Direct composite veneers on rotated and overlapped teeth

Posted on November 05 2016

Composite veneers were placed at varying thicknesses on teeth #'s 7,8,9,10, & 11.

Before - Retracted view

Step 1

 

Before - Relaxed smile view

Step 2

 

Greater Curve "Wide" placed over #9.

Step 3

 

Retainer secured with Triad Gel

Step 4

Labial portion cut away. Excellent isolation deep into the interproximal. Cervical portion of the tooth sealed securely from gingival fluids.

Sequence:

Step 5

Clean and Boost (Apex), etched washed and dried, unfilled resin painted over the tooth in a thin layer, A1 Filtek Flowable placed interproximal and over entire surface, A1 Filtek snowplowed into the Flowable.

Greater Curve matrix removed

Step 6

The composite knife edges around the entire periphery of the tooth. It just a matter of shaping the labial surface to the proper contour.

Final veneers #'s 7,8,9,10 & 11

Step 7

Patient refused crown lengthening on #8.

Palatal view

Step 8

The varying thickness of the composites are obvious.

Final - Smile view

Step 9

Patient began to cry tears of joy. Dentistry has its' rewards.

Using the Greater Curve makes the hardest part of direct composite veneers much simpler by isolating and defining all the borders.

2 comments

  • Dennis Brown, DDS: November 16, 2016

    I did not need an opaquer in this case because there was sufficient thickness of composite to mask the discolored #8. If I desire to use an opaquer I will mix tints (usually yellow) with a white opaquer. This way I will not have stark white covering. I’m not big on polishing systems. In my experience composites maintain polish differently in mouths. I use a green cup Astropol after initial shaping with a finishing carbide.

  • vance wascom: November 15, 2016

    Dr Brown, beautiful case, did you have to use opaquer on #8, and what opaquer do you use when you need one, and how did You polish and shine this case and what did you use. Thank you and please keep tips coming.

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