Dr Dev Patel’s aesthetic dentistry blog – a composite veneer case

Pre-operative smile

Pre-operative smile

This patient presented with upper discoloured and fractured central incisors. She wanted to restore these teeth using minimally invasive techniques and ensure they look as natural looking as possible to the naked eye. As an artist, she really appreciated the level of detail and planning put into this case. She even asked for the crack lines to be included on the facial surface of the centrals to emulate the natural appearance of the lateral incisors.

Technique

  1. The tooth shade was recorded using Optilume Trueshade and digital high quality photography
  2. Sharp edges were smoothed using a round head diamond bur and extra coarse polsihing discs (Sof-lex)
  3. Co-Jet (using a chairside sandblaster) was applied to the prepared teeth
  4. Phosphoric acid 37% etch was applied. Washed and air dried
  5. Optibond FL applied (as per the manufacturers instructions) and light cured using a Valo light cure for 40 seconds
  6. David Clarke Matrix was then used to ensure excellent adhesion around inter-proximal and cervical areas
  7. Venus Pearl OLC, A2 and CL was then applied in layers
  8. A number 15 Blade scalpel was then used on then final body shade composite layer (A2) to form the crack-lined and light brown Renamel tints were used using a 10mm endodontic file
  9. The occlusion was checked and adjusted as necessary
  10. Final polishing using Soflex discs with water, Shape and Shine rubber polishing points and Enamelize polishing paste with a goats hair brush.
Pre-operative retracted smile

Pre-operative retracted smile

 

Pre-operative with contraster

Pre-operative with contraster

 

Preparation – margins smoothed

Preparation – margins smoothed

 

Teeth sandblasted using Cojet

Teeth sandblasted using Cojet

 

Teeth etched using 37% phosphoric acid

Teeth etched using 37% phosphoric acid

 

Teeth isolated using PTFE tape

Teeth isolated using PTFE tape

 

David Clarke Matrix used with inter-proximator

David Clarke Matrix used with inter-proximator

 

Optibond FL applied and light cured

Optibond FL applied and light cured

 

Thin layer of Venus Pearl OLC and then A2 placed for body of veneer, Venus Pearl used for the insical edge

Thin layer of Venus Pearl OLC and then A2 placed for body of veneer, Venus Pearl used for the incisal edge

 

Crack line integrated in Veneer using a number 15 scalpel blade

Crack line integrated in Veneer using a number 15 scalpel blade

 

Renamel Tints (light brown) placed along crack line using a 10mm endodontic file

 

Immediate post-operative result

Immediate post-operative result

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


For more information please visit www.dentalcircle.com.

One comment

  1. 1

    Really, nice details! A composite veneer seems to be a perfect dental solution to patients with such issues. Sounds as a long-term option as well. When considered a vulnerability to damage, they are proven strong enough to be more durable. Highly recommended!

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