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The Nuts & Bolts of Veneers

Todd Snyder, DDS, AAACD

Workshop

1. OVER IMPRESSION OF UNPREPARED TEETH FOR MODELS, WILL BE USED TO MAKE PROVISIONALS

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Diagnostic Models & Records

Silginat - Kettenbach

Counter FIT- Multipurpose Replication Silicone (Clinician’s Choice)

ThermoClone - (Ultradent)

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Counter FIT- Multipurpose Replication Silicone (Clinician’s Choice)

ThermoClone - (Ultradent)

Silginat - Kettenbach

What Records & WhenDiagnostic & Prep Reduction Models

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Diagnostic Guides

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2. PUTTY IMPRESSION OF TEETH ALSO

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Split Thickness Putty

Preparation Guide:

Preparations

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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”

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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”

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•Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”

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Veneer Preparations-Feldspathic Porcelain

Depth cuts of 0.2mm-0.8mm*

1.0mm-1.5mm incisal reduction*

Veneer Preparations-Pressed Ceramics

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Incisal edge preparations

a) No incisal lengthening

b) Changing color or wear

c) Lengthening tooth

Veneer Preparations

Images from Bruce Crispin, DDS, MS book entitled “Contemporary Restorative Dentistry”

PREPARATION REDUCTION

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Veneer Preparations

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EVERYDAY GO TO MINIMALLY INVASIVE

BURS

0512C1300F0710C 0116C

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2. PUTTY IMPRESSION OF TEETH ALSO

3. PREPARATION OF TEETH #5-11

1. #5 WRAP INCISAL EDGE 2MM DOWN LINGUAL INCLINE OF FACIAL CUSP. 0.5-0.8MM REDUCTION

2. #6 TYPE A PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION

3. #7 TYPE B PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION

4. #8 TYPE C PREPARATION DESIGN (DON’T BREAK INTERPROXIMAL CONTACTS) 0.5-0.8MM REDUCTION

5. #9 TYPE C PREPARATION DESIGN (BREAK INTERPROXIMAL CONTACTS) PRESSABLE REDUCTION

6. #10 TYPE B PREPARATION DESIGN (BREAK MESIAL CONTACT) PRESSABLE REDUCTION

7. #11 TYPE C PREPARATION DESIGN (BREAK DISTAL CONTACT) PRESSABLE REDUCTION

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Preparation

Aesthetics

Function

Bonding to Enamel

Material Options

Minimal Prep Case:

Minimal Prep Case:

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Wax-up Case:

Preparation Guides:

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Shade Assumptions

BW, B1, B2, A1, A2

Provisional Techniques

-Free hand

-Beadline Provisionals

-Putty over impression of waxup

-Premade temps?

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4. FREE HAND PROVISIONALS ON #5,6,7,8,11

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Free Hand Provisionals

Free Hand Provisionals

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Free Hand Provisionals

Free Hand Provisionals

Small spot in middle of

tooth. Etch 10

seconds or use old

bonding agent

Compule of

composite,

contour to

completion

Cure 20 seconds

from both sides,

check bite & polish

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5. BREAK TEMPS OFF, MAKE A BEADLINE PROVISIONAL ON ALL TEETH

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Bead Line Veneer Provisional Restorations. Pract Proced Aesthet Dent 2009;21(3):E1-E7.

Cosmetic Provisionals (Bead Line Technique)

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Cosmetic Provisionals (Bead Line Technique)

Scribe a 0.5mm-1mm groove into tissue & a little on tooth

Cosmetic Provisionals (Bead Line Technique)

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Cosmetic Provisionals (Bead Line Technique)

Cosmetic Provisionals (Bead Line Technique)

No Polish Necessary if you use a good model

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Cosmetic Provisionals (Bead Line Technique)

Cosmetic Provisionals (Bead Line Technique)

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Cosmetic Provisionals (Bead Line Technique)

Cosmetic Provisionals (Bead Line Technique)

Dirty Model Not Scribed Well

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Cosmetic Provisionals (Bead Line Technique)

Cosmetic Provisionals (Bead Line Technique)

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Bead Line Implant, Crown & Veneer Provisionals

Bead Line Implant, Crown & Veneer Provisionals

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Bead Line Implant, Crown & Veneer Provisionals

VISALYS TEMP - KETTENBACH

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Bead Line Implant, Crown & Veneer Provisionals

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ClearTemp LC (Ultradent)

For either veneers or thin

anterior cosmetic

restorations

BREAK OFF #5 and

recement temporary

with Clear Temp LC

Mockup & prep-No Prep-Minimally invasive

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Mockup & prep

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Questions?

Todd C. Snyder, DDS, AAACD

(949) 643-6733doc@ tcsdental.comwww.aestheticdentaldesigns.comwww.drtoddsnyder.com

www.facebook.com/todd.snyder.ddswww.twitter.com/tcsaestheticsInstagram: toddsnyder1