Lumineers, Durathin, Vivaneers and Other Minimal and “No-Prep” Veneers

Authored By: Nayda Rondon
Reviewed By: Thomas E. Dudney, DMD

Today there are several minimal preparation and “no-prep” ceramic veneer options – which include Lumineers, Durathin and Vivaneers, among others – available for cosmetic dentistry patients seeking an alternative to traditional dental veneers and for whom composite bonding is not an option they or their dentist wish to pursue. However, not all veneer cases lend themselves to no-prep or minimal preparation procedures.

Like traditional veneers, the minimal preparation and “no-prep” alternatives are adhesively bonded to the “facial (front) surface” of the teeth. However, these minimal preparation and “no-prep” options typically do not require the dentist to grind, cut or file down any tooth structure for proper placement, although there are certain cases that may require minimal reduction of the tooth surface.

Additionally, there are some instances where “no-prep” veneer patients do not need an injection of local anesthetic, making the procedure quicker and less uncomfortable.

Veneers vs. Lumineers, Vivaneers, Durathin Veneers, Etc.

The placement of traditional veneers typically has required the removal of tooth structure, sometimes beyond enamel, the outermost layer of the tooth, making it a permanent procedure. However, today there are ceramic veneers that are considered “traditional” that can be placed completely within enamel in a minimally invasive and possibly “no preparation” way.

Additionally, traditional veneer procedures usually require an injection of local anesthetic, but this might not be necessary if the dentist is able to place the traditional veneers within enamel. The patient's level of sensitivity will determine if not using anesthesia is an option.

Patients undergoing a minimal preparation veneer procedure – such as that for Lumineers, Durathin veneers and Vivaneeers – may also require tooth modifications. Such modifications are minimal, affecting only the enamel layer, with no penetration into the dentin (layer of tooth substance beneath enamel). This will depend on the condition and position of the teeth being treated.

Cosmetic Dental Concerns Suitable for Minimal and “No-Prep” Veneers

Minimal preparation and “no-prep” veneers may be suitable for adults and adolescents seeking to effectively address a number of cosmetic dental conditions, including:

• Chipped or cracked teeth
• Very slightly discolored or stained teeth
• Gaps or spaces (diastemas) between teeth
• Misshapen, fanged or pointy and slightly misaligned teeth
• Slightly crowded teeth
• Worn teeth
• Small teeth
• Enhancing an already attractive smile into a “Hollywood”-type smile with a smile makeover

Considering Your Options: Lumineers, Vivaneers, Durathin Veneers, Etc.

It is important to note that Lumineers – the most heavily marketed – or other no-prep veneers are not the only (or most appropriate) cosmetic dentistry alternative for every case of discolored, crooked, chipped, misaligned or otherwise misshapen teeth.

For example, while veneers are often called “instant orthodontics” and are a viable option for slightly crooked teeth, they are not recommended for severely misaligned teeth. In such instances – despite the greater cost and longer treatment time – your dentist might recommend braces or clear aligners such as Invisalign. Additionally, if a whiter, brighter smile is your goal, your dentist may recommend in-office, take-home or a combination of these tooth-whitening treatments.

An alternative to ceramic or porcelain veneers of any kind is composite bonding, a technique used by dentists to directly fabricate composite veneers on the teeth inside your mouth at the dental office. In some cases, this procedure also uses minimal or no preparation of the tooth surface.

Minimal preparation or “no-prep” veneers are regarded by the dentists who place them as a viable alternative to traditional veneers for specific cases. Because the manufacturer of Lumineers advertises them as a “no shot, no drilling, no pain” option for achieving a natural-looking smile, patients seeking fast, long-lasting, minimally invasive and less costly treatment are attracted to this type of cosmetic dental procedure.

In addition to Lumineers, many other brands of non-invasive, no- or minimal-tooth preparation veneer products also are available for smile makeovers. These include Vivaneers, Durathin veneers, IPS e.max Press lithium disilicate veneers, among many others that dentists can choose from, depending on the case.

Pre-Treatment Considerations

Your dentist must examine the condition of your teeth prior to placing minimal preparation or “no-prep” veneers to ensure that your teeth are clinically sound. In cases where cost is a primary concern and the patient's condition involves only a tiny chip or crack in a single tooth, composite bonding may be a more suitable option. Although less durable and more prone to staining than porcelain veneers, composite bonding would be a less expensive and quicker cosmetic dentistry option.

To determine if you are a candidate for a minimal preparation or “no-prep” veneer procedure, see your dentist for a thorough examination and to discuss your specific cosmetic and dental issues. Your dentist will explain the different cosmetic dentistry options available to meet your particular needs.

Will Dental Insurance Cover the Minimal and “No-Prep” Procedures?

As with most cosmetic dentistry treatments, typically dental insurance does not cover the cosmetic veneer procedure. Dental insurance is intended to cover necessary dental health treatments, not those that are elective. Procedures such as teeth whitening and porcelain veneers are commonly considered elective procedures that are typically not covered by dental insurance plans. However, your dentist may offer his own financing and payment plans, as well as third-party financing options through such companies as Care Credit, DentalFeePlan and Enhance Patient Finance.

Discuss all possible payment and financing options with your dentist to determine what is best for you before committing to a treatment plan. You may also want to ask your dentist about alternate treatment options that may be covered by insurance. For instance, orthodontic treatment for misaligned teeth – for which veneers may be an alternative in some cases – may possibly be covered under some standard dental plans or additional-cost orthodontic dental insurance plans.

[Updated June 8, 2010]

• Send this page to a friend

• Before & After photos