direct direct veneersveneers

composite composite resinresin

short history…..short history…..1)1) Charlie PinkasCharlie Pinkas

2)2) Mastique laminate Mastique laminate veneersveneers

3)3) experimental veneersexperimental veneers

4)4) no prep veneersno prep veneers

5)5) no dentin bondingno dentin bonding

6)6) today!today!

my first veneer…..my first veneer…..

Fluorosis: age 12Fluorosis: age 12

Erosion 8&9

options today…options today… tooth whiteningtooth whitening thin indirect veneersthin indirect veneers thick veneersthick veneers ceramic crownsceramic crowns direct resin veneersdirect resin veneers

direct veneerdirect veneerfirst step…..first step…..

isolation

big-hole rubber dam

tooth preparationtooth preparation

……how much how much axial reduction?axial reduction?

diagnostic wax-up or mock-up

is there a minimum is there a minimum depth?depth?

Shallow Shallow depth?depth?

Why Why deeper?deeper?

shallow Vs. deepshallow Vs. deepEnamel vs. dentin bondingEnamel vs. dentin bondingPre- to post-op Pre- to post-op difference?difference?

Replace vs. add-onReplace vs. add-onColor “from within”Color “from within”

Depth-cutters

Self-limiting

gullwing gullwing preparationpreparation

Subgingival margins?Subgingival margins?

stratification of stratification of ccoolloorrss

tints and opaquerstints and opaquers

final appearancefinal appearance

The composite The composite materialmaterial

The tooth belowThe tooth belowSurface contoursSurface contoursSurface textureSurface texture

Partial veneer

Prognosis?Prognosis?

Facts…..Facts….. Only fair Color stabilityOnly fair Color stability Only fair wear Only fair wear

resistanceresistance Not as durable or as Not as durable or as

esthetic as ceramicesthetic as ceramic Requires artistic talentRequires artistic talent Requires time!Requires time!

Thank You