Porcelain Veneer Success: A Team Approach

mm Written by Andrew Sedler

The conservative nature of porcelain veneers makes them the ideal solution for restoring and improving dentition. Porcelain has excellent light transmission ability, making it an excellent option for matching natural teeth. Veneer restorations, once they are bonded to the tooth, can last for years. The key to an excellent veneer case is, of course, proper planning. However, a clear understanding of the materials being used and the goals of the case may be equally important.

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Smiles By Design

Smiles By Design

This is why the Smiles By Design team from Burbank Dental Lab was developed. This team includes advanced dental technicians who understand the following:

  • Occlusion principles
  • Porcelain layering techniques
  • Internal color characterization
  • Tooth morphology and anatomy
  • Case planning
  • Dental Materials

This team has completed hundreds of hours of advanced continuing education courses to stay informed and continue to advance. This is a critical component of achieving cases that create customer satisfaction and create fans of the dental practice.

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CASE STUDY

Burbank Dental Lab is grateful to Dr. Timothy Prewitt for sending in the following case. This patient came to Dr. Prewitt presenting with old veneers that needed to be replaced. The patient’s chief complaint was how unnatural the veneers looked and did not blend well with her natural teeth. It was decided that the patient would need to replace teeth 7,8,9,10. The goal would be to use layered emax restorations to create a better blend with the rest of the oral environment.

Porcelain Veneer Success

E.max

E.max was chosen for this case to offer the best option for matching the natural dentition. The properties of e.max make it one of the best options for staying with a conservative preparation and receiving the highest esthetic results. While this material can be monolithic with the option of staining the surface to achieve the end result, it was decided that layered e.max would provide the most lifelike natural result.

Other benefits of e.max include:

  • Long track record of clinical success
  • Strong material
  • Wide range of shades and translucency levels to ensure excellent esthetic results
  • Preparation can remain conservative

After examination, the shade chosen was an A1. Pictures were also sent along to help the ceramist match the specific characterizations and details.


Digital Impressions

This case used a digital workflow. Specifically, an intraoral scanner or IOS was used to take digital impressions. Taking impressions digitally can improve impression accuracy, is much faster, and most patients prefer this method over traditional impression-taking methods.

Other benefits of intraoral scanners include:

  • Improved predictability
  • Be more accurate
  • Most of the time, patients with sensitive gag reflexes are fine with IOS.
  • Inaccuracies can be spotted on the computer screen and fixed before the patient leaves.
  • Digital impressions are much faster than traditional impressions, saving valuable chair time.
  • Patients can have a more interactive approach to their dental care
  • Improved treatment acceptance.
  • Reduced overhead
  • Connected to the dental lab for an immediate consultation

In addition, having an intraoral scanner is advanced technology. Patients tend to recognize this and are more drawn to an advanced dental practice. This can be important when building up trust so that patients agree to needed care.

Porcelain Veneer Success - Burbank Dental Lab - Dental Lab in California
Porcelain Veneer Success - Burbank Dental Lab - Dental Lab in California

Dr. Prewitt uploaded digital files through the Burbank Dental Lab web portal. The files were analyzed to ensure accuracy and evaluate preparation. Models were then fabricated from the digital files.

The information for this case, along with the printed models, was evaluated by the Smiles by Design team. The patient’s concerns were noted, and Dr. Prewitt’s prescription form was followed.

The key to this case was to make the teeth look natural and blend with the patient’s existing teeth. This was a pressed layered Emax case, so the case was waxed up with a cutback to allow for the layering of porcelain. The margins were sealed, and the case pressed. This case was finished and characterized to create a better blend with the patient’s natural teeth.

Porcelain Veneer Success - Burbank Dental Lab - Dental Lab in California
Decoding Healthy Esthetics - Event

Steps for A Successful Case

Burbank Dental Lab received feedback that both Dr. Prewitt and the patient were happy with the results. Successful cases tend to follow these steps:

  1. The patient’s desires are fully understood
  2. Mock-up or wax-up is done
  3. The ideal material is chosen for the desired results
  4. The preparation design is accurate for the given restoration
  5. Impressions are accurate, including a proper bite.
  6. Photographs are sent for accurate shading
  7. A clinician who can orchestrate from initial exam to cementation.
Free Success Guide - Dental Lab in California

Before And After

With the proper information and the knowledge and expertise of an excellent ceramist like those that are part of the Smiles by Design team, case success is achievable.

BEFORE

Porcelain Veneer Success - Burbank Dental Lab - Dental Lab in California

AFTER

Porcelain Veneer Success - Burbank Dental Lab - Dental Lab in California

Porcelain veneers can make a huge impact on the improvement of a person’s smile. Continuing to improve workflows that ensure that these cases meet the needs of doctors and patients is a focus at Burbank Dental Lab.

Need to discuss a case?

Call or chat with us today.

Thank you Dr. Timothy Prewitt, D.D.S.

Dr. Timothy Prewitt - Prewitt Dental - Sanger, Caifornia

We would like to thank Dr. Timothy Prewitt for letting us work with him on this case and for providing the pictures, illustrations, and notes needed for this article.

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Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

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Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
State-Of-The-Art
3d Printers

Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.