Esthetic veneers

VENEERS
A veneer is a layer of tooth-colored material that is applied to a tooth to restore localized or generalized defects and intrinsic discolorations Common indications for veneers include teeth with facial surfaces that are malformed, discolored, abraded, eroded, or have faulty restorations

Two types of esthetic veneers exist:

(1) partial veneers

(2) full veneers

Partial veneers are indicated for restoration of localized defects or area of intrinsic discoloration Full veneers are indicated for restoration of generalized defects or areas of intrinsic staining involving the majority of the facial surface of the tooth care must be taken to provide proper physiologic contours, particularly in the gingival area, to favor good gingival health Poorly contoured severe gingival irritation

Full veneer

direct

indirect
(small no. of teeth involved, Partial defect )
(completed for the patient in one appointment with chairside composite)

( two appointments)

Indirect veneers offer three advantages over directly placed full veneers :# much less sensitive to operator technique. # If multiple teeth (usually can be placed much more expeditiously.) # typically will last much longer (porcelain or pressed ceramic )

Some controversy exists regarding the extent of tooth preparation, some prefer to etch the existing enamel without any tooth preparation The advantage of this method :In the event of failure or the patient does not like the veneer it can be removed (reversible) the problem of this method :# the esthetic result overcontoured gingival irritation hyperemia + bleeding #veneers are more likely to be dislodged (if the veneer is lost the patient live in constant fear that it

The reversibility of these veneers

# Few patient who elect to Have veneers wish to return To the original condition # Removing full veneers with no damage to the underlying unprepared tooth is exceedingly

intraenamel preparation , the only exception is when the facial aspect is undercontoured because of severe abrasion or erosion ,in these cases mere roughening of the involved enamel and defining peripheral margins intraenamel preparation or roughening is strongly recommended for these reasons # provide space (maximal esthetic) # to remove the outre enamel (rich in fluride and more resistant to acid etching) # create rough surface (improve bonding)

Another controversy involves the location of the gingival margin of the veneer

If the defect or discoloration does not extend subgingivally, then the margin of the veneer should not extend subgingivally