Endodontics Cosmetic Dentistry

1. Veneers
Restores beautiful smile and confidence
Presented by,
Arya V Devi

2. Dental Veneers
Dental veneers are custom made
shells made from tooth colored materials
that facilitate covering the front surface of
the tooth
Alternately known as dental laminates

3. Difference
Types
Veneers
Composite
Veneer
Can be build
up in the
mouth by
directly
placing it
Can be
fabricated
in a dental
laboratory
Porcelain
Veneer
Cannot be
built in
mouth
Hence
fabricated
outside and
fitted later

4. Indications
• Esthetically compromised
anterior teeth
• Poorly shaped or crooked
teeth
• Stained teeth
(intrinsic/extrinsic)
• Closure of diastemas
• Enamel hypoplasia
• Fractured teeth
• Anatomically malformed
teeth
• Tooth wear
Advantages
• Esthetic stability
• Stain resistant
• Stronger and durable
• Gum tissue tolerates
porcelain well
• The color of a porcelain
veneer can be selected
such that it makes dark
teeth appear whiter.
• Veneers offer a
conservative approach to
changing a tooth's color
and shape.

5. Composite Veneers
• One visit procedure
• Less expensive
• Repair potential
• Chair-side control of the anatomy
• Minimal irreversible loss of tooth structure
Porcelain Veneers
• Esthetic stability
• Stain resistant
• Stronger and durable
• Gum tissue tolerates porcelain well
• The color of a porcelain veneer can be selected such that
it makes dark teeth appear whiter.
• Veneers offer a conservative approach to changing a
tooth's color and shape.

6. Shade Selection
Understanding tooth light interaction
rather than selecting a shade
Hue, Chroma, Value
Age consideration

7. NaturalColorProgression
Maxillary central
incisor-
dominates smile,
color, shape and
position
Lateral- similar
hue to central
Canine- appear
darker due to
intense Chroma
Premolars-
similar to lateral
Increasedtranslucency
At
interproximal
surface
At incisal
edge
Differentareasofteeth
Cervical
area
Incisal
Shade Selection

8. Patient Examination & Treatment
Planning
Comprehensive clinical examination may reveal
failing restorations, recurrent decay, marginal
leakage, and staining.
A full series of intra- and extra oral images are
taken for treatment planning, marketing, and case
documentation. These images are studied—along
with clinical examination notes—prior to treatment
so that a basic plan could be formulated.
Patient’s preferences must be kept in mind while
deciding a treatment plan including his/her financial
status.

9. Direct Composite Veneering
Anesthetiza
tion and
tooth
isolation
Shade
selection
Any existing
composite
resin or
decay is
removed
Tooth is
roughened
and a slight
finish line is
created
Contoured
anatomical
matrix is
placed and
wedged
loosely
Etching
and
bonding
Composite is
placed and
cured and
shaped with a
composite
roller
Basic shape is
formed with
a finishing
diamond bur
Embrasures are
shaped and
refined with
three levels of
finishing disks
Interproximal
areas are
shaped with
abrasive strips
Additional
polishing and
shaping are
completed
three days
later

10. Porcelain Veneer
FIRST APPOINTMENT
(Veneer Preparation
Procedure)
Shade Selection
Tooth preparation
Impression
Temporary Veneers
SECOND APPOINTMENT
Remove temporary
Clinical try-in
Cementation

11. First Appointment
Shade Selection
• Clean teeth with pumice and
water
• Select a tentative shade
with your patient
participating
Tooth
preparation
• A uniform 0.5mm
intraenamel reduction is
sufficient
• Preparations are extended
to the gingival crest and
into the interproximals
without breaking contact
• Three ways to manage
incisal edge coverage
• No incisal edge coverage
• Cover incisal edge
• Wrap around incisal edge

12. First Appointment
Impression
• The retraction cord
should be left in
place if possible
during the impression
• Use a polysiloxane or
polyether material
for the impression
Temporary
Veneers
• They are placed when
necessary or desired
• Hand sculptured
using composite, kept
supragingival and
attached by spot
etching

13. Second Appointment
Clinical try-in
Contacts need to be
carefully assessed
Proximal contacts can
be adjusted
Remove temporary
Care must be taken not to damage margin areas of
preparations

14. Cementation
Try-in paste allow you
to mask any
underlying color
abnormalities and
select cement shade
Apply saline solution
to the internal aspect
of the veneer
Etch, rinse, dry
but do not
desiccate
Apply
primer/adhesive
to the tooth and
lightly air dry
Apply cement to the
internal aspect of the
veneer, seat the veneer,
clean off excess cement,
light cure
Floss contacts and
adjust occlusion.

15. Miley Cyrus
Yellow Staining
Before & After Veneering
Zac Effron
Midline Diastema

16. Becoming more
common because
everyone wants A
great smile 
It is A great way to
change A smile that
shows yellowed, stained
teeth into one that
makes you look
fantastic 
But remember
veneers are not
for everyone, and
if your teeth are
not strong
enough dental
veneers are
contraindicated
