(Pictured: Clear aligners gradually move existing teeth into their ideal position.)
By Michelle Jorgensen
For many adults in the boomer generation, the rise of cosmetic dentistry has offered what seems like a quick fix to aging smiles—porcelain veneers that promise straight, white teeth in just a few appointments. But beneath that perfect surface, there can be hidden costs to your long-term health.
Before you commit to veneers, it’s important to know the full picture—because beauty doesn’t have to come at the expense of your wellness.
Veneers may look stunning, but they require permanently reshaping the teeth underneath. This process often involves removing a layer of enamel, which can leave teeth more sensitive, prone to decay, and less structurally sound. Veneers also don’t last forever—they need replacement every 10 to 15 years, sometimes sooner, and repeated replacements can further weaken natural teeth.
But beyond the tooth itself, there’s a bigger concern, especially for aging adults. Many boomers had teeth removed for braces as teens to “make room.” But what we didn’t know back then was that pulling teeth and shrinking the dental arch can actually close off your airway. That may contribute to mouth breathing, snoring, or even sleep apnea later in life.
Sleep-disordered breathing isn’t just about a poor night’s rest—it’s a serious health risk. People who don’t get enough oxygen while sleeping are at significantly greater risk for heart disease, diabetes, cancer, cognitive decline, and more. In fact, research shows that sleep apnea can reduce life expectancy by up to 20 percent.
If veneers are placed on top of teeth that are already in a compromised position—too far back, too narrow, too crowded—the result might look nice in the mirror but could worsen breathing at night. That’s a price no one should have to pay for a prettier smile.
Safer path to a better smile
Here’s a better approach: Start with air. Then think aesthetics. Instead of filing down healthy teeth, we can use clear aligners like Invisalign to gradually move teeth into their ideal position—not just for looks, but for airflow, comfort, and long-term function.
If you’ve had teeth removed in the past, aligners can help reopen space. And if teeth are missing, they should be replaced—with ceramic implants preferably—to fully support the bite and facial structure. Once everything is in the right place, whitening treatments or cosmetic restorations (like conservative veneers or bonding) can brighten and perfect the smile without compromising health. Often, just straightening the teeth brings dramatic cosmetic improvements. Crowded, worn, or tilted teeth look more youthful and harmonious when aligned properly. And bonus: You can breathe better, sleep better, and feel better, too.
Cosmetic dentistry doesn’t have to be a choice between looking good and feeling well. When we prioritize function first—airway, alignment, and oral health—beauty naturally follows. So before you veneer, consider a plan that supports your total health. The best smile is one that doesn’t just look good, it helps you live longer and feel amazing, too.
Dr. Michelle Jorgensen is a dentist, author of “Living Well with Dr. Michelle” (livingwellwithdrmichelle.com), and founder of Total Care Dental and Wellness in Utah.
