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Nixon Porcelain Veneer Kit II

Technique Guide

Consistently. Rationally. Systematically.

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Maxillary Procedures

Before

Fig. 1

Using the 0.3mm depth cutter (828-022),


place a horizontal facial depth cut from
proximal line angle to proximal line angle.
Make this depth cut at the junction of the
cervical and middle one-third of the facial
surface of the tooth.*

Fig. 2

Using the 0.5mm depth cutter (828-026),


place two additional horizontal depth cuts
from proximal line angle to proximal line
angle. Make one depth cut in the middle of
the facial surface and the other depth cut
2mm to 3mm from the incisal edge.* * 1

* For severely stained teeth, use the 0.5mm depth cutter (828-026) to make this depth cut.
* * For severely stained teeth, use the 0.7mm depth cutter (828-030) to make this depth cut.
1. Shillingburg HT, Grace CS. Thickness of enamel and dentin. J South Calif Dent Assoc. 1973; 41(1): 33-62.

Fig. 3

Paralleling the entire gingival margin,


prepare a definitive chamfer finish line
with the 850-014 medium grit diamond
bur in enamel.

Fig. 6

If incisal coverage with porcelain or resin is


planned the incisal table may be reduced with
the 828-030 depth cutter. The angle of the face
of the depth cutter is slightly downward
toward the facial (from horizontal) to provide
some occlusal resistance to shear forces. This
cut creates a definite finish line at the junction
of the incisal and lingual surfaces.

Fig. 4

Continue the definitive chamfer finish line


with the 850-014 diamond bur from the
papilla tip toward the incisal edge on both
the mesial and distal proximal surfaces.
This definitive proximal chamfer finish line
should be placed just labial (0.2mm) to the
contact zone, and then directed lingually in
the area of the incisal embrasure.

Fig. 7

The facial and incisal preparations


create a sharp line angle at the junction
of these two surfaces. This sharp angle
should be rounded off with the 8392-016
fine diamond bur (30 micron grit) or the
850-014 diamond bur to reduce stress
concentration in the veneer restoration.

Fig. 5

The facial depth cuts are removed with


the 850-014 diamond bur, and the long
axis of the diamond bur is rolled into
the proximal chamfer area to eliminate
any sharp line angles.

Fig. 8

Once gross finishing of the cemented


veneer has been accomplished with
hand instruments, discs, and strips, fine
finishing of any porcelain excess at the
margin is initiated with the ET6EF
diamond bur (15 micron grit). The bur
is used at moderate speed with a water
coolant utilizing a light touch.

Fig. 9

Fig. 10

To renew the porcelain glaze, the ET6UF 30


fluted carbide bur is utilized at high speed,
dry with a feather touch. 2 The porcelain glaze
is further enhanced with Truluster porcelain
polishing paste: order no. 203-9300.

After

Remove any gross resin cement excess or porcelain


excess with the football shaped 8368-023 fine diamond bur
(30 micron grit) along the linguo-incisal margin. Smooth
this area further with the 368EF-023 (15 micron grit)
diamond bur. Renew the glaze with the ET6UF-30 fluted
carbide bur and Truluster porcelain polishing paste.

2. Haywood VB, Heymann HO, Scurria MS. Experimental instrumentation for polishing intraorally. J Dent Res. 1988; 67: 377. Abstract 2116.

Mandibular Procedures

Fig. 1

The appearance of the mandibular


anterior teeth prior to porcelain
veneering for matching the color of the
maxillary porcelain veneers. The tooth
preparation presented applies to Class I
occlusions without destructive
parafunctional habit patterns.

Fig. 4

If the tooth makes contact in centric


closure, this cut will eliminate tooth
contact. This facial cut is combined
with the incisal cut in Step #7 to
provide incisal space for the porcelain.

Fig. 2

At the junction of the incisal one-third


and the middle one-third of the tooth
crown, place horizontal depth cuts with
the 0.3mm depth cutter (828-022) from
the mesial proximal line angle to the
distal proximal line angle.

Fig. 5

Create initial incisal clearance, as


described in Step #3 for all mandibular
anterior teeth.

Fig. 3

Cutting parallel to the existing facial


surface, use the 855-014 medium grit
diamond bur to remove a uniform
0.3mm of the facial surface, from the
incisal edge to the bottom of the
0.3mm depth cut.

Fig. 6

Using the 0.3mm depth cutter (828-022),


place two incisal depth cuts from the
linguo-incisal line angle to the facio-incisal
line angle. These two depth cuts are placed
into the incisal table approximately one
third of the incisal distance from each
proximal wall.

To order call 8 0 0 . 8 4 1 . 4 5 2 2, fax 8 8 8 . 6 1 0 . 1 9 3 7 or find us on the web: w w w . b r a s s e l e r u s a . c o m

Fig. 7

These depth cuts are now removed


with the flat end of the 828-022 depth
cutter on a 30 to 45 angle toward the
facial. The angle will result in the
removal of more tooth structure in the
facial portion of the incisal table,
which is the zone of centric contact.

Fig. 10

An incisal view of the mandibular anterior


teeth reveals incisal clearance of 1mm or
slightly more for all teeth, as verified by a
measuring device. In a normal occlusion,
this should meet the requirements for
resistance to fracture in an etched
porcelain system.

Fig. 8

The result of the facial cut (Step #3)


and the incisal cut (Step #7) should
produce a clearance at the facio-incisal
line angle of from 0.75mm to 1.0mm.
If more clearance is desirable, reduce
the incisal table further, from lingual
to facial, with the 828-022 at a 30 to
45 angle.

Fig. 11

Using the 0.3mm depth cutter (828-022)


place a horizontal facial depth cut from
mesial proximal line angle to distal
proximal line angle, midway between
the reduced incisal edge and the
cemento-enamel junction. Make this
cut for all mandibular anterior teeth.

Fig. 9

Repeat the angled reduction of the


incisal table for the remaining
mandibular anterior teeth, until the
desired clearance is obtained for all
teeth. From 1mm to 1.25mm at the
facio-incisal line angle is usually
acceptable. Avoid excessive incisal
reduction to prevent extensive
exposure of the dentin of the tooth.

Fig. 12

Beginning slightly incisal to the


cemento-enamel junction (to remain
in enamel), use the 850-014 diamond
bur to prepare a moderate chamfer
finish line that produces a smooth arc
to the mesial and distal papilla tip.

Mandibular Procedures contd

Fig. 13

Fig. 14

Extend the chamfer finish line with the


850-014 diamond bur directly toward
the prepared incisal edge. Be sure to
remain slightly facial to the proximal
contacts to simplify reading the finish
line and removing resin cement during
veneer placement.

Using the 850-014 diamond bur,


carefully remove the 0.3mm depth cut
and delicately merge the facial
reduction with the proximal chamfer
finish lines. Proceed to prepare the
remaining mandibular anterior teeth
as outlined in Steps #12-14.

Fig. 15

Fig. 16

Finishing and polishing of the veneers


is accomplished as described for the
maxillary teeth. Care should be taken
to scrupulously evaluate the occlusion
before dismissing the patient. The
completed result is displayed here.

The appearance of the mandibular


anterior teeth after completion of the
preparations for porcelain veneers.

A complete kit for preparation and finishing of porcelain veneers


1008.31

1008.31

US No.

ET6UF

DET6EF

Order No.

828

828

828

H134UF

134EF

Size

022

026

030

014

014

023

023

6.0

6.0

5.0

5.0

L mm
Depth

1 /10 mm

.3mm .5mm .7mm

8368 368EF

850

850

8392

855

014

016

016

014

10.0

10.0

5.0

6.0

Nixon Porcelain Veneer Preparation


Developed by Dr. Robert Nixon
Preparation and finishing system for laminate veneer restorations.

Friction Grip 31
1.60mm x 19mm L

Brasseler USA
One Brasseler Blvd.
Savannah, Ga 31419

Toll Free: 800.841.4522


Phone: 912.925.8525
Fax: 888.610.1937

Buy Direct. Buy Brasseler USA.


2002 Brasseler USA

Nixon Porcelain Veneer Kit II

Technique Guide

Buy Direct. Buy Brasseler USA.

B-1886-01-02-KPC

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