This document discusses direct resin veneers. It provides a brief history of veneers including early experimental veneers from Charlie Pinkas and no preparation veneers. It then discusses treatment options for fluorosis and erosion, including tooth whitening, thin indirect veneers, thick veneers, and ceramic crowns. For direct resin veneers, it emphasizes the importance of isolation, discusses factors like tooth preparation depth and margins, and techniques for stratifying colors and achieving the final appearance. It notes that direct resin veneers have only fair color stability and wear resistance compared to ceramic options.

1. direct
veneers
composite resin

2. short history…..
1)
2)
3)
4)
5)
6)
Charlie Pinkas
Mastique laminate veneers
experimental veneers
no prep veneers
no dentin bonding
today!

4. my first veneer…..

13. Fluorosis: age 12

15. Erosion 8&9

16. options today…
 tooth whitening
 thin indirect veneers
 thick veneers
 ceramic crowns
 direct resin veneers

17. direct veneer
first step…..

22. isolation

23. big-hole rubber dam

24. tooth preparation

25. …how much
axial reduction?

26. diagnostic wax-up or mock-up

27. is there a minimum depth?
Shallow
depth?
Why deeper?

28. shallow Vs. deep
 Enamel vs. dentin bonding
 Pre-
to post-op difference?
 Replace vs. add-on
 Color “from within”

30. Depth-cutters
Self-limiting

40. gullwing preparation

51. Subgingival margins?

64. stratification of colors

72. tints and opaquers

82. final appearance
 The composite material
 The tooth below
 Surface contours
 Surface texture

86. Partial veneer

89. Prognosis?

90. Facts…..
 Only fair Color stability
 Only fair wear resistance
 Not as durable or as esthetic
as ceramic
 Requires artistic talent
 Requires time!

94. Thank You