Veneers

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  • .
  • Veneers

    1. 1. Lecture Series Restorative Dentistry:Ceramic Laminate Overview:To Prep Or Not To Prep Presented by Joe Apap, CDT, MDT General Manager Director of Digital Technology
    2. 2. Course Objective:• Veneer Material Options• To Prep or Not to Prep• Diagnostic Wax Up• Stump Shades• Prep & Impressioning
    3. 3. Veneer Contraindications1- Non-vital root canaled teeth2- If a patient is a severe grinder3- Cases where the persons bite is "edgeto edge"4- Teeth may be lost and need to bejoined together for strength.
    4. 4. Patient Expectations Patient Types•Hollywood Smile•Alfred E. Newman•The Naturalist`
    5. 5. To Prep or Not to PrepPreoperative view of full smile with erosion on maxillary anterior teeth.
    6. 6. Diagnostic Wax-Up
    7. 7. Facial View of Putty Matrix
    8. 8. Incisal View of Putty Matrix
    9. 9. Putty Matrix Try-In
    10. 10. Ceramic Veneers Choices
    11. 11. FELDSPATHIC VENEERS• VERY ESTHETIC• CUSTOM SHADES• FRAGILE• CAN OPAQUE
    12. 12. CASE STUDY
    13. 13. Diagnostic Wax Up
    14. 14. Temps Using Matrix
    15. 15. Final Restorations
    16. 16. CLINICAL CASEThe patient presented with crowding, incisal wear, and disharmony in thesmile line.
    17. 17. Lateral preoperative view showing diastemas and improper incisal embrasures.
    18. 18. Preoperative shade reference view showing the desired final shade.
    19. 19. Flowable composite material was used to create a smile mockup.
    20. 20. Provisionals were fabricated using the existing impression of the smile mockup.
    21. 21. Fit provisional material on the upper teeth prior to trimming.
    22. 22. The finished veneers on the SLA model.
    23. 23. Front smile view of the completed smile design reconstruction.
    24. 24. Lateral view of the completed veneers note improved balance and harmony of the teeth.
    25. 25. Unique Challenges
    26. 26. Provisionalization Of Veneer
    27. 27. Porcelain laminate veneer surfaceimmediately after adhesive luting.
    28. 28. Postoperative view of the seated porcelain laminate veneer restoration.
    29. 29. e.Max Press Veneers• High-strength pressed ceramics open up new possibilities
    30. 30. Pre-Op
    31. 31. Official e.Max Prep Guide
    32. 32. Preparation Shade
    33. 33. Laboratory Prescription• Close communication with the dental laboratory technician is essential.• Photographs taken before and after preparation can help ensure accurate shape, shade, texture and other characteristics.• Study models
    34. 34. Ceramic Veneer CharacteristicsWhen every veneer is observed one by one, all the elements that makes a toothlook natural can be seen. The color transition of the tooth within itself is exactlyproduced.Note the higher chroma at the cervical 1/3rd, the higher value on the middle1/3rd, the translucencies and mamelons at the incisal 1/3rd.
    35. 35. Conclusion• Prep & No Prep Veneers• Emax Press vs. Feldspathic Laminates• Stump Shades• Diagnostic Wax Up• Veneer Provisionalization• Preparation Techniques
    36. 36. Thank You
    37. 37. For Additional Consultation Contact:Joseph M. Apap, CDT, MDTGeneral ManagerDirector of Digital Technology1-800-925-8696Email: japap@tncdental.com

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