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Dental Education Course: Unique Use of No-Prep Veneers Unique Use of No-Prep Veneers to Correct Multiple Esthetic Concerns (©2005)
Launch Continuing Dental Education Course
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Course Objectives (2 Credits)

This presentation shows what can be accomplished despite many esthetic challenges. An interesting "before" and "after" for an appreciative dental-phobic patient was realized. Although only a few veneers are involved, and more esthetic options were available, learn about the specific goals that the patient had in mind and see why the patient's friends and family were impressed with the finished result. This case demonstrates that, although a perfect restorative solution may not always be possible, given the constraints, a practitioner need not be disappointed in the results. Participants that complete the presentation will acquire useful information in many areas, including the following:

  • A discussion of the patient's goals and objectives and selection of restorative option.
  • A unique use of veneers to correct an esthetic problem in a single visit without any tooth preparation.
  • Shade and cement considerations.
  • Preparing the teeth for etching and bonding
  • Veneer placement, seating and cementation tips.
  • Cementing, curing, cleanup and polishing tips.

Summary

The patient's wishes were comprised of limiting factors and also clear objectives. The restorative option that was provided was not an obvious solution. The approach was novel, specific objectives were artfully resolved, a clear need was satisfied, and the restorative results lived up to the patient's desires and expectations.

Although many alternative restorative options are sometimes available — each offering positives and negatives — overcoming a challenge while creating a happy patient was the optimum solution in this case. No more spaces between the teeth and no tooth preparation were the patient's primary concerns, whereas the lack of an ideal result was not a problem understanding the patient's goals and requirements and a willingness to think outside of the box helped to make a big difference for this dental-phobic patient.

The case considered and accomplished the patient's objectives in a single visit. No-prep veneers eliminated the need for preparation or temporization. An extensive analysis of the case is provided and many practice techniques and tips are discussed and demonstrated.

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. Nash RW. Conservative elective porcelain veneers. Compend Dontin Educ Dent. 1999 Sep;20(9):888-94 passim.
  4. Malcmacher L. No-preparation porcelain veneers. Dent Today. 2003 Apr;22(4):66-71.
  5. Shuman IE. Aesthetic treatment with a pressed ceramic veneer material: case reports. Dent Today. 2004 Nov;23(11):80-4.
  6. Ziemiecki T. The science and art of porcelain laminate veneers. J Prosthodont. 2004 Sep;13(3):204-6.
 
   
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