AESTETHIC DENTISTRY
DIRECT VENEERS- FROM DESIGN TO IMPLEMENTATION
Zoltán Miskolczy 1a *, Barbara Kispélyi 1b, Judit Borbély 1c, Péter Hermann 1d
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Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary a
DMD, clinical dentist b
DMD, PhD, Associate Professor c
DMD, PhD, Associate Professor d
DMD, MSc, PhD, Professor, head, Vice-Rector
Cite this article: Cite this article: Miskolczy Z, Kispélyi B, Borbély J, Hermann P. Direct veneers- From design to implementation. Stoma Edu J. 2016; 3( 1): 33-38.
Received: April 13, 2016 Received in revised form: April 27, 2016
Accepted: May 3, 2016 Published online: April 20, 2016
ABSTRACT
Aim: In a 58-year old female patient, the frontal teeth damaged by attrition were reconstructed by direct veneer technology. Frontal tooth configuration and esthetical appearance were restored. Using this case as an example, we describe the key steps of producing a direct veneer and study the scope of application of this technique and the expected lifetime of reconstructed structures. Summary: The adhesive technique makes it possible to esthetically optimize such teeth which show no decay lesions without doing any damage. This way, we can also satisfy patients, who refrain from any more invasive treatment, e. g. crowning. Based on the literature data shown, it can be stated that – with appropriate indications – direct veneer restorations can be equivalent alternatives to conventional“ golden standard” restorations. Key learning points: 1. With the development of the adhesive technique, minimally invasive and noninvasive procedures play a bigger and bigger role in esthetic dentistry beside conventional interventions. 2. Our goal was to restore a harmonious smile, taking into account the principles of Visagismo. 3. Sufficient bonding power can only be obtained on the enamel surface, so it is reasonable to consider the indications of direct veneer if a large surface of dentin is exposed. Keywords: direct veneers, smile design, composite layering, diagnostic wax-up, composite polishing.
1. Introduction
Beauty is a term used more and more often in our everyday life. There is nothing new about it: humans have shown great concern about their own appearance since ancient times.“ Ideal beauty” is admired because it features characteristics that, in that particular culture, are associated with perfection. According to the Ancient Greek saying beauty is in the eye of the beholder, therefore there are differences in what the individual people find beautiful. Plato considered beauty to be the idea( shape) that lies above all ideas. Smile plays a key role in the beauty and esthetics of the human face. It is an accord of the mimic facial muscles, which extends even to the area of the eyes. Humans generally consider smile a sign of dearness, happiness and joyfulness, and it also radiates self-confidence and trustworthiness. Teeth are the most important elements of the overall picture of a smile. Therefore, it is not difficult to understand that there can be a correlation between the esthetic problems of one’ s teeth and his / her mental and social issues. It is the duty of the dentist with an interdisciplinary approach to identify the problem, to get to know the patient to such an extent sufficient for the treatment and to provide the complex treatment itself, with appropriate communication an important part of the latter. It can be clearly stated that the procedures used in dentistry have undergone significant development for the last years. With the development of the adhesive technique, minimally invasive and noninvasive procedures play a bigger and bigger role in esthetic dentistry beside conventional interventions. Indications for direct veneers can be different abnormities in terms of color, shape or position. Below is an incomplete list of cases that might call for such restorations: Color differences:- Hypocalcification- Hypoplasia- Fluorosis- Tetracycline damage- Discoloration( not removable by scaling and tooth whitening)- Discoloring effects of earlier amalgam fillings- Age-related physiological discoloration
* Corresponding author: Dr. Zoltán Miskolczy, DMD, clinical dentist Department of Prosthodontics, Faculty of Dentistry Semmelweis University Szentkirályi u. 47, H-1088 Budapest, Hungary Tel.:(+ 36-1) 338-4380, Fax:(+ 36-1) 317-5270, e-mail: dr. miskolczy @ gmail. com
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