Dental veneers are important treatment modalities for smile makeovers.
This video gives you a visual experience of the important behind-the-scene implements of smile design:
Porcelain veneers impress by longevity, outstanding aesthetics, and permanence of their established indivual and natural charcteristics. Porcelain veneers do not stain over time and, if proper treatment planning and protocol are followed, will rermain an integral part of the teeth that bear them.
Numerous steps of a smile design are performed behind the scene. The cosmetic dentist and the cosmetic dental technician complete an elaborate process of functional and biomechanical analyses, which cumulate to the most powerful tools of cosmetic dentistry. These tools of the trade of smile design serve as safeguards and feedback for all key treatment steps that envolve the smile-makeover patient's input. They guarantee a minimum reduction of tooth structure, as much as necessary and as little as possible, following the principles of minimally invasive dentistry. Hence, the outcome is the best porcelain veneers possible when considering all parameters. This includes the establishment of a harmony of function of the masticatory system, the temporomandibular joint, and the occluding dental arches. It also ensures realistic expectations for the patient and the possibility to communicate aesthetic goals prior to the completion the final smile makeover.
What are these powerful tools that are used by the best cosmetic dentists available?
They are the diagnostic wax-up, reduction guides, and matrices for the transfer of a smile design from the dental models to the patient's mouth in form of dental temporary veneers. Dr. Jorg-Peter Rabanus, AACD-accredited cosmetic dentist in San Francisco, created this video to give a visual impression without words about these technical elements of dentistry.
References:
Park S. Masterful Maneuvers - Challenges in Minimally Invasive Cases with All-Ceramic Materials. J Cosmetic Dentistry, 2016; 32(1); 29-52.
Wolfe MD. Functional Considerations of the Masticatory System During Prosthodontic Procedures. Inside Dentistry, January 2017; 61-67.
Young GR et al. Esthetic rehabilitation in the compromised anterior maxilla. Cont Esthetic Rest Pract 2003; January; 20-33.
Trinkner TF. Achieving esthetic goals while maintaining proper bite relationships throughout treatment. Cont Esthetic Rest Pract September 2003; 38-50.
Strupp WC. Simplifying complex full-arch cases by using an indirect provisional technique. Funct Esthet Rest Dentistry 2008; 2(2); 24-35.
Stewart B. Restoration of the severely worn dentition using a systematized approach for a predictable prognosis. Int J Perio Restoarative Dentistry 1998; 18(1); 46-57.
Phelan SM. Conservative porcelain veneer techniques guided by three different preparation stents. J Cosmetic Dentistry 2008; 24(3); 181-188.
Sppor R. Predictable provisionalization: achieving psychological satisfaction, form, and function. Pract Proc Aesthetic Dentistry 2004; 16(6); 433-440.
Spear FM. The art of temporization. Patrs I to III. Great Lakes Ortho Spear Persp 2003; 1-3.
Spear FM. The maxillary central incisal edge: a key to esthetic and functional treatment planning. Comp Cont Educ Dentistry 1999; 20(6); 512-516.
Simon H et al. Clinically based diagnostic wax-up for optimal esthetics: the diagnostic mock-up. J Calif Dental Ass 2008; 36(5); 355-362.
Shavell HM. The periodontal-restorative interface in fixed prosthodontics: tooth preparation, provisionalization, and biologic final impressions. Part I and 2. Pract Periodontics Aesthetic Dentistry 1994; 6(1); 33-44; 6(3); 49-60.
Sesemann MR et al. Clinical and Laboratory Applications of Dawson's Philosophies and Techniques. American Academy of Cosmetic Dentistry Monograph 2006; 1-5.
Sesemann MR et al. Diagnostic Full-coverage Provisionals for Accurately Communicating Esthetic and Functional Data. Functional Esthetic Restorative Dentistry 2008; 2(2); 8-14.
Scholberg P et al. Aesthetic restoration of a patient with insufficient crown height: maintenance of anatomical occlusal function using contemporary porcelain materials. Pract Proced Aesthetic Dentistry 2002; 14(8); 631-635.
Sadan A. Clinical considerations in cement selection for provisional restorations--Part 2. Pract Proced Aesthetic Dentistry 2001; 13(1); 16.
Ritter RG. Material considerations for using lithium disilicate as a thin veneer option. J Cosmetic Dentistry 2009; 25(3); 111-117.
Ringer J. Advanced technologies and the cosmetic dental practice. J Cosmetic Dentistry 2010; 25(4); 82-90.
Radz GM et al. Full-arch rehabilitation utilizing pressed ceramic veneers and full-coverage crowns. Pract Proced Aesthetic Dentistry 1998; 10(5); 629-634.
Biomimetics and Conservative Porcelain Veneer
Phelan SM et al. Techniques Guided by the Diagnostic Wax-Up, Diagnostic Matrix, and Diagnostic Provisional. J Cosmetic Dentistry 2006; 22(3); 80-88.
Okuda WH. Aesthetic transitional temporization for success in cosmetic dentistry. Pract Proced Aesthetic Dentistry 2006; 18(9); 556-559.
Nixon RL. Provisionalization for ceramic laminate veneer restorations: a clinical update. Pract Proced Aesthetic Dentistry 1997; 9(1); 17-27.
Morley J. Smile design--specific considerations. J Calif Dental Assoc 1997; 25(9); 633-637.
Mizrahi B. Visualization before Finalization: A Predictable Procedure for Porcelain Laminate Veneers. Pract Proced Aesthetic Dentistry 2005; 17(8); 513-518.
Miyasaki M. Aesthetic rehabilitation of severely discolored anterior dentition: restorative considerations using all-ceramic veneers. Pract Proced Aesthetic Dentistry 2004; 16(4); 277-281.
Mechanic E. Facial Changes through Dental Temporization. J Cosmetic Dentistry 2008; 24(3); 166-170.
Massironi D et al. Provisionalization as a communication parameter for definitive restoration. Pract Proced Aesthetic Dentistry2002; 14(4); 301-305.
Malone M. Smile design and advanced provisional fabrication. General Dentistry 2008; 56(3); 238-242.
Magne P. Rationalization of esthetic restorative dentistry based on biomimetics. J Esthetic Dentistry 1999; 11(1); 5-15.