Supra-Gingival Minimally Invasive Dentistry by Jose-Luis Ruiz

Author:Jose-Luis Ruiz
Language: eng
Format: epub
ISBN: 9781118976432
Publisher: John Wiley & Sons, Inc.
Published: 2017-04-29T00:00:00+00:00

Part III

Supragingival Minimally Invasive Porcelain Veneers: A Replacement for Full Crowns

7

Indication, Preparation and Restorative Material for Supragingival Minimally Invasive Porcelain Veneers

Prepared and unprepared veneer centrals.

Introduction

The indications for porcelain veneers should be expanded. Porcelain veneers can be used for the traditional esthetic rehabilitation of a tooth or teeth (Figure 7.1a–c, 7.2a,b). Porcelain veneers are the ideal material for restoration when teeth are badly damaged by fractures, large caries or old restorations, and when teeth have undergone endodontic procedures. Fractured teeth are great candidates for porcelain veneers to replace the damaged or missing incisal edge. Some in-vitro studies suggest that teeth with an extensive incisal edge missing could be at a higher risk of fracture or failure with veneers [1,2]. This may lead to the assumption that large fracture cases should be treated with more aggressive procedures, such as full crowns. This approach is counterintuitive, as it suggests that the solution to a large fracture or damage on a tooth would be to cut further large amounts of tooth for a full crown (Figure 7.3a,b). Fortunately, extensive clinical experience and the literature reports the success and durability of this restoration, even when several millimeters of incisal length are replaced (Figures 7.4a–c, 7.5a,b, 7.6a–e) [3,4].

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