Beruflich Dokumente
Kultur Dokumente
A porcelain veneer
made out of cannot be built in mouth and hence fabricated outside and
fitted later.
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
Crowded or misaligned teeth
Teeth with inadequate enamel present
Patient with habitual clenching and grinding
Non-ideal occlusion
Periodontal disease
Teeth weakened by existing large restorations
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.
The process is irreversible
More costly than composite veneers
Not suitable for patients with clenching or grinding habits
Not repairable should they chip or crack
Tooth may become more sensitive to hot and cold foods and
beverages
They can dislodge and fall off
Technique sensitive
One visit procedure
Less expensive
Repair potential
Chair-side control of the anatomy
Minimal irreversible loss of tooth structure
Tend to discolor
Wear out quickly
Marginal staining
Shade matching difficulty
Often require repair and replacement
Lips should be symmetrical
needed
Understanding tooth light interaction rather than
selecting a shade
Hue, Chroma, Value
Age consideration
Natural color progression of dentition
Maxillary central incisor- dominates smile, color, shape and
position
Lateral- similar hue to central
Canine- appear darker due to intense Chroma
Premolars- similar to lateral
Different shade system
Increased translucency
At interproximal surface
At incisal edge
Different areas of teeth
Cervical area
Incisal
Comprehensive clinical examination may reveal failing
restorations, recurrent decay, marginal leakage, and staining.
A full series of intra- and extraoral 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.
• Chief complaint:
“Discoloration of my
front teeth since
childhood”.
• Treatment plan: As
clinical examination
revealed fluorosis of the
entire dentition so
composite veneers were
suggested and carried
out on only the
anteriors as per the
patients demand.
After placing composite veneers
• Bio data: 35 year old male.
Remove temporary-
Care must be taken not to damage margin areas
of preparations
Clinical try-in-
Contacts need to be carefully assessed
Proximal contacts can be adjusted
CEMENTATIO
N
Steps
Try-in paste allow you to mask any underlying color
But remember veneers are not for everyone, and if your teeth are
not strong enough you will not be recommended to have the
dental veneers applied