The patient, male 37 yo, came to my attention with 2 old ceramic veneers that he doesn’t like anymore, asking for replacing.
Fig.1
Lateral view.
Fig.2
Lateral view.
Fig.3
As possible to notice, the 2 incisors are non vital and very prominent.
Fig.4
We propose the patient to make 2 veneers also on the laterals, to have a better esthetic integration, and a more omogenus form of the arch.
Fig.5
This allows to make all the teeth much bulk and then to prepare less, hiding easier the dark from the 2 centrals endo treated.
Fig.6
From the wax up we can have the silicone matrices to try in the mouth as mock up and help in the prep.
Fig.7
As you can notice from 9 and 10, we asked the lab to prepare a bulky wax up.
Fig.8
This will make the teeth much more resistant and the esthetic outcome better.
Fig.9
The try in made with some 3M filtek supreme flowable composite, help the patient to take a decision and then can be blocked with some Scotchbond Universal to be prepared properly.
Fig.10
After the impression, either analogical or digital, the next step will be the cementation:
Fig.11
Rubber dam in place.
Fig.12
Treatment of the surface.
Fig.13
Accurately removal of the ortophosphoric acid.
Fig.14
and the tooth treated.
Fig.15
The surface of the disilicate veneers is treated with the idro fluoridric acid.
Fig.16
and then application of the Scotchbond Universal 3M adhesive on the tooth and veneer.
Fig.17
It is mandatory , after 20 sec, to remove with the air the solvent part carefully.
Fig.18
and then to cure.
Fig.19
Same application of the Scotchbond Universal 3M adhesive on the veneer.
Fig.20
Same for veneer, it is mandatory, after 20 sec, to remove with the air the solvent part carefully.
Fig.21
and then to cure.
Fig.22
The Veneer 3M cement is applied on the veneer.
Fig.23
and fixed on the tooth.
Fig.24
Excess of material removed.
Fig.25
and cured x a couple of second.
Fig.26
After, with the Eccesso LM-Arte kitinstrument, the cured excess is removed.
Fig.27
finalized the curing and with 3M strips.
Fig.28
also checked the interproximal areas.
Fig.29
Here it is possible to appreciate the new final esthetic: the new thickness of the teeth.
Fig.30
and the final outcome, very natural and well integrated.
Conclusions
Veneer 3M light cure material it is very easy to manage, not needed to be in a hurry during the cementation phase, not needed to warm composite traditional material with the risk of fracturing the thin veneers: perfect choice!
