How to use Variolink Veneer, a Total-Etch Resin Cement

Posted on 21 Nov 2011 by Chris under Clinical Dentistry

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Ive used a few different materials and techniques when cementing porcelain veneers. To be frank, Ive often found it to be frustrating. Why? Because I dont use the special veneer cements all that often and theres a ton of steps. Mix this with that, then mix some more stuff together and say a prayer. No thanks. Fortunately Ive found a product that makes cementing veneers easy. Variolink Veneer(Ivoclar) is a total-etch resin cement. We need all the bond we can get when inserting porcelain veneers, so total-etch is the way to go. For a quick review of resin cements,check out this post here.

Variolink Veneer kit. Lots of goodies in here A patient presented to my office to replace a fractured composite resin veneer on tooth #8.

I removed the old composite facing, refined the preparation, took the impression and temporized. This is a post about cementation, so lets just skip all of those steps for now. I get back my nice feldspathic porcelain veneer from Marotta Dental Studio.

Beautiful veneer fabricated by Marotta Dental Studio. Notice that the intaglio surface has already been etched buy the lab.

Its important to ask your lab if and how they will treat the surfaces of your veneers. Marotta already used a porcelain etch, so I wont need to do that step. If your lab does not etch for you, youll need to apply 9.6% hydrofluoric acid for a certain amount of time. There is a lot of variability in the literature about how long this should be, anywhere from 120 seconds to 4 minutes, depending upon your ceramic. After taking off the temporary, I like to insert the veneer with a tryin paste. I still have a chance to raise or lower the value of the final result with a shaded cement. Ill also check the occlusion to make

sure Im not only hitting right on the margin of the veneer. This could lead to exfoliation of the restoration and should be avoided. As you can see in the picture below, I needed to adjust the bite a bit to move that occlusal mark.

Try in pastes are available for the perfect shade match. Also evalaute the occlusion; we don't want occlusal marks at the margin!

I recommend placing a rubber dam to ensure adequate isolation. We need every bit of bond we can get, so moisture contamination is our enemy. Ill also tie some floss around the adjacent teeth to help clean up.

Rubber dam isolation with floss tied around adjacent teeth. This will help remove interproximal cement.

I wash out the veneer and apply phosphoric acid for about 10 seconds. This does not re-etch the veneer, rather it decontaminates

it. I then apply silane (Monobond-S) and let air dry. The veneer is now ready to go.

Decontamination of the veneer with etch followed by silane application (Monobond-S).

To prepare the tooth, I clean with pumice (non-fluoride), etch with phosphoric acid and bond (ExciTE). Now the tooth is ready to go.

Pumice debridement of tooth followed by etch and bond.

Squirt in your selected resin cement shade to the veneer and insert. It couldnt be easier! I like to spot cure for a few seconds and then begin to remove excess cement. It wont be rock hard yet but is also wont be runny. I follow up with a longer 30 second cure and polish.

Resin cement applied to veneer and inserted.