Sunday, March 20, 2011

Ceramic veneers

34 year old Female presents with generalized fluorosis and multiple restorations in posterior teeth. tooth # 35 is RC treated with a "gold" crown.

Patient wants 'caps on all teeth' to change her look. She also complains of sensitivity particularly in back teeth.


Clinical Assessment:


1. Fluorosis (Yellow- brown teeth).
2. Mild Attrition.
3. Inverse smile line.
4. Multiple restorations in Posterior teeth.
5. Sensitivity.

Treatment Plan:

1. Intentional RCT for posterior teeth and Lower Incisors followed by PFM Crowns.
2. Ceramic Veneers for Upper Anteriors.





PFM Crowns have been placed on 3 quadrants and crown preps can be seen in the first quadrant. The Crowns were placed one quadrant at a time.


The Lower anteriors have been prepared.


Occlusal view of Lower Anteriors after crown preparation.


After placement of Lower temporaries.

The Lower PFM Crowns.


Upper Veneer preparation has been done.


Upper anteriors with gingival cord in place to refine margins and before taking impressions.Lower PFM crowns have been cemented.


Upper temps in place.


E max veneers have been cemented.


The final visibility and smile line.