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Female patient presented with mild symptoms (pain upon intake of cold/hot food/liquids). Symptoms elicited by exposed dentine of her worn teeth. Additional issues were aesthetic dysformation (shortened teeth) and bite problems. Case addressed with front composite veneers. Shape was designed on dental CAD software with photos of the face and smile (See Aesthetic Analysis). Localised tooth discolouration on right lateral addressed with extra layers of opaque composite. No-cut no-drill concept applied. No anaesthesia2 Appointments

Before

After

Smile of young female. Initial situation. Spot on severe discolorations , abraded surfaces and inclined teeth (more elongated teeth at the right side). Treatment plan called for launch with teeth whitening and completion with 5 veneers at the upper front
Final result. Bleaching applied on all teeth upper and lower helped brighten up the colour on all teeth and provided a whiter substrate on upper front teeth (tooth surfaces) so as to achieve thin veneers

Before

Severe tooth wear and apparent canted teeth ie teeth at right being more elongated

After

After

Composite veneers on 5 upper front teeth corrected length and occlusal plane. To accomplish this task veneers on the left were elongated more than on the right to compensate for their shortened length
Composite veneers were layered and delivered in a day!

After

Closeup of restored teeth. Composites Asteria by Tokuyama, Japan , were used. No drilling applied. No anesthesia
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Before

Before

Female 40 presenting aesthetic issues on her upper front teeth. Moreover, teeth appear not at lip rest (i.e shortened/ worn teeth) , whilst normally must show out an adequate 2-3 mm
Smile photo shows 2 front teeth (centrals) with failed composite veneers exhibiting wrong proportions and greyish gum outline . Neighboring natural teeth slightly discolored and a bit protruding (namely the laterals)

After

Before

Final result considered satisfactory by both patient and the restorative specialist. All aspects of function and aesthetics restored namely balanced tooth contacts combined with pleasant proportions and a vivid yet natural shade. 6 composite veneers Asteria by Tokuyama , Japan been used
Initial photo exhibiting challenges that ought to be tackled. Moreover healthy and intact teeth (laterals and canines) demanded a no-cut-no-drill option

After

Removal of failed composites

Immediately after 3-hour appointment and delivery of 6 multi-layered composite veneers. Slight disproportion of laterals (a bit too wide) was a compromise that was assigned to help follow a no-cut-no-drill approach
Major challenge been treating heavy discolored gum zenith around central teeth after removal of their previous composite veneers

After

Not ideal, yet satisfactory 6 upper veneers restore proportions , brightness and smile line in a no-cut-no-drill-approach
Home » COMPOSITE RESIN VENEERS

Initial

Final

Female patient 23 requested enhancement of her lateral incisor and 6 bright veneers on her upper teeth

Final- Lateral view

Final – Front view

Fully non-invasive restoration of her lateral incisor
6 layered composite veneers ASTERIA by TOKUYAMA, JAPAN in a day
Home » COMPOSITE RESIN VENEERS

Initial – 2 failed veneers on centrals

Immediate replacement – In a day

Female patient, 38, requests enhancement of the appearance of her 2 centrals. She requests longer and better-matching teeth.
In a long session old veneers removed, aesthetic analysis helped fabricate silicon index to guide ideal shape.

Intermediate – Layering

Final restorations

With the aid of the silicon guide, layers of Asteria composite resin by Tokuyama , Japan, were placed to mimic anatomy and colour of natural tooth
Final composite veneers were placed in a long session

Photo Before

Photo After

Patient with failed composite veneers on the upper jaw
New multi-layered composite veneers

Photo Before

Photo After

Intra-oral depiction of pre-existing failed veneers
Intra-oral depiction of new immediate composite veneers on the upper teeth

Photo After

Photo After

Right-side depiction of new composite veneers on the upper teeth
Left-side depiction of composite veneers on the upper teeth
Home » COMPOSITE RESIN VENEERS

1. Before – Smile

2. Before – Intraoral

3. Before – Intraoral with black contraster

4. Intermediate – Light-curing new composite veneers

5. Final – Composite veneers bonded & light-cured

6. Final smile with new composite veneers – Shade Extra Bleached (Tetric Ceram by Ivoclar Vivadent)

7. Final smile with new composite veneers – Shade Extra Bleached (Tetric Ceram by Ivoclar Vivadent)

8. Final smile with new composite veneers – Shade Extra Bleached (Tetric Ceram by Ivoclar Vivadent)

Female, 55, presented with failed composite veneers. Patient requested bright smile that should feel safe and strong. Examination revealed broken composites due to non-favourable tooth contacts i.e. excessive overlapping and tight bite

Patient had high aesthetic demands allowing us with no compromise length-wise

Detailed analysis of occlusion and the aesthetics facilitated navigated direct composite veneers (Tetric by Ivoclar Vivadent) of augmented brightness and satisfactory robustness

Home » COMPOSITE RESIN VENEERS

Before

Intermediate – Dental isolation

Incongruous composites- failed veneers. compromised surfaces to bond.

Ενδιάμεση
Μετά

Intermediate – Layering

Post- op

Note: bright shade and blueish translucency on the edges of teeth

Pre-op

Another issue: retruded upper front teeth evoking insufficient support for the upper lip

Multiple aesthetic issues- tooth discoloration; unpleasant length-width ratio; over-exposure of gums and thin lip.

Post op

Post op

Navigated stratification of bio-emulating synthetic-resin veneers. Note:enhancement of lip support.

Composite veneers on upper teeth and whitening of the lower dentition.

Before

Post op

Female patient with pathologic tooth wear and staining. Her core expectation is to ”gain confidence with a super bright smile”.

Super bleach shades have been selected to brighten up her smile. Concern was to add features, that should enhance natural outcome without standing out. Note greyish translucency used to radiate naturality.

ΓΕΩΡΓΙΟΣ ΠΑΤΣΑΧΤΣΙΔΗΣ
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