Direct veneers 2011 till nya tandläkare
Transcript of Direct veneers 2011 till nya tandläkare
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