Download - Dental Veneers
Veneers
Restores beautiful smile and confidence
Presented by, Arya V Devi
Dental Veneers Dental veneers are custom
made shells made from tooth colored materials that facilitate covering the
front surface of the tooth
Alternately known as dental laminates
Veneers
Composite Veneer
Can be build up in the mouth
by directly placing
it
Can be fabricated in a dental laborat
ory
Porcelain Veneer
Cannot be built
in mouth
Hence fabricat
ed outside
and fitted later
Types
Difference
Indications
• Esthetically compromised anterior teeth
• Poorly shaped or crooked teeth
• Stained teeth (intrinsic/extrinsic)
• Closure of diastemas
• Enamel hypoplasia
• Fractured teeth
• Anatomically malformed teeth
• Tooth wear
Advantage
s
• Esthetic stability
• Stain resistant
• Stronger and durable
• Gum tissue tolerates porcelain well
• The color of a porcelain veneer can be selected such that it makes dark teeth appear whiter.
• Veneers offer a conservative approach to changing a tooth's color and shape.
Composite Veneers• One visit procedure• Less expensive• Repair potential• Chair-side control of
the anatomy• Minimal irreversible
loss of tooth structure
Porcelain Veneers• Esthetic stability • Stain resistant• Stronger and durable • Gum tissue tolerates
porcelain well• The color of a
porcelain veneer can be selected such that it makes dark teeth appear whiter.
• Veneers offer a conservative approach to changing a tooth's color and shape.
Shade Selection
Understanding tooth light interaction rather than selecting a shade
Hue, Chroma, Value
Age consideration
Natural Color Progression
Maxillary central incisor- dominates smile, color, shape and positionLateral- similar hue to centralCanine- appear darker due to intense ChromaPremolars- similar to lateral
Increased
translucency
At interproximal surfaceAt incisal edge
Different areas of teeth
Cervical areaIncisal
Shade Selection
Patient Examination & Treatment
Planning
Comprehensive clinical examination may reveal failing restorations, recurrent decay, marginal leakage, and staining.
A full series of intra- and extra oral images are taken for treatment planning, marketing, and case documentation. These images are studied—along with clinical examination notes—prior to treatment so that a basic plan could be formulated.
Patient’s preferences must be kept in mind while deciding a treatment plan including his/her financial status.
Direct Composite VeneeringAnesthetization
and tooth isolation
Porcelain Veneer
FIRST APPOINTMENT (Veneer Preparation Procedure)
Shade Selection
Tooth preparation
Impression
Temporary Veneers
SECOND APPOINTMENT
Remove temporary
Clinical try-in
Cementation
First AppointmentShade Selection
• Clean teeth with pumice and water
• Select a tentative shade with your patient participating
Tooth preparation
• A uniform 0.5mm intraenamel reduction is sufficient
• Preparations are extended to the gingival crest and into the interproximals without breaking contact
• Three ways to manage incisal edge coverage• No incisal edge
coverage• Cover incisal edge• Wrap around incisal
edge
First AppointmentImpression
• The retraction cord should be left in place if possible during the impression
• Use a polysiloxane or polyether material for the impression
Temporary Veneers
• They are placed when necessary or desired
• Hand sculptured using composite, kept supragingival and attached by spot etching
Second Appointment
Cementation Try-in paste allow you to mask any underlying color
abnormalities and select cement
shade
Apply saline solution to the
internal aspect of the veneer
Etch, rinse, dry but do not desiccate
Apply primer/adhesive to
the tooth and lightly air dry
Apply cement to the internal aspect of the veneer, seat the veneer, clean off excess cement,
light cure
Floss contacts and adjust occlusion.
Miley Cyrus Yellow Staining
Before & After Veneering
Zac EffronMidline Diastema
Becoming more common
because everyone
wants A great smile
It is A great way to change A smile that
shows yellowed, stained teeth into
one that makes you look fantastic
But remember veneers are
not for everyone, and if your teeth
are not strong enough dental
veneers are contraindicate
d