• Users Online: 346
  • Print this page
  • Email this page


 
 
Table of Contents
CASE REPORT
Year : 2020  |  Volume : 8  |  Issue : 2  |  Page : 29-31

Smile makeover with porcelain veneers: A case report


1 Conservative Dentistry and Endodontics, Reader, Triveni Institute of Dental Sciences, Hospital & Research Centre, Bilaspur, Chhattisgarh, India
2 Conservative Dentistry and Endodontics, Senior Lecturer, Sri Sukhmani Dental College and Hospital, Derabassi, Punjab, India

Date of Submission11-Mar-2020
Date of Acceptance22-Apr-2020
Date of Web Publication21-May-2020

Correspondence Address:
Dr. Suyash Thakur
Triveni Institute of Dental Sciences, Hospital & Research Centre, Bilaspur, Chhattisgarh.
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJO.INJO_7_20

Rights and Permissions
  Abstract 

Dental veneers are a possible solution to help you achieve the look you desire. They are a popular choice for those with chipped teeth, a gap between teeth, or misshaped teeth. Dental veneers are thin covers that adhere to teeth to give teeth a more classically shaped look. This case report describes in detail the case selection, tooth preparation, laboratory procedures, and cementation of veneers on maxillary anterior teeth.

Keywords: Aesthetics, ceramic veneers, discoloration


How to cite this article:
Thakur S, Thakur S, Choudhary P, Bakshi S. Smile makeover with porcelain veneers: A case report. Int J Oral Care Res 2020;8:29-31

How to cite this URL:
Thakur S, Thakur S, Choudhary P, Bakshi S. Smile makeover with porcelain veneers: A case report. Int J Oral Care Res [serial online] 2020 [cited 2020 Jul 3];8:29-31. Available from: http://www.ijocr.org/text.asp?2020/8/2/29/284679




  Introduction Top


Reestablishing a patient’s lost natural dental aesthetics is among the important topics of today’s dentistry, in addition to function. Color, shape, and structural and position abnormalities of anterior teeth might lead to important aesthetic problems for patients. Any restoration should be fabricated using mechanical, biological, and aesthetic principles.[1],[2] Porcelain laminate veneers have become the aesthetic alternative to ceramic crowns and the traditional porcelain fused to metal. They are the restoration of choice where discolored teeth are resistant to bleaching, such as degree III and IV tetracycline stains, when anterior teeth require major morphologic modifications such as conoid teeth, diastemas, to prolong the incisal edge of the tooth to increase its length,[3] and for extended rehabilitation of compromised anterior dentition such as coronal fractures, congenital, and acquired malformations where dentinoenamel junction is not altered.[4],[5],[6]


  Case Report Top


A 26-year-old male patient reported to the Department of Conservative Dentistry and Endodontics, Triveni Institute of Dental Sciences, Hospital and Research Centre, Bilaspur, Chhattisgarh, India, with a chief complaint of discolored anterior teeth and wanted cosmetic rehabilitation for the same. After examination, a provisional diagnosis of enamel hypoplasia due to moderate fluorosis was made. Dentofacial analysis and shade selection was done. Then shade was selected for the anterior laminates[4] [Figure 1]. The treatment objectives were to manage the discoloration and modify the contours of the teeth in the most conservative method possible. Ceramic veneers were planned on maxillary anterior teeth. Patient consent was taken, and he was informed about the existing condition and treatment procedure.
Figure 1: Preoperative

Click here to view



  Tooth Preparation Top


A well-adapted, sectioned silicon matrix was made from the diagnostic cast, which was later used as a reference for teeth reduction.[4],[5],[7],[8] The aim was to provide some space into which the technician can build porcelain without over-contouring the tooth; to provide a finished preparation that is smooth and has no sharp internal line–angles, thus avoiding areas of high stress concentration in the restoration; to maintain preparation within enamel whenever possible; and to define a finish line to which the technician can work.

Facial reduction

The preparation depth of the order of 0.4mm close to the gingival margin, rising to 0.7mm for the bulk, was achieved by using depth cutting burs. To mimic the natural curvature of the tooth and to provide even thickness of porcelain, two plane facial reduction was done.

Proximal reduction

Proximal reduction was kept just short of breaking the contact[5] [Figure 2]. Incisal reduction of 1mm was done with incisal overlap to improve translucency and to provide positive seat for luting.[2],[5]
Figure 2: Prepared teeth facial view

Click here to view


Cervical finish lines

Equigingival chamfer finish line of 0.4mm maximum depth was made. All the internal line angles were rounded to reduce stresses in the margins of the veneers.

The impression was sent to a dental lab that custom-made the porcelain veneers to fit the teeth.

At the next visit, after any adjustments to be made, the teeth were cleaned, and the veneers were bonded to the tooth.


  Shade Selection Top


The teeth were cleaned with pumice and water to remove any extrinsic stains that exist.


  Clinical Try-in Top


First, the fit and aesthetics were evaluated. All veneers should be placed without bonding medium on teeth to assess the fit [Figure 3].
Figure 3: Clinical try-in

Click here to view



  Cementation Top


The intaglio surface of the veneers were etched using 30% hydrofluoric gel, rinsed, and coated with a silane coupling agent.[2],[4] The prepared tooth were well isolated and etched with 37% orthophosphoric acid (Universal Etch, Dentsply), rinsed, and Prime & Bond NT dentin bonding agent was applied following manufacturer’s instructions. Calibra (Dentsply, Canada, United States) resin luting cement was used for the cementation of the porcelain laminate veneers. Once all gross excess was removed, the luting resin was cured using visible light activation unit for 40s each. Porcelain laminate veneers were finished using rotating abrasive disks (Soflex discs) [Figure 4].
Figure 4: Post-cementation

Click here to view



  Discussion Top


Veneers are, without a doubt, modern dentistry’s best way to replicate nature, which is always the goal of cosmetic dentistry—to replicate nature, not try to improve on it. Porcelain veneers are not the only option for changing one’s smile but are commonly used when a patient wants to gain a lot of control of their smile (change color, size, shape, etc). The advantages of using these restorations are that they are biologically acceptable to the body owing to their increased chemical stability, lesser cytotoxicity, and reduced risk of causing irritation or sensitivity. These restorations show reduced plaque buildup and its easy removal due to their smoothly glazed surface.[2],[4],[6]

Porcelain veneers can be a great investment, if they are the right option for you.[6]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Gurel G. Predictable and precise tooth preparation techniques for porcelain laminate veneers in complex cases. Oral Health J 2007;9:30-40.  Back to cited text no. 1
    
2.
Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G. Porcelain veneers: A review of the literature. J Dent 2000;28:163-77.  Back to cited text no. 2
    
3.
Garbaer D. Traditional tooth preparation of porcelain laminate veneers. Comp Cont Ed Dent 1991;12:316-22.  Back to cited text no. 3
    
4.
Gurel G. The Science and Art of Porcelain Laminate Veneers. Quintessence Publication; 2003.  Back to cited text no. 4
    
5.
Belser UC, Magne P, Magne M. Ceramic laminate veneers: Continuous evolution of indications. J Esthet Dent 1997;9:197-207.  Back to cited text no. 5
    
6.
da Cunha LF, Pedroche LO, Gonzaga CC, Furuse AY. Esthetic, occlusal, and periodontal rehabilitation of anterior teeth with minimum thickness porcelain laminate veneers. J Prosthet Dent 2014;112:1315-8.  Back to cited text no. 6
    
7.
Magne P, Belser UC. Novel porcelain laminate preparation approach driven by a diagnostic mock-up. J Esthet Restor Dent 2004;16:7-16; discussion 17-8.  Back to cited text no. 7
    
8.
Reshad M, Cascione D, Magne P. Diagnostic mock-ups as an objective tool for predictable outcomes with porcelain laminate veneers in esthetically demanding patients: A clinical report. J Prosthet Dent 2008;99:333-9.  Back to cited text no. 8
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
   Abstract
  Introduction
  Case Report
  Tooth Preparation
  Shade Selection
  Clinical Try-in
  Cementation
  Discussion
   References
   Article Figures

 Article Access Statistics
    Viewed143    
    Printed8    
    Emailed0    
    PDF Downloaded24    
    Comments [Add]    

Recommend this journal