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Ultra-thin & ultra-conservative ceramic veneers on 6 upper front
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Porcelain Veneers | Sophistication & Simplicity
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Before

Before

Male patient, 45, presented to our practice requesting smile makeover. His major complaints being • color mismatch across the upper front • black triangles between teeth • and crowding of front teeth in the lower jaw
Findings were • active periodontitis • gum recessions and black triangles • peri-implant deficiencies – at the posterior segments Treatment launched with full mouth disinfection and removal of microbial debris by our perio specialist

Non-invasive visualisation | Trial

Non-invasive visualisation | Trial

Upon finale of perio treatment, restorative phase set off with meticulous analysis both functional and aesthetic. Digital Smile Design implemented on photos of the face and smile with before & after depicts.
Custom made templates soaked with flowable composite copied the intended design on to teeth, helping visualize the projected smile real-time Try-in prototype engaged on his teeth and patient was advised to trial the mockup for 2-3 days

After

After

18 emax veneers (LT-Low Translucency ingot) were CAD/CAM fabricated and delivered
Note • underlying pale-yellowish shade in the middle of the veneers to immitate looks of natural teeth • translucent edges

After

After

Difficulty-level__Extreme due to combined restrictions i.e. minimally invasive procedure and natural glow of restorations. Patient fulfilment level___Excellent
Objective aesthetic assessment_ Fairly Good Objective biological assessment __ Excellent
Ceramic Veneers – Naturality enhancement
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Before

 

 

After

After

Porcelain Veneers – Prosthetic Alignment
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Before

After

Unpleasant appearance involving multiple issues : combined discrepancies of color – shape – position and gum over-exposure (gummy smile). Teeth tilted inwards and located off the facial middle line (been moved to the left).
Periodontal plastic surgery was performed to dissipate unpleasant exposure of gums. 6 ceramic veneers been bonded on the upper front teeth. Their aesthetic role being as to ”move” teeth to a prominent position and ”re-position” the teeth close to middle line.
Correction of over-lapping teeth with porcelain veneers – PROSTHO vs ORTHO
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Before

After

Before

After

Porcelain veneers on 3 upper front teeth – Colour match
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Initial situation

Initial situation

Woman ,40, presented with 3 dyschromic i.e. discoloured upper front teeth
It is apparent that her 2 upper left teeth (right hand side for the observer) are discoloured. Lateral incisor yellowish and canine greyish

Appointment of tooth preparations

Appointment of tooth preparations

Shade tab against intensely discoloured canine to help register colour. All 3 teeth are minimally prepped yet without anaesthesia
Custom made silicone template in situ soaked with flowable resin. After 4′ resin is hardened and 3 new temporary veneers are fabricated and placed on prepped teeth

Immediate fabrication of 3 temporary veneers

Final situation

Silicone template removed. 3 temporary resin veneers in situ. Shape and colour restored as dictated by aesthetic analysis
3 veneers after bonding. Full integration

Final situation – Intraoral

Final situation

Satisfactory colour match among teeth and porcelain veneers. Task completed successfully, challenge being to achieve shade matching among different substrates. Minimal thickness of 3 e-max veneers (by Ivoclar Inc) dictated by minimal prep approach
Colour and shape fully restored on both segments , left and right
Impressive change with porcelain veneers
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Initial

Preview

Female patient requested smile makeover. Note: worn teeth need protection, shape restore and colour enhancement
For her to see and to assess the proposed scheme , real preview was placed on teeth with bonded composites

Session of registration

Final – Session of delivery

Porcelain veneers already bonded to the upper front teeth Lower teeth opened up between each other, while enamel was preserved to facilitate optimum cohesion
6 single-unit porcelain veneers (e-Max) delivered and bonded on teeth on by one. Treatment completed with minimal invasive approach (hardly any drilling)