Laminates and Venners

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LAMINATES

AND
VEENERS
INTRODUCTION
• Conservative approach.

• Requires minimal tooth preparation within enamel.

• Improves aesthetics
• Dental veneers are custom made shells made from

tooth colored materials that facilitate covering the

front surface of the tooth.


Indications
• Esthetically compromised anterior teeth

• Stained teeth (intrinsic/extrinsic)

• Closure of diastemas
• Fractured teeth

• Anatomically malformed teeth

• enamel hypoplasia

• Tooth wear
CONTRAINDICATIONS
• Crowded or misaligned teeth
• Teeth with inadequate enamel present

• Patient with habitual clenching and grinding


• Non-ideal occlusion
• Periodontal disease

• Teeth weakened by existing large restorations


LAMINATES
AND
VENEERS

CERAMIC PORCELAIN LUMINEERS

DIRECT INDIRECT
Advantages of porcelain veneers
1. Esthetic
2. Stain resistant
3. Stronger and durable
4. Gum tissue tolerates porcelain well
Disadvantages of porcelain veneers

1. The process is irreversible

2. More costly than composite veneers


3. Not suitable for patients with clenching or
grinding habits
4. Not repairable should they chip or crack
5. They can dislodge and fall off
6. Technique sensitive
Advantages of composite veneers
1. One visit procedure
2. Less expensive
3. Repair potential
4. Chair-side control of the anatomy
5. Minimal irreversible loss of tooth structure
Disadvantages of composite veneers

1. Tend to discolor

2. Wear out quickly

3. staining
Direct Composite veneer

1. Anesthetization and tooth isolation

2. Shades of composite are tried on


3. Assessment on a tooth- Any existing composite
resin or decay is removed
4. Tooth is prepared
5. Tooth is then etched
and a dentin bonding
agent is applied

6. Composite is placed and


cured and shaped.
PORCELAIN VENEER
TECHINQUE
• First Appointment (VENEER PREPARATION PROCEDURE)
• Shade Selection
• Tooth preparation-
• Bi-Planar Reduction:
0.5-0.75mm – Facio-Gingival margin
1-1.2mm – Facio-Incisal margin

• Preparations are extended to the gingival crest and into


the interproximals without breaking contact.
• Three ways to manage incisal edge coverage
WINDOW
Window Preparation PREPARATION

• Preferred in Direct Composite


Veneers.
• Preserve lingual surfaces
INCISAL, LAPPING DESIGN

• Lengthening of tooth
• Incisal defect
• Impression-
• Use a polysiloxane or polyether material for the
impression
Second Appointment (VENEER CEMENTATION
PROCEDURE)

• Remove temporary-
• Care must be taken not to damage margin areas of
preparations

• Clinical try-in-
• Contacts need to be carefully assessed
• Proximal contacts can be adjusted
CEMENTATION

• Steps
• Apply saline solution to the internal aspect of the
veneer.
• Etch, rinse, dry.

• Apply primer/adhesive to the tooth and lightly air dry.

• Apply cement to the internal aspect of the veneer, seat


the veneer, clean off excess cement, light cure.
• Floss contacts and adjust occlusion.
TEMPORIZATION
INDIRECT TECHNIQUE
Maintenance

1) Avoid colored food, tea, or coffee during initial 72- 96 hours.

2) Routine cleaning with soft tooth brush.

3) Excessive biting habits like nail biting, pencil chewing and

biting on hard pieces of foods to be avoided. Patients advised not

to shear food with the laminated teeth.


Failures in ceramic laminate
veneers
Failures associated with:

i) Case selection.
ii) Tooth preparation.
iii) Temporization.
iv) Laboratory processes.
v) Try-in and handling.
vi) Choice of cement.
vii) Bonding procedures.
REMEMBER...

Always place centrals, then


laterals, and so .
Lumineers-
The true laminates!

• Same function and benefits.


• When placing lumineers, the structure of the tooth remains
unchanged.
• Are as thick as a contact lens, but this does not make them less
durable.
• In terms of costs, lumineers have similar costs as the porcelain
veneers.
THANKYOU……

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