Download An Economical Solution for Quality Cosmetic Treatment

compendium
An Economical Solution for
Quality Cosmetic Treatment
Prefabricated composite veneers bring esthetic
results in one session
Sarah Roberts, DMD
Member of the
American Dental
Association, Georgia
Dental Association,
Hinman Dental Society,
International Association
of Comprehensive
Aesthetics, American
Academy of Cosmetic
Dentistry, and American
Academy of Dental Sleep
Medicine; Private Practice,
Alpharetta, Georgia
O
ften times patients want a high-quality esthetic result, however they
are limited in their treatment options because of financial constraints.
In this case, a young female patient presented with a chief complaint
of disliking the shape, color, and contour of her teeth. The 17-year-old
girl cried whenever she came into the dental office, longing for a cosmetic outcome
that was not only affordable but that she could be happy with. With these financial
concerns in mind, the clinician suggested—and the patient agreed to try—composite
veneer restorations rather than porcelain. Visalys® Veneer Composite from
Kettenbach (www.kettenbach.us), a system comprising prefabricated, polymerized,
radiopaque veneers made of a highly filled hybrid composite, was used with stellar
results, as the young patient came away very satisfied with her appearance, and with
a long-term plan to eventually convert to porcelain veneers.
Key Takeaway Points
• When patient finances
are a factor, composite
veneers can be a costeffective restorative
alternative to porcelain
veneers.
• Visalys® Veneer is a
minimally invasive
system based on a
hybrid composite
that makes it possible
to achieve a highly
esthetic result in only
one appointment.
• The solution used in
this case is suitable
for numerous
indications, including
tooth discoloration,
anatomical defects,
incisal edge extensions,
tooth malignment,
diastema, caries, tooth
fractures, and more.
Fig 1.
1. Patient disliked the shape, color, and contour of her teeth.
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finest Case
Sarah Roberts, DMD
Fig 2.
2. White spots were visible on some of her upper teeth, including the central incisors.
Fig 3.
3. Visalys Veneer template was tried in to determine the veneer
size, and shade BL was selected.
Fig 5.
Fig 4.
4. After an impression was taken and a model was produced to help
with veneer contouring, the patient was numbed and cord was packed.
5. Teeth Nos. 5 through 12 were prepared.
Contacts were opened and the facial was
reduced by about 0.4 mm. Veneers were
trimmed, mainly reducing the gingival area to
shorten the veneer, starting with the central
incisors, then the lateral incisors, the canines,
and, finally, the premolars. A veneer bonding
agent was applied to the veneer and light-curing
was done for 10 seconds per tooth for proper
adhesion. Phosphoric acid was applied and then
rinsed thoroughly, followed by application and
light-curing of enamel bond. Each veneer was
roughed inside, rinsed, and dried.
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compendium
Sarah Roberts, DMD
Fig 7.
Fig 6.
6. A dental dam was placed. Veneers were then ready for placement. Composite
BL was applied and smoothed, covering the back of the veneer with a spatula.
Flash was removed and the veneers were placed and tacked for temporary
placement.
Fig 8.
Fig 9.
8. Additional trimming and polishing was done for final result.
10. The patient was
extremely happy
with her new smile.
Fig 10.
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7. After veneers were aligned, the facial, incisal, and lingual
aspects were each cured for 20 seconds.
9. After final polishing on the adjusted margins of the
veneer, the result was highly pleasing.