No prep – Direct Veneers Solving a Compromised Smile

Cases - Bleaching - Direct anteriors
2015-11-23

DIRECT VENEERS SOLVING A COMPROMISED SMILE WITHOUT BURS PREPARATION

Female, 42 years old, unhappy with her teeth, especially about color, gaps and shape of her smile. She was looking for a treatment with minimum reduction or intervention on teeth. After an explanation about benefits of direct composites, for this case, the patient accepted our treatment planning, bleaching and direct composite veneers.

The treatment started with the bleaching:

4 appointments office bleaching, 2 sessions by week and 2 walking-bleach sessions, 1 session by week.

The appointment of making the direct veneers (starting in the photo 4) lasted about 3 hours and the final polishing and anatomy details (photo 13) lasted about 2 hours.

Fig. 1

Photo 1 – A smile with multiple diastemas, a conoid lateral incisor #12, incisal fractures on both central incisors and intrinsic color alteration on #21.

Fig. 2

Photo 2 – Picture of the upper anteriors.

Fig. 3

Photo 3 – A view with retractors after the vital bleaching on full arches and internal bleaching on #21 with sodium perborate + H2O2.

Fig. 4

Photo 4 – Starting procedures with a modified isolation, retraction cords in position and testing silicon index adaptation.

Fig. 5

Photo 5 – Enamel aspect after Fosforic Acid conditioning and rinse.

Fig. 6

Photo 6 – Enamel aspect after Adhesive application.

Fig. 7

Photo 7 – All palatal shells done.

Fig. 8

Photo 8 – Dentin layer applied and sculpted following anatomical characteristics. Note that some spaces remain for the next layer.

Fig. 9

Photo 9 – Closed view of the dentin thickness and the internal anatomy.

Fig. 10

Photo 10 – Opalescent composite applied on their specific sites.

Fig. 11

Photo 11 – Enamel layer applied over the surfaces.

Fig. 12

Photo 12 – At the end of first session, just the dental geometry are defined.

Fig. 13

Photo 13 – A picture after polishing and secondary and tertiary anatomy – 7 days after.

Fig. 14
Fig. 15

Photo 14 and 15 – Note the color effects and gum tissues aspect.

Fig. 16

Photo 16 – Note the anatomy details and the healthy gums and papilla.

Fig. 17

Photo 17 – Final aspect of the smile after all the diastema closures.

Fig. 18

Photo 18 – Closer lateral view of the upper anteriors.

Fig. 19

Photo 19 – Details of the integration of tooth structure and composites on both central incisors.

Fig. 20

Photo 20 – Lateral view of the smile, showing the position of teeth in relation with lips.