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Definition
Indicatio
n
Improve extreme discolorations such as
tetracycline staining, flourosis, devitalized
teeth, and teeth darkened from age.
Repair chipped or fractured teeth.
Closing of diastemas between teeth.
Ability to lengthen anterior teeth.
Improve the appearance of rotated or
misaligned teeth
Contraindic
ation
If little or no enamel is present, full
crown should be considered.
Certain tooth-to-tooth habits like
bruxing or clenching, or other parafunctional habits such as pencil
chewing or ice crushing.
Teeth that exhibit severe crowding.
Certain types of occlusal problems
such as Class III & end-to-end bites.
A.R
(2) in
direct;
COMPOSITE PORCLIA
N
Dental Veneer
Case Selection
Before starting treatment planning, the patients
expectations should be completely understood by the
clinician . A complete oral examination must be
conducted to note the following conditions: Patients with
poor oral hygiene or mouth breathers should be
considered for treatment with prosthetics other than
veneers. One of the most common causes of debonding
or fracture is placing veneers on teeth that have
insufficient tooth substrate, eg, parafunctional habits
(clenching, bruxism), large composite restorations, or
endodontically treated teeth with large defect
1. discoloration
2.lip line
3.occlusion
4.distima closture
5.gingival resision
6.existing restoration
7.incisal attration
1.Discoloration
Management of discoloration
depend on type of discoloration
1.polishing
2.microabration
3.macroabration
4.bleeching
5. veneer
6.full crown
Laminate Veneer
How to mask
discoloration
1.do maximum preparation 0.7
2.choice cement more opaque
3.choice shade of veneer more
opaque
4.lab make more space for
cement
2.Lip line
High lip line
Medium lip line
Low lip line
Always note the
lip line because
the position of
the teeth plays
an important
role in lip
support .
Lip line
High (finishing line sup
gingivaly)
Medium(finishing
line
gingivally)equa
3.Occlusion
1. class 1
2.class 2
3. class 3
While planning for
veneers it is important
to never ignore the
rule of stabilizing the
posterior occlusion
before placing anterior
veneers, and to
eliminate any lateral
and anteriorposterior
excursion interference.
Occlusion
4.Distima closture
A diastema is a space
between front teeth.
Diastemas are closed by
orthodontics or restoration.
A highly successful
technique is addition of
composite..
Diastema not more than 3
mm closed by veneer
Diastema closure
Gingival recession
5. Gingival recession
6.Existing restoration
Ceramic veneer are often
placed to Improve
The aesthetics of previously filled teeth .the larger the
restoration the more likely it is that full coverage restoration
will be a better choice .such teeth are likely to be weaker
perhaps as a result of a loss of vitality &will certainly have less
enamel available for bonding .when the decision is taken to
place veneers then the old restoration must be removed
&ensuring veneer placed within the two week period following
composite replacement to ensure adequate bond strength One
of the most common causes of de bonding or fracture is placing
veneers on teeth that have insufficient tooth substrate,
functional habits (clenching, bruxism), large composite
restorations, or endo dontically treated teeth with large defects.
7.Incisal attration
It use to established
length &contour of incisal
edge &anterior guidanes
&show how under bite
can treatent
9.Shade selection
Digital
These systems capture a
reading of an area
approximately the size of
a large curing light tip.
Therefore, in order to
capture the whole tooth,
multiple readings are
required to communicate
the cervical, middle, and
incisal areas. These
simpler systems are less
expensive and easier to
operate, but provide
less-detailed information
Features/Benefits
Determination of the tooth shade in 3
steps
Unmistakable determination of the tooth
shade
Possibilities of comparison: Yes/No Better/Worse decision
Tooth shades precisely defined by science
(miscible)
Can be learned
10.Photographc &vediographc