Smile transformation with custom-made veneers: case study

Manrina Rhode presents a case in which she helps a patient achieve a larger, whiter, more aesthetic smile using 20 IPS Emax lithium disilicate glass-ceramic veneers

A 32-year-old patient presented at DRMR in 2020. He wanted a makeover that would give him larger, brighter, whiter teeth and a more perfect-looking, ‘Hollywood’ smile (Figure 1).  A full examination was carried out and photographs and X-rays were taken.  

The patient had a healthy mouth, teeth and gums with one small filling on his UL6 and a chip on the LR1 (Figure 2). 

Composite versus porcelain veneers

Porcelain veneers can deliver a highly aesthetic and durable outcome using minimally invasive preparation techniques. Composite resin will typically last for around five years, whereas I would expect porcelain restorations to have a lifespan of 20 years, if properly looked after. 

The patient’s aesthetic concerns could be addressed by placing 20 Ivoclar IPS Emax Press veneers. I have been using IPS Emax veneers for 22 years and have provided more than 14,000 ceramics. Emax materials have never let me down.

A stick bite, conventional impressions and a full series of photographs were taken along with periapical X-rays. A wax-up was fabricated.

Minimally invasive veneers preparation

A temporary stent was made to replicate the shape and length of the wax-up and to outline the incisal edges. The Galip Gürel…

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