2. what is dental veneers?
Dental veneers are custom made shells made
from tooth colored materials that facilitate
covering the front surface of the tooth and these
are alternately known as dental laminates.
Dental veneers are normally classified under
cosmetic dentistry
4. Contraindications
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
5. Advantages
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.
6. Disadvantages of porcelain vene
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
7. technique
(VENEER PREPARATION PROCEDURE)
Shade Selection- Clean teeth with pumice and water
Select a tentative shade with the 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
Impression- The retraction cord should be left in place if possible during the
impression
Use a polysiloxane or polyether material for the
impression
Clinical try-in- Contacts need to be carefully assessed
Proximal contacts can be adjusted
8. CEMENTATION
Steps
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 dessicate.
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.