How veneer made me smile confidently?
5 REASONS TO GO FOR VENEER
Reconstruct your smile with a porcelain veneer!
IS YOUR SMILE MAKING YOU UNHAPPY
Have you ever looked in the mirror and been unhappy with your smile?
Have you ever removed a picture of yourself from Facebook because you didn’t like your smile?
You’re not on the only one.
Many people wish they had a different smile, maybe it could be straighter, whiter or perhaps you don’t like the way your smile now appears due to any reason?
We don’t want you to be sad about your smile, so just know that there are options out there for you to explore to improve the look of your teeth.
Thankfully, there are treatments available that will ensure that you can achieve the smile you’ve always wanted.
If you’re looking for an easier way to whiten your smile for good, dental veneers may be a good fit for you.
Call us today to schedule an appointment to discuss your options with Dr. Sangeeta and find out which options are right for you.
GAPS BETWEEN YOUR TEETH
Some people find it is just as frustrating to have both of their front teeth, but still have a big gap in between them.
Yes, it’s absolutely possible to fill the gaps between teeth. Consult a dentist in your area.
If your teeth are too small, your dentist may suggest widening those using crowns, veneers or bonding.
EXTREMELY STAINED OR DISCOLORED TEETH
Are you self-conscious of your smile because of stained teeth?
Do you brush and floss frequently but can’t get stains off of your teeth?
But if patients are self-conscious about their dark smile, I do offer numerous whitening options to help you achieve the smile of your dreams!
Sometimes, depending on how severe the staining is, in-office whitening won’t even work.
It is these patients who will greatly benefit from veneers since no other product or service will do the job.
CRACKED, CHIPPED, OR BROKEN TEETH
Nothing is more likely to keep you from flashing your smile than when you suffer from broken or missing teeth.
When this happens, it can be embarrassing….and…it can be anything from physically uncomfortable to downright painful!
But, cracked teeth don’t always hurt or become sensitive to temperature. Our team will be able to advise you, to help you choose the appropriate treatment.
If left untreated, the crack may get worse, the tooth may develop further decay and nerve infections. This worsening can sometimes progress without causing any pain or sensitivity.
A broken tooth is a more serious matter.
Depending on the size of the chip or break, you may experience mild to severe pain, depending on whether the break exposes the dentin or nerve of your tooth to air, saliva, and other elements.
Broken teeth may require crowns, or veneers and replacements.
Worn Down Teeth
Have you noticed that your teeth are wearing down?
Perhaps they just look shorter, or you’ve noticed that your teeth, where the edges have worn, look darker and discolored? The two questions most people ask are why this is and what can I do about it.
Everyone experiences some wear on their teeth due to normal chewing over the years.
Many of us are keeping our teeth for longer and hence are complaining that our teeth appear to be worn.
This is a normal process throughout life but can impact on how our teeth look, feel and function.
For patients who have severely worn down teeth, porcelain veneers can be a great option.
Veneers can restore the appearance of the teeth, and provide more stability for chewing food.
Although porcelain is the more expensive option, these veneers tend to last as long as 20 years with minimal maintenance.
They are best at resisting stains and mimicking the light reflecting capabilities of natural teeth.
Porcelain veneers are steadily increasing in popularity among today’s dental practitioners for conservative restoration of esthetic anterior teeth.
HOW TO SELECT A PROPER SHADE?
Proper shade selection is not only with matching the shade using shade guide, but involves various technique with proper lighting.
Tips for shade selection
Shade matching must be carried out in early hours of appointment to avoid color fatigue
If patient is wearing bright color clothing, drape in Neutral colored cover, have patient remove lipstick and other makeup
Clean the teeth and remove all stains and debris
Have patient’s mouth at dentist’s eye level
Shade comparisons should be performed at 5 s interval so as to not to fatigue eyes
Use canine as reference
Grind off the neck of the shade tabs because it is darker than rest of tab
If there is confusion between two shades then it is always better to select a shade of lower chroma and higher value.
MAKING A PORCELAIN VENEER
Conservative intra enamel preparation with facial reduction of enamel by 0.3-0.5 mm and finish line placed at or close to the gingival margin are recommended.
Three horizontal surface depth cuts are prepared on the labial surface with three tiered depth cutting diamond. Using the depth cuts as guide, labial surface is prepared to prevent over reduction (0.3-0.5 mm).
Pencil lines can be marked into the enamel guide grooves.
For the standard preparation, chamfer is placed at the height of gingival crest unless severe discoloration mandates a sub gingival margin to gain extra veneer thickness.
The preparation is extended lingually only if diastema or peg lateral incisor has to be restored.
Enhance the mechanical resistance of veneer, though removal of 0.5-2.0 mm of intact incisal edge.
As much as possible the contact area should be preserved.
Tooth preparation should not include any sharp internal angle, especially at the incisal edge where the stress will be greatest, it should allow for a path of insertion of the veneer which is free from undercuts.
Gingival retraction is usually needed for maxillary teeth and dark teeth.
Apical infiltration over the teeth with the local anesthetic solution is also advised.
Any recognized elastomeric impression material is suitable for recording the preparation.
Temporary restoration is needed then the materials used are preformed acrylic resin veneer and composite resin.
Patients seldom experience sensitivity as a result of the preparation of enamel and are usually not unhappy about the appearance, in which case temporary cover may be omitted.
Patient is then recalled for delivery of permanent prosthesis.
Temporary crown is removed gently with the help of a probe.
Tooth is cleaned with fluoride free pumice paste; this ensures removal of pellicle or any other contaminants.
It’s not my intention or field of expertise to cover the chemistry of cements, but to share my own clinical experience in my practice that all resin cements experience some shade color shift over time.
I prefer to use Relyx veneer cement from 3M ESPE resin cements, as it allows you to place the veneer, and then easily remove the excess from the gingival and interproximal margins, without the veneer drifting.
Complete isolation during bonding procedure is recommended to avoid any contamination.
Make sure to take same shade of try in paste and cure resin of same shade.
Polymerization time may be doubled if the laminate veneer is thicker than 8 mm, as a thicker veneer may not allow the cement to reach its maximum hardness.
Light only polymerized resin can be used virtually any etch and rinse adhesive, provided that the manufacturer’s for both the cement and adhesive are followed.
A 10 second spot cure of the cement, after the veneer has properly positioned, permits removal of the unset excess elsewhere before final curing.
On completion of placement excess cured cement is removed with fine, water-cooled diamond and interproximal clearances confirmed with fine separating strips.
Excessive stress on newly placed veneer should be avoided as it takes 24 h for the coupling agent to develop its maximum bond strength.
Final polishing is much better delayed to later visit.
By following the preceding tips, dentist can provide patient one of the best fitting, long lasting, esthetic porcelain restorations available.
Consult your dental professional about the oral care products they recommend to maintain the longevity of your dental restorations.
SMILE IN A SINGLE DAY
When dentists use CAD/CAM technology in their office to produce restorations, they will be fabricated, bonded and adjusted onto your teeth in one visit.
This type of treatment is often marketed by dentists as “same-day dentistry” and does not require temporaries.
Feel free to drop your suggestions for value addition.