Veneer workflow and temporary restoration management
Veneers are nowadays known and asked by our patients; managing well temporaries as well as the other aspects of the workflow is crucial for patient satisfaction and health.
A young male patient came to the office complaining about the aesthetics of his smile. He asked us to close or reduce the spaces in between his front teeth.
During the clinical examination we could appreciate multiple diastemas from 1.3 to 2.3, with no color problem or complaint. After taking pictures and shooting a small video to communicate with the dental lab, we took 2 impressions in order to ask for a diagnostic wax-up and start studying the case.
The patient can also be sent home with the mock-up in, and ask for a comment from relatives and friends.
With this one, we can control the middle third of the buccal surface from an incisal point of view.
In this case we have no color problems, so we can keep the margins out of the gingival sulcus.
It’s much easier to prepare extra-gingival margins, to take a good impression, to isolate during cementation, to clean cement excess, to control as time passes and – last but not least – it’s easier for the patient to properly brush.
This is quite a long time for such a thin and extended temporary restoration, so we decided to use a strong material (DMG LuxaCrown), in order to minimize the risk of fracture.
VeneerMe is a smart tool to handle, move, treat, wash and clean veneers and all other kind of indirect restorations.
We can really enjoy clinical cases like this one, if we follow protocols and team-work with a good dental technician. Everything starts with a good documentation, impressions, pictures, videos and a thorough chat with the patient, to understand what he’s expecting from us. A correct wax-up and the following make-up are crucial to communicate to the patient, and to understand if our project is fine. In veneer cases the temporary restoration is often tricky, because of the poor retention and the low thickness of the material. When we have time troubles we need for sure to pay attention to choosing the right material and technique. During cementation is always important to take your time and carefully take care of every step, tooth by tooth.
A big thank you to Pasquale Casaburo is mandatory, he’s a very talented dental technician and his help and support are always crucial.
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3. Galip G. The science and art of Porcelain Laminate Veneers , London, Quintessence, 2003
4. Gürel G. Porcelain laminate veneers: minimal tooth preparation by design. Dent Clin North Am. 2007 Apr;51(2):419-31, ix.