To answer this question, we really need to differentiate the two treatments as they are two different treatment entirely. 

Composite bonding is an additive process. In simple terms, we carefully sculpt composite resin over the teeth in question. This can be used to treat chipped, fractured, uneven and gappy teeth. Composite can also be used to replace old fillings on front ( or back) teeth. The great advantage of bonding includes:

1. Treatment is completed in one visit; an instant smile transformation!
2. Minimally invasive. There is little, if any, drilling of the underlying teeth needed.
3. Biologically safe for the teeth and gums. There is no risk of damage to the nerve.
4. Composite can be easily maintained.
5. More affordable than porcelain veneers or ceramic crowns.
6. Composite will protect the underlying teeth from further wear and tear.
 

Yes, there are limitations that need to be aware of. These include: 

1. Composite will need maintenance over time with polishing, re layering, repair

2. The level of aesthetics cannot match that of porcelain veneers. We will often refer to the finish of composite as 'matt' compared to super high gloss of 'porcelain'.

3. Composite will stain over time.

4. Composite will wear over time.
 

Well, this will depend on what the overall aims and objectives are. The advantages of porcelain or ceramic veneers include:

1. Extremely high level of aesthetics

2. Veneers can be characterised and customised for a unique appearance

3. More durable than composite

4. Will not stain or pick up dietary colours

5. Symmetry can be created more easily

The disadvantages of porcelain veneers include: 

1. The underlying teeth need to be drilled down to provide space for the veneer , this is irreversible

2. If too much tooth is removed, this could lead to biological damage such as nerve inflammation leading to root canal treatment.

3. Veneers have to be bonded to tooth enamel for a really high bond strength. If the bond is only on tooth dentine ( underneath enamel) , they are far more likely to fall off.

4. Much more expensive than composite bonding.

5. Porcelain cannot be repaired in the mouth. If the veneer chips for example, the entire veneer will need removal and replacement.
 

Our case of the month for December 2024 involves a classic case of replacing old composite fillings with new ones and improving the smile. Our patient unfortunately had an accident where two front teeth were damaged. Although replaced, over time, they discoloured and needed to be replaced. Just take a look below:
 

If you would like a completely free video consultation on transforming your smile with composite bonding or porcelain veneers, please book your appointment today. Appointments are available throughput the week and evenings. Why wait, life is too short!