AACD Accreditation Case Type I: Six or More Indirect Restorations

1. Ultraconservative Dentistry Using “No-Prep” Porcelain Veneers
AACD Accreditation Case Type I: Six or More Indirect Restorations
Charles C. Cooper, DMD, AAACD

2. Adapted from the full article, which originally appeared in the
AACD’s Journal of Cosmetic Dentistry Winter 2013 issue.
For more information, visit www.AACD.com
©2016 American Academy of Cosmetic Dentistry. All rights reserved.
Patients today often request cosmetic solutions that do not require any tooth reduction.
These patients frequently are adamant about their desire to have cosmetic “makeovers”
with no preparation of their teeth. With the interest in more conservative cosmetic
solutions, the public is demanding the preservation of their natural tooth structure.
Frequently, patients present with small teeth in the esthetic zone that only need additive-
type dentistry completed. To increase tooth size and shape and to create a more attractive
smile, “no-prep” veneers have become commonplace in many dental practices.

3. Preoperative portrait.
A desirable case requires tooth size
discrepancies where additive dentistry
can be the solution.

4. The patient, a 22-year-old
man, wanted a cosmetic
solution for his small front
teeth.
Preoperative smile.

5. Preoperative 1:2 retracted view.
During his initial visit the patient
underwent a full series of
photographs.
Preoperative 1:1 retracted view. Preoperative occlusal view.

6. Diagnostic wax-up.
A diagnostic wax-up and the placement of a
temporary “trial smile” allowed the patient to
preview the potential outcome.
Trial smile; occlusion checked to
confirm no interferences.

7. Facebow transfer.
Photographs, shades, facebow,
and centric relation bites were
taken and sent to the laboratory.

8. After inspection of the veneers and crown from the
laboratory, the restorations were tried in using a
glycerin gel to check the shade and fit.
Notice the increase in size and length of the
new porcelain restorations.
Simultaneous try in of all porcelain
restorations.

9. A water rinse was used to remove the traces of glycerin
from the internal surface of the restorations.
Cleaning the inside of a veneer.

10. The patient was scheduled for a one-week postoperative
check and to take final clinical photographs.

11. In the end, the patient and the doctor both
benefit from the journey. The doctor
benefits by knowing he or she has provided
an extremely conservative treatment and
the patient benefits from being able to
smile with confidence.

12. Dr. Charles C. Cooper is an AACD Accredited
Member and a graduate of the University of
Mississippi School of Dentistry. He practices
at the Atlanta Center for Cosmetic Dentistry,
in Atlanta, Georgia.

13. To receive the quarterly, peer-reviewed Journal of Cosmetic Dentistry,
available to members only, enroll as an AACD member at
www.aacd.com/join