Laminate Veneer Flashcards
Goal of preparation driven by existing tooth surface
to remove a uniform layer of the tooth structure and reproduction of the initial situation (form and function)
Aim of Preparation driven by the final volume of the preparation
to restore the original volume of the tooth
Finish line is placed supra-gingivally, but in case of:
- Cervical deep discoloration
- Cervical caries / erosion
- Short occluso-gingival height
Contact should be opened in case of:
- Multiple adjacent teeth to facilitate separation of dies without damaging the inter-proximal finish line.
- Proximal caries.
- Proximal existing restoration
- Proximal discoloration
- Mal-aligned teeth
- Changing tooth form
Cases requiring proximal wrap around:
- Closing of diastema
- Malformed tooth (peg shaped lateral)
- Tooth fracture proximally
Advantage of Window design
retaining natural enamel over the incisal edge
Disadvantage of Window design
- the incisal edge enamel is weakened by the preparation
- the margins of the veneer would become vulnerable if there is incisal edge wear whilst the incisal lute can be difficult to hide
Advantage of Feather design
guidance on natural tooth is maintained
Disadvantage of Feather design
the veneer is liable to be fragile at the incisal edge and may be subject to peel / sheer forces during protrusive guidance
Advantage of Bevel design
- more control over the incisal esthetics
- a positive seat during try in and cementation of the veneer
- The margin is not in a position that will be subjected to direct shear forces except in protrusion
When to wrap around?
- In teeth need esthetic lengthening
- Fractured incisal edge
- increased functional stresses on incisal edge in case of lower anterior
finish line should be …. the way down the lingual surface and …. away from centric contact connecting the …. proximal finish lines.
1/4
1 mm
2
The lingual finish line should not be placed on
concave area otherwise stress concentration on ceramic
Important of Tooth preparation
1- To avoid over-contour restoration
2- Margin placement for concealment
3- Color change without over bulking the ceramic
4- Definitive margin for technician to work with
5- Removal of fluoride rich a prismatic layer, which offer a minor retention capacity to improve bonding strength
The success of the porcelain veneer is greatly determined by
the strength and durability of the bond