Post on 27-Jun-2020
5/3/2017
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The Nuts & Bolts of Veneers
Todd Snyder, DDS, AAACD
Workshop
1. OVER IMPRESSION OF UNPREPARED TEETH FOR MODELS, WILL BE USED TO MAKE PROVISIONALS
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Diagnostic Models & Records
Silginat - Kettenbach
Counter FIT- Multipurpose Replication Silicone (Clinician’s Choice)
ThermoClone - (Ultradent)
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Counter FIT- Multipurpose Replication Silicone (Clinician’s Choice)
ThermoClone - (Ultradent)
Silginat - Kettenbach
What Records & WhenDiagnostic & Prep Reduction Models
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Diagnostic Guides
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2. PUTTY IMPRESSION OF TEETH ALSO
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Split Thickness Putty
Preparation Guide:
Preparations
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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”
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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”
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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”
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Veneer Preparations-Feldspathic Porcelain
Depth cuts of 0.2mm-0.8mm*
1.0mm-1.5mm incisal reduction*
Veneer Preparations-Pressed Ceramics
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Incisal edge preparations
a) No incisal lengthening
b) Changing color or wear
c) Lengthening tooth
Veneer Preparations
Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”
PREPARATION REDUCTION
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Veneer Preparations
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EVERYDAY GO TO MINIMALLY INVASIVE
BURS
0512C1300F0710C 0116C
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2. PUTTY IMPRESSION OF TEETH ALSO
3. PREPARATION OF TEETH #5-11
1. #5 WRAP INCISAL EDGE 2MM DOWN LINGUAL INCLINE OF FACIAL CUSP. 0.5-0.8MM REDUCTION
2. #6 TYPE A PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION
3. #7 TYPE B PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION
4. #8 TYPE C PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION
5. #9 TYPE C PREPARATION DESIGN (BREAK INTERPROXIMAL CONTACTS) PRESSABLE REDUCTION
6. #10 TYPE B PREPARATION DESIGN (BREAK MESIAL CONTACT) PRESSABLE REDUCTION
7. #11 TYPE C PREPARATION DESIGN (BREAK DISTAL CONTACT) PRESSABLE REDUCTION
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Preparation
Aesthetics
Function
Bonding to Enamel
Material Options
Minimal Prep Case:
Minimal Prep Case:
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Wax-up Case:
Preparation Guides:
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Shade Assumptions
BW, B1, B2, A1, A2
Provisional Techniques
-Free hand
-Beadline Provisionals
-Putty over impression of waxup
-Premade temps?
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4. FREE HAND PROVISIONALS ON #5,6,7,8,11
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Free Hand Provisionals
Free Hand Provisionals
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Free Hand Provisionals
Free Hand Provisionals
Small spot in middle of
tooth. Etch 10
seconds or use old
bonding agent
Compule of
composite,
contour to
completion
Cure 20 seconds
from both sides,
check bite & polish
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5. BREAK TEMPS OFF, MAKE A BEADLINE PROVISIONAL ON ALL TEETH
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Bead Line Veneer Provisional Restorations. Pract Proced Aesthet Dent 2009;21(3):E1-E7.
Cosmetic Provisionals (Bead Line Technique)
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Cosmetic Provisionals (Bead Line Technique)
Scribe a 0.5mm-1mm groove into tissue & a little on tooth
Cosmetic Provisionals (Bead Line Technique)
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Cosmetic Provisionals (Bead Line Technique)
Cosmetic Provisionals (Bead Line Technique)
No Polish Necessary if you use a good model
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Cosmetic Provisionals (Bead Line Technique)
Cosmetic Provisionals (Bead Line Technique)
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Cosmetic Provisionals (Bead Line Technique)
Cosmetic Provisionals (Bead Line Technique)
Dirty Model Not Scribed Well
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Cosmetic Provisionals (Bead Line Technique)
Cosmetic Provisionals (Bead Line Technique)
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Bead Line Implant, Crown & Veneer Provisionals
Bead Line Implant, Crown & Veneer Provisionals
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Bead Line Implant, Crown & Veneer Provisionals
VISALYS TEMP - KETTENBACH
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Bead Line Implant, Crown & Veneer Provisionals
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ClearTemp LC (Ultradent)
For either veneers or thin
anterior cosmetic
restorations
BREAK OFF #5 and
recement temporary
with Clear Temp LC
Mockup & prep-No Prep-Minimally invasive
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Mockup & prep
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Questions?
Todd C. Snyder, DDS, AAACD
(949) 643-6733doc@ tcsdental.comwww.aestheticdentaldesigns.comwww.drtoddsnyder.com
www.facebook.com/todd.snyder.ddswww.twitter.com/tcsaestheticsInstagram: toddsnyder1