I think my teeth grinding has broken my porcelain veneer.

I have had a grinding problem for the last couple years. I think it all began after my general physician prescribed me an anti-depressant. This medication was supposed to help me out with my terrible migraine headaches. Anyway, I really started noticing that I would grind my teeth while taking this medication. The headaches are getting better, but the other night, when I woke up one of my porcelain veneers had broken while I was sleeping. I have had the veneers for a little longer than my grinding issue. But it is still bothersome to me and expensive that I will have to get it replaced. Do you know how I can avoid breaking any others while staying on the same medication? I think my night grinding is worse when Iā€™m asleep.

– Denise in Kansas

Denise,

Well, depending on the extent of the damage to your porcelain veneer, you may be pleased to learn that it is possible to have the porcelain veneer repaired. If it was a clean break, an expert cosmetic dentist may be able to fix it for you. Then, it will be re-bonded to your tooth. But you need to make sure you see an expert cosmetic dentist because not just any general dentist can make this kind of repair. It requires an artistic eye and excellent cosmetic dentistry skills. So be sure to ask a lot of questions and be confident in selecting the right dentist to do the repair work.

It may also be beneficial to see a cosmetic dentist that also specializes in the treatment of TMJ disorder. The TMJ joint can become sore overtime or you may notice clicking or locking in your jaw if this grinding is left unaddressed. The TMJ specialist will probably recommend a night guard to protect your porcelain veneers moving forward. Then, you can still take your medication to treat your migraines while at the same time you can protect your porcelain veneers.

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