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Presented by Joe Apap, CDT, MDT
General ManagerDirector of Digital Technology
Lecture Lecture SeriesSeries
Restorative Dentistry:Ceramic Laminate Overview:To Prep Or Not To Prep
Course Objective:
•Veneer Material Options
•To Prep or Not to Prep
•Diagnostic Wax Up
•Stump Shades
•Prep & Impressioning
Veneer Contraindications
1- Non-vital root canaled teeth2- If a patient is a severe grinder3- Cases where the persons bite is "edge to edge"4- Teeth may be lost and need to be joined together for strength.
Patient ExpectationsPatient ExpectationsPatient TypesPatient Types
•Hollywood SmileHollywood Smile
•Alfred E. NewmanAlfred E. Newman
•The Naturalist`The Naturalist`
To Prep or Not to PrepTo Prep or Not to Prep
Preoperative view of full smile with erosion on maxillary anterior teeth.
Diagnostic Wax-UpDiagnostic Wax-Up
Facial View of Putty MatrixFacial View of Putty Matrix
Incisal View of Putty MatrixIncisal View of Putty Matrix
Putty Matrix Try-InPutty Matrix Try-In
Ceramic Veneers Choices
FELDSPATHIC VENEERS
•VERY ESTHETIC
•CUSTOM SHADES
•FRAGILE
•CAN OPAQUE
CASE STUDY
Diagnostic Wax Up
Temps Using Matrix
Final Restorations
CLINICAL CASE
The patient presented with crowding, incisal wear, and disharmony in the smile line.
Lateral preoperative view showing diastemas and improper incisal embrasures.
Preoperative shade reference view showing the desired final shade.
Flowable composite material was used to create a smile mockup.
Provisionals were fabricated using the existing impression of the smile mockup.
Fit provisional material on the upper teeth prior to trimming.
The finished veneers on the SLA model.
Front smile view of the completed smile design reconstruction.
Lateral view of the completed veneers note improved balance and harmony of the teeth.
Unique ChallengesUnique Challenges
Provisionalization Of VeneerProvisionalization Of Veneer
Porcelain laminate veneer surface immediately after adhesive luting.
Postoperative view of the seated porcelain laminate veneer restoration.
e.Max Press Veneers
• High-strength pressed ceramics open up new possibilities
Pre-Op
Official e.Max Prep Guide
Preparation Shade
Laboratory PrescriptionLaboratory Prescription
• Close communication with the dental Close communication with the dental laboratory technician is essential. laboratory technician is essential.
• Photographs taken before and after Photographs taken before and after preparation can help ensure accurate preparation can help ensure accurate shape, shade, texture and other shape, shade, texture and other characteristics. characteristics.
• Study modelsStudy models
Ceramic Veneer Ceramic Veneer CharacteristicsCharacteristics
When every veneer is observed one by one, all the elements that makes a tooth look natural can be seen. The color transition of the tooth within itself is exactly produced.Note the higher chroma at the cervical 1/3rd, the higher value on the middle 1/3rd, the translucencies and mamelons at the incisal 1/3rd.
Conclusion
•Prep & No Prep Veneers
•Emax Press vs. Feldspathic Laminates
•Stump Shades
•Diagnostic Wax Up
•Veneer Provisionalization
•Preparation Techniques
Thank Thank YouYou
For Additional Consultation Contact:For Additional Consultation Contact:
Joseph M. Apap, CDT, Joseph M. Apap, CDT, MDTMDTGeneral ManagerGeneral ManagerDirector of Digital TechnologyDirector of Digital Technology1-800-925-8696 1-800-925-8696 Email: [email protected]: [email protected]
