’s important to note that once decay begins, it can compromise not only the health of the tooth but also the integrity of the veneer itself.

How to Prevent Cavities with Veneers

Good oral hygiene is just as important with veneers as it is with natural teeth. Here are some tips to keep cavities at bay:

• Brush twice a day using a fluoride toothpaste.
• Floss daily to remove food particles and plaque from between teeth.
• Use an antibacterial mouthwash to reduce bacteria levels.
• Visit your dentist regularly for checkups and professional cleanings.
• Avoid sugary snacks and acidic beverages that can contribute to tooth decay.
• Don’t skip dental appointments, as your dentist can detect early signs of decay around veneers.

Signs You Might Have a Cavity Behind a Veneer

It can be difficult to tell if you have a cavity behind a veneer, as the shell may mask symptoms. However, common warning signs include:

• Tooth sensitivity to hot, cold, or sweet foods.
• A persistent toothache or dull pain.
• Discoloration or dark spots near the gumline.
• A veneer that feels loose or shifts position.

If you experience any of these symptoms, it’s important to contact your dentist promptly for an evaluation.

Veneers can dramatically improve the appearance of your smile, but they don’t make your teeth immune to decay. Maintaining excellent oral hygiene and visiting your dentist regularly are essential to ensure your teeth and your veneers stay healthy and beautiful for years to come.

About the Author

Dr. David S. Rosenfeld is a graduate of the Columbia University School of Dental and Oral Surgery in New York City. While in New York, he completed a general practice residency where he not only completed advanced training in the fields of cosmetic dentistry, oral pathology, and pediatric dentistry, but also helped found and develop the oral implantology program at the hospital. Dr. Rosenfeld stays current in the field through memberships with the American Dental Association, the New Jersey Dental Association, and the Academy of General Dentistry. Interested in veneers to beautify your smile? Schedule an appointment online or call us at (908) 668-7838.