Veneers

Restores beautiful smile and confidence

Presented by, Arya V Devi

Dental Veneers Dental veneers are custom

made shells made from tooth colored materials that facilitate covering the

front surface of the tooth

Alternately known as dental laminates

Veneers

Composite Veneer

Can be build up in the mouth

by directly placing

it

Can be fabricated in a dental laborat

ory

Porcelain Veneer

Cannot be built

in mouth

Hence fabricat

ed outside

and fitted later

Types

Difference

Indications

• Esthetically compromised anterior teeth

• Poorly shaped or crooked teeth

• Stained teeth (intrinsic/extrinsic)

• Closure of diastemas

• Enamel hypoplasia

• Fractured teeth

• Anatomically malformed teeth

• Tooth wear

Advantage

s

• 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.

Composite Veneers• One visit procedure• Less expensive• Repair potential• Chair-side control of

the anatomy• Minimal irreversible

loss of tooth structure

Porcelain Veneers• 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.

Shade Selection

Understanding tooth light interaction rather than selecting a shade

Hue, Chroma, Value

Age consideration

Natural Color Progression

Maxillary central incisor- dominates smile, color, shape and positionLateral- similar hue to centralCanine- appear darker due to intense ChromaPremolars- similar to lateral

Increased

translucency

At interproximal surfaceAt incisal edge

Different areas of teeth

Cervical areaIncisal

Shade Selection

Patient Examination & Treatment

Planning

Comprehensive clinical examination may reveal failing restorations, recurrent decay, marginal leakage, and staining.

A full series of intra- and extra oral images are taken for treatment planning, marketing, and case documentation. These images are studied—along with clinical examination notes—prior to treatment so that a basic plan could be formulated.

Patient’s preferences must be kept in mind while deciding a treatment plan including his/her financial status.

Direct Composite VeneeringAnesthetization

and tooth isolation

Porcelain Veneer

FIRST APPOINTMENT (Veneer Preparation Procedure)

Shade Selection

Tooth preparation

Impression

Temporary Veneers

SECOND APPOINTMENT

Remove temporary

Clinical try-in

Cementation

First AppointmentShade Selection

• Clean teeth with pumice and water

• Select a tentative shade with your 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

• Three ways to manage incisal edge coverage• No incisal edge

coverage• Cover incisal edge• Wrap around incisal

edge

First AppointmentImpression

• The retraction cord should be left in place if possible during the impression

• Use a polysiloxane or polyether material for the impression

Temporary Veneers

• They are placed when necessary or desired

• Hand sculptured using composite, kept supragingival and attached by spot etching

Second Appointment

Cementation 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 desiccate

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.

Miley Cyrus Yellow Staining

Before & After Veneering

Zac EffronMidline Diastema

Becoming more common

because everyone

wants A great smile

It is A great way to change A smile that

shows yellowed, stained teeth into

one that makes you look fantastic

But remember veneers are

not for everyone, and if your teeth

are not strong enough dental

veneers are contraindicate

d