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Veneers

Click on photos to enlarge.

Greater Curve Direct Composite Veneers

Advantages of
Direct Composite Veneers:

  1. Less cost to the patient

  2. Placed in one appointment

  3. Conservation of tooth structure

  4. Margins seal better on root dentin

  5. Easily repaired

  6. Veneer can be bonded sub gingival

Disadvantages of
Direct Composite Veneers:

  1. Not as long lasting

  2. Shading can be difficult

Direct composite veneers placed on teeth #’s 4-13

This patient was an excellent candidate for Direct Composite veneers:

  1. Cervical erosion existed on all the anterior teeth.  Previous attempts were failing.

  2. Teeth were triangular shaped.  Indirect veneers would require interproximal tooth reduction.

  3. Direct composite bonding provided an essentially reversible procedure.
Old composite completely removed from tooth #8.

Gingiva displaced with complete isolation.  Note the cervical erosion some of which was sub gingival.  Plenty of access to the interproximals.

Flowable composite placed first into the  interproximals and onto the erosive surface. This provided a bubble free and sealed margin. Kerr’s A1 Point 4 used secondarily to finish out the veneer.

Direct composite veneer completed on tooth #8.

 
 
              Before                        After		  

Completed direct composite veneers for teeth #’s 4-13.  Note how the papilla between 8 & 9 was squeezed into a more pointed shape.  Teeth had very smooth flossable sub gingival interproximal contours.  Veneers also filled out patient’s bucaal corridor.

This patient was thrilled I provided a youthful smile in a conservative manner.

Direct composite veneers placed on teeth #’s 7-10

This 70 year old patient hated her gapped and spaced teeth.  She was delighted that I could provide conservative treatment.

Setup for tooth #8.  Note complete sub gingival isolation with ample access to the interproximals.  Clear Triad gel (Dentsply) used to secure the tofflemire retainer.

 
 
 

Flowable composite placed first into the interproximals and onto the erosive surface.  This provided a bubble free and sealed margin. Kerr’s A1 Point 4 used secondarily to finish out the veneer.

Tooth #8 ready for shaping immediately after tofflemire matrix removed.

Tooth #8 sets up tooth for the remaining treatment.  It dictates tooth length and width. The embrasure line angles must be with the long axis of the face.

It is important the two centrals are equal width.   The Boley Gauge helps determine equal width of 8&9 before moving on to tooth #9. 

 

           Before                     Final
                                 (four months post
                                       veneering)		  

Note the gingival health around the veneers.  Interproximal contours were very smooth and flossable.  Note how the papilla between 8 & 9 has been squeezed to fill the embrasure space.

 

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