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Continuing Education - Pre-Preparation ContouringPre-Preparation Contouring to Achieve Ideal Archform With IPS Empress® Veneers (©2005)
Launch Continuing Education Presentation - Pre-Preparation Contouring
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Course Objectives (4 Credits)

This case presentation provides an opportunity to demonstrate how to achieve the results that the patient desires without the use of orthodontics. Clinical considerations from treatment planning to the placement of laboratory-fabricated (IPS Empress®) porcelain veneers are provided. Participants that complete the presentation will acquire useful information in many areas, including the following:

  • Considering the patient's objectives and a clinical assessment of the case.
  • The advantages of pre-preparation planning and contouring
  • Using a putty/wash matrix to quickly fabricate provisionals; fabrication and finishing of temporaries
  • Reverse prep, blending depth cuts, refining gingival margins, cord packing, impression techniques and many other practice tips and observations
  • Veneer try-in and the steps that are involved in placing and cementing veneers
  • Bonding technique tips: etching; seating; initial (tack and wave) curing; clean-up; methods of removing resin cement; final cure
  • Finishing, presenting and analyzing before-and-after results

Summary

An over-the-shoulder clinical video presentation of a 10-unit IPS Empress® veneer case provides a close-up look at a solution involving pre-preparation planning and contouring to achieve desirable results. A practical demonstration of understanding the patient's objectives, a candid evaluation of the treatment possibilities, and achieving a desired clinical result – involving the creation of a more ideal archform without orthodontics – are presented. The pre-preparation considerations and the techniques that are presented will help practitioners more confidently meet patients' expectations. A straightforward execution of the necessary steps, based on some basic placement and bonding principals that are presented, provides a useful approach to successfully placing and bonding porcelain veneers.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


References

  1. Miller MB. To prep or not to prep. Dent Today. 1997 Jul;(16)7:54.
  2. Freedman G, Nixon RL, Ibsen RL. When to prep or not to prep: three cosmetic dentists debate. Dent Today. 1989 Apr;8(3):22-7.
  3. Chen JH, Shi CX, Wang M, Zhao SJ, et al. Clinical evaluation of 546 tetracycline-stained teeth treated with porcelain laminate veneers. J Dent. 2005 Jan;33(1):3-8.
  4. Shuman IE. Aesthetic treatment with a pressed ceramic veneer material: case reports. Dent Today. 2004 Nov;23(11):80-4.
  5. Christensen GJ. What is a veneer? Resolving the confusion. J Am Dent Assoc 2004 Nov;135(11):1574-6.
  6. Bassett J, Patrick R. Restoring tetracycline-stained teeth with a conservative preparation or porcelain veneers: case presentation. Pract Periodontics Aesthet Dent. 2004 Aug;16(7):481-6.
  7. Ziemiecki T. The science and art of porcelain laminate veneers. J Prosthodont. 2004 Sep;13(3):204-6.
  8. Priest G. Proximal margin modifications for all-ceramic veneers. Prac Proced Aesthet Dent. 2004 May;16(4):265-72.
 
   
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