Direct Composite Veneers

A clinical case by our Community member Dr Mohammed Haji

This article and its content are published under the Author’s responsibility as an expression of the Author’s own ideas and practice. Styleitaliano denies any responsibility about the visual and written content of this work.

One of the most crucial criteria in modern dentistry is the reestablishment of a patient’s dental aesthetics. Recent advancements in the field of adhesive dentistry have broadened and changed restorative dental practice. In fact, dental composite veneers have developed into a solution for anterior teeth in the modern dental industry with a tendency towards minimal intervention. Direct placement of composite veneers provide greater material control, you do not have problem with the undercanyuts, directly you can show the result to the patient, require only a small amount of tooth structure to be removed, and is easily repairable and modifiable at point.

styleitaliano style italiano smile with worn dentition

Fig.1
A 26-year-old female patient visited the dental office and requested a solution for her short and worn teeth. She wanted a smile with better teeth proportions, and a her teeth to be a little whiter.

styleitaliano style italiano side view of smile with worn dentition

Fig.2
Side view of her teeth, maxillary anterior teeth do not touch the lower lip during smile.

styleitaliano style italiano intraoral picture of eroded dentition

Fig.3
Fully retracted lip, checking the zeniths.

styleitaliano style italiano contrasted view of worn teeth

Fig.4
Retracted lip with mouth retractor and contraster. This view really highlights the irregularity of the incisal edges.

styleitaliano style italiano split dam isolation with retraction

Fig.5
A split dam isolation was used together with a retraction cord for full control over cervical adhesion and emergence profile.

styleitaliano style italiano layering of tmamelons on central incisors

Fig.6
During the adhesive procedure on the central incisors, the adjacent teeth were covered with teflon tape. Layering started with the build up of the tmamelons using a body shade.

styleitaliano style italiano layering of direct veneers

Fig.7
The layering included the following shades:
– BW as body shade and incisal halo
– OBN and ECC for translucent zone
– WE as enamel shade for facial and proximal surfaces
Using LM Solo Anterior for shaping of composite and Compobrush with modelling liquid for adaptation of the composite.

LM arte solo banner style italiano styleitaliano
LM arte solo banner style italiano styleitaliano
styleitaliano style italiano direct veneers before polishing

Fig.8
Analyze the shape and symmetry from the right to left side of teeth, then start finishing step.
The proximal walls were created using transparent matrices, and finishing was carried out using Soflex discs and the Enhance bur for the prepolishing step. FLEXI-D polishing Discs (EVE) were used to create transitional line angles and polishing the proximal surface.

style italiano styleitaliano 3m sof lex discs and diamond spirals polishing
style italiano styleitaliano 3m sof lex discs and diamond spirals polishing
styleitaliano style italiano polished direct veneers

Fig.9
Using Essential Twinkle System (Jota) for texture and a goat brush, and felt (Diaswiss) for polishing.

styleitaliano style italiano before and after direct veneering

Fig.10
Before and after, with rubber dam.

styleitaliano style italiano direct veneers with texture

Fig.11
Using Lucida DiaShine polish for final gloss.

style italiano styleitaliano diashine lucida
style italiano styleitaliano diashine lucida
styleitaliano style italiano after direct composite veneering

Fig.12
Photo with contraster to highlight the incisal edges ,transitional line angles, incisal embrasures and texture.

styleitaliano style italiano smile with composite veneers

Fig.13
Smile line correction.

styleitaliano style italiano smile after direct veneering

Fig.14
Full smile with healthy gingiva.

styleitaliano style italiano natural texture of composite veneers

Fig.15
Highly polished surface.

styleitaliano style italiano texture of polished composite veneers

Fig.16
Patient can smile with more confidence.

styleitaliano style italiano side view of composite veneers

Fig.17
Another side view.

styleitaliano style italiano smile with composite veneers

Fig.18
Final result.

styleitaliano style italiano before and after composite veneering

Fig.19
Before and after, retracted view.

styleitaliano style italiano before and after direct composite veneers

Fig.20
Before and after, smile.

Conclusions

Nature is the ideal model to imitate, and the comprehension of what nature looks or feels like is essential in aesthetic dentistry. Nowadays, clinicians are able to offer beautiful smiles conservatively without any loss of the tooth structure. It was a challenge to combine the functional, aesthetic, and biological considerations to satisfy the patient.

Bibliography

  1. Manauta J, Salat A. Layers, An atlas of composite resin stratification. Quintessence Publishing Co; 2012.
  2. Hardan L, Bourgi R, Kharouf N, Mancino D, Zarow M, Jakubowicz N, Haikel Y, Cuevas-Suárez CE. Bond strength of universal adhesives to dentin: A systematic review and meta-analysis. Polymers. 2021 Mar 7;13(5):814.
  3. Devoto W, Saracinelli M, Manauta J. Composite in everyday practice: how to choose the right material and simplify application techniques in the anterior teeth. Eur J Esthet Dent. 2010 Mar 1;5(1):102-24.
  4. Devoto W, Pansecchi D. Composite restorations in the anterior region: clinical and aesthetic performances. Practical Procedures & Aesthetic Dentistry: PPAD. 2007 Sep 1;19(8):465-70.
  5. Ortensi L, Sigari G, La Rosa GR, Ferri A, Grande F, Pedullà E. Digital planning of composite customized veneers using Digital Smile Design: Evaluation of its accuracy and manufacturing. Clinical and Experimental Dental Research. 2022 Apr;8(2):537-43.
brain boost style italiano styleitaliano hands-on lectures styleitaliano tv 3M Solventum
brain boost style italiano styleitaliano hands-on lectures styleitaliano tv 3M Solventum

RELATED CASES

styleitaliano style italiano smile aesthetics with simplified composite shades Kulzer Venus Pure composite direct restoration composite restoration

Easy way to enhance aesthetics with simplified composite shades

Experience the transformative power of composite shades simplify the process of enhancing aesthetics. Welcome a radiant smile effortlessly, leaving imperfections behind with ease.
style italiano styleitaliano worn misaligned teeth composite veneers direct composite restoration direct veneering of central incisor

Align then Restore