Q. I’ve had 5 Lumineers placed on my teeth. Since then, they have fallen off multiple times. As if it’s not aggravating enough to go back to the dentist for the same tooth to be re-bonded, just this last time I accidentally swallowed it. Now my dentist tells me I should do porcelain veneers that will run me $1200 per tooth. I just paid so much money for the Lumineers… what should I do?

A. I’m sorry you’ve had such a hard time with your Lumineers. Unfortunately, we hear a lot of stories about problems with Lumineers. The manufacturers of this product promotes it as being “no-prep”, and easy to place. That might make a dentist who is not too savvy in cosmetic dentistry feel they can handle this work, delivering an aesthetically pleasing product with a good outcome to the patient. Both Lumineers (which is just a brand name) and traditional porcelain veneers require a true cosmetic dentist who is well versed in these procedures. Everything from an artistic eye to having top notch materials (including appropriate bonding materials) to technique of the clinician can be the difference in a successful cosmetic and functional outcome versus not.  Porcelain veneers have more advantages than Lumineers, as they are more lifelike, and have proper strength. Lumineers are best suited for specific cases only. Seeking an opinion of another true cosmetic dentist in this scenario would be a good idea. Perhaps if you move forward with the porcelain veneers with your current dentist, asking if you could be credited what you paid for the Lumineers towards the porcelain veneers wouldn’t be unreasonable, and make the prospect more affordable.