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Labial Veneer

Anita Rosa
Prodi Ked. Gigi FK YARSI
What is meant by dental veneers?

 Dental veneers are layer of tooth colored material that is


applied to a tooth for esthetically restoring localized or
generalized defects or intrinsic discolorations (Sturdevant Art &
Science of Dentistry )
Categories of Veneer

• Direct Veneer
• Composite Resin veneer
• Indirect Veneer:
- Custom made : Fabricated composite,
Fabricated Porselen veneer
- Prefabricated /Ready made veneer
Indications of veneers

 1. Stained or darkened teeth


 2. Hypocalcification
 3. Multiple diastemas
 4. Peg laterals
 5. Chipped teeth
 6. Lingual positioned teeth
 7. Malposed teeth not requiring
orthodontics
Contraindications of veneers

 1. Insufficient tooth substrate (enamel for bonding)


 2. Labial version
 3. Excessive interdental spacing
 4. Poor oral hygiene or caries
 5. Parafunctional habits (clenching, bruxism)
 6. Moderate to severe malposition or crowding
Treatment Plan Phase
 1. Check for contraindications
 2. Study casts  waxup in study model/ trial build up in mouth
(mockups)
 3. Check posterior occlusion (anterior teeth do not function
alone)
 4. Confirm that there is no protrusive or lateral interference
 5. Check centric anterior lingual contacts
 6. Consider three key elements of esthetics:
 contour, position and color
 7. Patient’s preferences  including his/her financial status.
Study Cast

Waxup in study model/ Trial build up in mouth (mockups)


Direct Composite veneer
Technique

 Anesthetization and tooth isolation


 Shades of composite are tried on
 Assessment on a central incisor
 Any existing composite resin or decay is removed
 Tooth is roughened and a slight finish line is created
 Contoured anatomical matrix is placed and wedged loosely
 Tooth is then etched and a dentin bonding agent is applied
 Composite is placed and cured and shaped with a composite roller
Window Preparation

o Preferred in Direct Composite


Veneers.
o Preserve lingual and incisal surfaces
o Significant occlusal function
o Preservation of functional surfaces
o Reduces wear of opposing tooth
Indirect Veneer :

Custom made Porcelain


One / two appointments  prefabricated/ ready made veneer.

Two / three appointments  porcelain veneer fabricated in the


lab.
Clinical Procedure -1st Visit

 1. Impression for study models/bite registration record


 2. Radiographs/photographs
 3. Check contraindications
 4. Shade selection
Clinical Procedure -2nd Visit

 1. Clean teeth with pumice and water


 2. Confirm Shade Selection
 3. Tooth Prepration :
 Labial reduction
 Interproximal reduction
 Incisal modification
 Cervical definition
How to handle incisal edge ?

Path of Insertion Restricted


Unrestricted

Most Less
common common
Tooth Preparation
- Place horizontal facial depth cut, it is usually 0,5 mm

- Paralleling the entire gingival margin, prepare a


definitive chamfer finish line.

- Continue the definitive chamfer finish line from the papilla


tip toward the incisal edge on both proximal surfaces
Tooth Preparation

Good preparation Bad preparation


Making Impression

• The retraction cord should be left


in place.

• Elastomeric impression
Temporary Restoration
Clinical Procedure – 3rd Visit (Cementation)
 1. Try-In/Shade Selection

 Remove provisionals
 Clean teeth with pumice and water
 Etch with porcelain etchant .
 Rinse with water and dry.
2. Cementation

 Apply silane to the etched porcelain surface for 60 seconds and air-
dry.
 isolate the preparation interproximally with thin Mylar strips.
 Etch the preparation and apply enamel/dentin-bonding system
 Apply composite-resin luting cement to the veneer
 Gently place the veneer onto the tooth in an inciso-gingival
direction.
 Remove excess material gently with a resincoated brush.
 Light cure veneer from the facial surface for at least
60 seconds.
3. Finishing and polishing procedures.
Indirect Veneer :
Ready made Veneer
1. Clean the teeth

2. Determine enamel and dentin shade.


3. Determine composite veneer size.
 Intraorally, or using a study model.

4. Isolation of the teeth.


5. Minimally invasive preparation
6. Etching & Bonding Procedures
7. Cementation
8. Triming and Polishing
8. Triming and Polishing
Conclusion

 Labial Veneer Treatment is becoming more common in dental offices 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 you will not be recommended to have the dental veneers applied
Thank You