single visit veneers
Doing veneers in a single visit with CEREC still blows me away. These are e.max MT, with the case completed in 2.5 hours (with 2 mills).
Awesome. I just replaced a missing single veneer that were previously lab fabricated. Everyone won that day!
Nice work Dan.
Awesome result, Dan. Having 2 milling units is great.
Out of curiosity, with the amount of decay present on this patient, did you consider crowns instead of veneers? My concern would be the 8 miles of margin at risk for future decay with the veneer (when compared to a crown) as well as the fact that you would've been bonding a veneer to dentin due to the destruction caused from the original decay.
Ben
Beautiful work!
I agree with Ben!
Lower anterior teeth are less susceptible to caries compare to other group of teeth. There is also a study link interproximal caries of lower anteriors to ovarian cancer. Gregory
On 2/8/2018 at 7:21 am, Gregory Mark said... Beautiful work!
I agree with Ben!
Lower anterior teeth are less susceptible to caries compare to other group of teeth. There is also a study link interproximal caries of lower anteriors to ovarian cancer. Gregory
Wait... what?
On 2/8/2018 at 7:12 am, Ben Jump said...Awesome result, Dan. Having 2 milling units is great.
Out of curiosity, with the amount of decay present on this patient, did you consider crowns instead of veneers? My concern would be the 8 miles of margin at risk for future decay with the veneer (when compared to a crown) as well as the fact that you would've been bonding a veneer to dentin due to the destruction caused from the original decay.
Ben
Honestly, these are more like 3/4 crowns than veneers. I did a very minimal prep around the facial margin, was pretty aggressive interproximally where the decay was, and had a thick band of enamel on the lingual to bond to about half way down the tooth. I feel more comfortable long term having facial and lingual enamel to bond to with this prep as opposed to a full crown that would for sure be all dentin and a very short tooth.
On 2/8/2018 at 7:21 am, Gregory Mark said... Beautiful work!
I agree with Ben!
Lower anterior teeth are less susceptible to caries compare to other group of teeth. There is also a study link interproximal caries of lower anteriors to ovarian cancer. Gregory
Thanks Gregory, I don't think this gentleman needs to worry about ovarian cancer :)
On 2/8/2018 at 6:07 am, Brad Dorsch said...Looks great-
biocopy from wax up or straight biogeneric?
Thanks Brad. These were biogenirc with a great proposal right out of the gate. I did keep a biocopy foider of the original teeth to make sure I didn't shift the midline.
On 2/8/2018 at 9:53 am, Daniel Butterman said...On 2/8/2018 at 7:12 am, Ben Jump said...Awesome result, Dan. Having 2 milling units is great.
Out of curiosity, with the amount of decay present on this patient, did you consider crowns instead of veneers? My concern would be the 8 miles of margin at risk for future decay with the veneer (when compared to a crown) as well as the fact that you would've been bonding a veneer to dentin due to the destruction caused from the original decay.
Ben
Honestly, these are more like 3/4 crowns than veneers. I did a very minimal prep around the facial margin, was pretty aggressive interproximally where the decay was, and had a thick band of enamel on the lingual to bond to about half way down the tooth. I feel more comfortable long term having facial and lingual enamel to bond to with this prep as opposed to a full crown that would for sure be all dentin and a very short tooth.
I'm that way too on lower anteriors....if there is ANY way to save the cingulum, I do it. Enamel to bond to and strength for a very small/thin tooth. Nicely done Dan.
On 2/8/2018 at 9:59 am, Ernie Johnson said...On 2/8/2018 at 9:53 am, Daniel Butterman said...On 2/8/2018 at 7:12 am, Ben Jump said...Awesome result, Dan. Having 2 milling units is great.
Out of curiosity, with the amount of decay present on this patient, did you consider crowns instead of veneers? My concern would be the 8 miles of margin at risk for future decay with the veneer (when compared to a crown) as well as the fact that you would've been bonding a veneer to dentin due to the destruction caused from the original decay.
Ben
Honestly, these are more like 3/4 crowns than veneers. I did a very minimal prep around the facial margin, was pretty aggressive interproximally where the decay was, and had a thick band of enamel on the lingual to bond to about half way down the tooth. I feel more comfortable long term having facial and lingual enamel to bond to with this prep as opposed to a full crown that would for sure be all dentin and a very short tooth.
I'm that way too on lower anteriors....if there is ANY way to save the cingulum, I do it. Enamel to bond to and strength for a very small/thin tooth. Nicely done Dan.
I'm with you both. I'm a cingulum saver as well. I call 3/4 crowns, "crowns." You call 3/4 crowns, "veneers". We're on the same page! Beautiful result.
Nice result, you are really taking care great care of your patients. The thing I find the most difficult on these cases is handling the interproximal contacts. Did you use a model to refine them, or freehand in the mouth?
Thanks for all the great comments!
Marc, I agree about the contacts. For this case, I opened up the contacts fully with a fairly aggressive interproximal prep (mainly due to the decay), I find it easier to control the contacts this way by just making them a little heavier (all green) than I normally would for a couple of posterior crowns. I struggle more when I’m overly conservative and don’t fully open the contacts. By double checking the insertion axis and making them similar, I really needed minimal to no adjusting in the mouth. I also try and seat them all at the same time when I bond.
