This lecture discusses ceramic veneers and restorative dentistry. It covers veneer material options, whether to prepare teeth or not for veneers, diagnostic wax-ups, stump shades, preparation and impression-taking. Contraindications for veneers and patient expectations are also reviewed. Case studies demonstrate diagnostic wax-ups, temporary restorations, and final veneer restorations. Different types of veneers like feldspathic and Emax Press are compared. Proper preparation techniques and communicating with dental laboratories are emphasized.

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. Course Objective:
• Veneer Material Options
• To Prep or Not to Prep
• Diagnostic Wax Up
• Stump Shades
• Prep & Impressioning

3. Veneer Contraindications
1- Non-vital root canaled teeth
2- If a patient is a severe grinder
3- Cases where the persons bite is "edge
to edge"
4- Teeth may be lost and need to be
joined together for strength.

4. Patient Expectations
Patient Types
•Hollywood Smile
•Alfred E. Newman
•The Naturalist`

5. To Prep or Not to Prep
Preoperative view of full smile with erosion on
maxillary anterior teeth.

6. Diagnostic Wax-Up

7. Facial View of Putty Matrix

8. Incisal View of Putty Matrix

9. Putty Matrix Try-In

12. Ceramic Veneers Choices

13. FELDSPATHIC VENEERS
• VERY ESTHETIC
• CUSTOM SHADES
• FRAGILE
• CAN OPAQUE

14. CASE STUDY

15. Diagnostic Wax Up

16. Temps Using Matrix

17. Final Restorations

18. CLINICAL CASE
The patient presented with crowding, incisal wear, and disharmony in the
smile line.

19. Lateral preoperative view showing diastemas and improper incisal embrasures.

20. Preoperative shade reference view showing the desired final shade.

21. Flowable composite material was used to create a smile mockup.

23. Provisionals were fabricated using the existing impression of the smile mockup.

24. Fit provisional material on the upper teeth prior to trimming.

25. The finished veneers on the SLA model.

26. Front smile view of the completed smile design reconstruction.

27. Lateral view of the completed veneers note improved balance and
harmony of the teeth.

28. Unique Challenges

32. Provisionalization Of Veneer

33. Porcelain laminate veneer surface
immediately after adhesive luting.

34. Postoperative view of the seated porcelain
laminate veneer restoration.

35. e.Max Press Veneers
• High-strength pressed ceramics open up
new possibilities

36. Pre-Op

38. Official e.Max Prep Guide

40. Preparation Shade

52. 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

53. Ceramic Veneer Characteristics
When every veneer is observed one by one, all the elements that makes a tooth
look natural can be seen. The color transition of the tooth within itself is exactly
produced.
Note the higher chroma at the cervical 1/3rd, the higher value on the middle
1/3rd, the translucencies and mamelons at the incisal 1/3rd.

54. Conclusion
• Prep & No Prep Veneers
• Emax Press vs. Feldspathic Laminates
• Stump Shades
• Diagnostic Wax Up
• Veneer Provisionalization
• Preparation Techniques

55. Thank You

56. For Additional Consultation Contact:
Joseph M. Apap, CDT, MDT
General Manager
Director of Digital Technology
1-800-925-8696
Email: japap@tncdental.com