Good optical

properties

Veneering Teeth
With
Porcelain and Composite

Used in full
thickness Direct Composite Veneers
• Advantages
– One appointment
– Little or even no prep.
– Dentist controls process
– Less expensive than indirect
– Useful in young patients

Direct Composite Veneers Porcelain Laminate Veneers

• Advantages
• Disadvantages – Laboratory controls contours
– More maintenance – Appearance stable over time
– Changes over time – Biomemetic (like the enamel they
– Relies on dentist ability replace)

1
 Porcelain Laminate Veneers Options for Treating
Discolored Teeth
• Disadvantages
• Bleaching
– 2 appointments
– 3-5 x more expensive
• Micro/Macroabrasion
• Direct bonding
• Indirect Veneering
• Full crowns

Complete Crown vs Labial Veneer Appearance of Teeth

• Crown • Veneer • Dentin - chromatic
– Gross reduction – Conservative
– Cementation – Enamel bonding • Enamel -achromatic and translucent

Veneer Preparation Techniques

• uniform 0.5 mm
• intra-enamel

Use #2 round bur (1.0 mm dia) as depth guide

2
 Reduction Guides
2 round
Grooves and/or Dimples
1/2 depth

Perio probe is 0.5

mm wide at tip

Maintain line angles

Chamfer diamond (#242,243,747 (small), 256(large)
Chamfer finish line not a shoulder (702)

Multiplanar reduction
L747.6M
Uniform 0.5 mm
May be 0.3 mm at gingival margin Good prep

Bad prep

Multi-planar Expose as little dentine as possible

reduction

3
 good
Carry finish line
farther into
embrasure

Not good

Minimal reduction

Not far enough into contact

good

How to handle incisal edge ?

Most Less
common common

4
 Appearance of Teeth Margin placement
• enamel thickness is reduced the Just below FGM and into contact
dentin color becomes more and embrasure space if dramatic
color change
dominant
Just incisal to FGM and extensions
not as critical if color change not
great

Masking Dark Teeth Opaque veneer material

masks dark teeth

• The thickness and translucency of

veneering material matter

Translucent porcelain
can be used if color
change is not
Veneers
dramatic.

Circa 1988

5
 Closing Diastemata

Closing Diastemata Extend finish lines to lingual surface

Extend finish lines to lingual surface

Cleansable lingual surface contours

6
 Correcting
Misalignments

Ortho best way to correct

Limitations

May need to expose dentin in some areas

Place retraction cord in sulcus without

Minor Rotations causing tissue trauma then bring margins to
level of cord - take final impression

Polaroid

Digital

Prep Shade
Block out proximals to avoid tears at margins Desired Shade

7
 Prep Shade
Desired Shade

Laboratory able to determine translucencty needed

to mask underlying color