Open Wide -- at Your Own Risk

There's no denying the importance of a dazzling smile, and nowadays just about anyone can have picture-perfect teeth. Temporary snap-ons can give you a celebrity look.

You can even order teeth to look like those worn by specific celebrities, like the Gwyneths -- as in Paltrow, or the Julias, as in Roberts.

But for a permanent fix, you need veneers.

You generally hear about the cosmetic dentistry successes, but you don't hear about the disasters.

Susanne Brown experienced a dental disaster with her veneers.

Brown, a former model, rarely smiled -- even in her modeling days -- because she didn't think her teeth were very attractive. She opted for veneers, which provide a thin shell of porcelain, almost like a fake fingernail, on the front surfaces of the teeth. Veneers can hide myriad imperfections, which in Brown's case were minor gaps.

"I know when you go to the dentist, you're going to have some pain. Take a couple of Tylenol and that's it. But I was in pain for over a month," she said.

The reason? Susanne had badly infected gums. The problem with her veneers, according to our expert, was that the restorations just didn't fit.

Dr. Ronald Goldstein, a leading expert in the field of cosmetic dentistry, said the fit is critical.

"It had to be a perfect fit. If it sticks out from the tooth then the gum can't heal properly and bacteria can get in and there is disease. … Functionally, it's a disaster," he said.

It's taken a year of treatment to get Susanne's gums back in shape. But they won't fully heal until each of the 18 laminates on her teeth have been replaced. Problems like Susanne's are all too familiar to Goldstein, who sees them when patients come in seeking help.

How big a problem? Goldstein said it's huge. He estimates it to be between $10 billion and $12 billion a year. "It's staggering," Goldstein said.

"20/20" saw examples of jobs gone wrong — pictures you won't see on any makeover show.

"Dentistry is an art and a science. You can't just have the art. You can't just have the science. It's a combination of both. So function becomes paramount," said Goldstein.

Cindy Fowler's problems with her veneers began almost as soon as the work was done.

"I got on a plane to fly to Istanbul and I was just miserable. I was sitting there with my hand over my mouth. I couldn't drink anything, and it hurt to talk. And I kept thinking this will go away, this will go away," she recalled.

But it didn't go away, and Cindy soon noticed something else.

When Cindy went to Dr. Goldstein's office she found out something even more upsetting, something most people may not be aware of. Her teeth had been aggressively ground down to apply the laminate.

While many dentists use this aggressive technique, the experts we spoke to said it's often unnecessary and can lead to extreme sensitivity and even root canals. And when the teeth are filed down to such a degree, experts said, the veneers may not last as long. Cindy's laminates flaked off easily when they were being redone.

The dental office responsible for Cindy's veneers said that both tooth decay and previous work made the tooth reduction necessary, and it claimed that faulty adhesive materials might be to blame for the cracks. But the experts we spoke to said they could see no reason for that much tooth reduction.

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