Prosthodontics vs Orthodontics – Veneers vs Brackets
Male patient, 37 , presented to our clinic requesting a smile makeover. Findings been overlapping/crowded teeth. Patient consulted to follow orthodontic treatment (brackets or Invisalign) but refused.
Diagnosis revealed accentuated aesthetic issues around front upper and front lower teeth. Gingivitis was traced around front lower teeth, hence patient referred to and treated by peer-periodontist. Multi-layer composite veneers was mutually agreed upon to be standalone treatment as opposed to brackets or Invisalign appliances.
Photo taken from the left.
Photo taken from the right.
Note: lateral incisor sticks out in a way too prominent position. In order no drilling to be applied, this very tooth stipulates the outermost/foremost line of the future neighboring prosthetic reconstructions (e.g. veneers).
Note: as opposed to the prominent tooth , central insisors bend inwards and overlap, therefore encompassing one more challenge to be addressed aesthetically restoring width-length ratio of the future veneers.
One-day treatment
Prosthetic alternative – direct veneers ( thin prosthetic shells) applied in layers on the 8 front upper teeth. Highlighted must be, herein depicted reconstruction encompassed NO DRILLING OR TOOTH REDUCE task achieved only by widening upper arch. Composite multi-layering helped thicken veneers by sticking out to the outer-most position as defined by the most prominent tooth.
All, however, in an ‘’unseen’’ fashion.
Direct veneers on 8 upper and 6 lower front teeth. A bright yet natural smile aimed and fairly achieved.
Physiologic anatomy been mimicked to restore ‘’ideal’’ tooth morphology.
Note: Correct rendering of the linear surface grooves as well as the optimum portion of the translucent composites at the ‘’biting’’ edges.
Photo taken from the left
Note: slightly accentuated linear grooves of veneers to mimic physical tooth surfaces.
Note: deployment of ‘’warm-white’’ shades in the middle of veneers helps both add naturality and make thick veneers hardly distinguished (‘’mirage-effect’’ ).
Photo taken from the right
Note: As compared to the initial figure, widening of the new ‘’veneer arch’’ is highlighted, yet in ‘’an unseen fashion’’. New smile design blends in with the lips and the overall appearance. Task accomplished by adding multiple composite layers up to the foremost/outermost position as stipulated by the most prominent tooth.
Patient hardly senses bulkiness though for only few days.
No anesthesia performed – no drilling applied. Dental isolation was implemented to secure moist-free adhesion.
State-of-the-art adhesive system, Optibond FL by Kerr, USA, been deployed.
As documented by numerous cross-linked scientific studies , Optibond FL considered the unbeatable golden standard for strong bonding.
All stages based upon the Aesthetic & Functional analysis. Analysis stands for meticulous diagnostic methodology to peruse data from aesthetics and dental findings. It concludes upon customized treatment planning and upon ideal shape of future restorations.
Composites used: ASTERIA (by TOKUYAMA Inc JAPAN) RENAMEL (by COSMEDENT Inc USA).
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