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CONTENT
• Indirect veneer technique
• Veneers • Directly applied composite veneer
• Definition • Processed composite veneer
• Indication
• Lumineer
• Contraindication
• conclusion
• Type
• Direct veneer technique

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 Definition
• A veneer is a layer of tooth-colored material that is applied to a tooth to
restore localized or generalized defect and intrinsic discolorations.
(Sturdevant's art & science operative dentistry)

typically, veneers are made of directly applied

composite,
processed composite , porcelain, or pressed ceramic materials.

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Indications
• Improve extreme discolorations such as tetracycline staining,
flourosis, devitalized teeth, and teeth darkened from age.
• Repair chipped or fractured teeth.

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• Closing of diastemas between teeth.

• Ability to lengthen anterior teeth.

• Improve the appearance of rotated or misaligned teeth

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Contraindication
• If little or no enamel is present, full crown should be considered.
• Certain tooth-to-tooth habits like bruxing or clenching, or other para-
functional habits such as pencil chewing or ice crushing.
• Teeth that exhibit severe crowding.
• Certain types of occlusal problems such as Class III & end-to-end
bites
• Poor oral hygiene.
• High caries rate.
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Types
 Based on extent of tooth involved;-
1.Partial veneers Window preparation
2.Full veneers Butt-joint incisal preparation
Incisal lapping preparation

• Partial veneers are indicated for the restoration of localized defects

or areas of intrinsic discoloration.
• Full veneers are indicated for the restoration of generalized defects
or areas of intrinsic staining involving most of the facial surface of
the tooth. 7
• Two basic preparation designs exists for full veneers:
1. Window preparation:
2. Incisal, lapping preparation

1. Window preparation:
• it is recommended for most direct and indirect composite
veneers.
• This intraenamel design preserves the functional lingual and
incisal surfaces of the maxillary anterior teeth, protecting
the veneers from significant occlusal stress.
• By using a window preparation,the functional surfaces are
better preserved in enamel.

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2.Incisal-lapping preparation

• It is indicated when the tooth being veneered needs

lengthening or when an incisal defect warrants restoration.

• This design is used frequently with porcelain veneers

because it not only facilitates accurate seating of the veneer
on cementation ,but it also allows for improved esthetics
along the incisal edge.

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 Based on the type of material employed;-
• Directly applied composite veneer
• Processed composite veneer
• Porcelain or pressed ceramic veneer
 Based on the mode of fabrication;-

Direct veneers
•Direct Indirect veneers
•No-prep veneer
partial •Etched porcelain veneer
•Direct
•Pressed ceramic veneer
full

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composite veneers

Advantages
Disadvantages
•One visit procedure •Tend to discolor
•Less expensive •Wear out quickly
•Repair potential •Marginal staining
•Chair-side control of the anatomy •Shade matching difficulty
•Minimal irreversible loss of tooth structure. •Often require repair and replacement

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Conventional Porcelain
tfeneers:
• Very conservative.
• Offer better inherent color and natural •Expensive
look.
• Tissue tolerance is excellent. .
•Tooth preparation.
• Less staining.
•Highly sensitive
• The bond of etched porcelain veneer to technique.
enamel is stronger than other.
•Sensitivity.
• Wear and abrasion resistance is high.
• It has number of
• The aesthetics are better than any limitation
other veneer material.
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• Porcelain veneer allow transmission of

light.
• When only a few teeth are involved, or
when the entire facial surface is not
faulty (i.e., partial veneers), directly
applied composite veneers can be
completed chair side for the patient in
one appointment.

• Indirect veneers require two

appointments, but typically offer three
advantages over directly placed full
veneers, as follows:
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1. Indirectly fabricated veneers are much less sensitive to operator
technique. Indirect veneers are made by a laboratory
technician and are typically more esthetic.
2. If multiple teeth are to be veneered, indirect veneers usually
can be placed much more expeditiously.
3. Indirect veneers typically last much longer than direct
veneers, especially if they are made of porcelain or pressed
ceramic.
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 Direct partial veneers
Direct veneer techniquesDirect full veneers
• Are indicated for the restoration of localized defects or areas of intrinsic
discoloration
• These defect can be restore in one appointment with light-cured
composite.
• Steps cleaning Shade selection isolation Removal of
the defect &
tooth
preparation
Restoration of cavity with .depth is 0.5
composite resin (microfilled) etching to 0.75 mm

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• Extensive enamel hypoplasia of anterior teeth indications
• Diastema
• Tetracycline stained teeth
• One or two appointment 1
• Steps cleaning

Shade selection

Isolation &
gingiva is
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retracted
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 3
Window Tooth
preparation with
coarse round diamond
bur .depth is 0.5-0.75
mm mid facially &
tapering down to a
depth of 0.2-0.5 mm
along gingival margin
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After etching,rinsig, &

drying procedure. applied 5
the composite .

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Indirect veneer technique
• Indirect veneer are made of
1. Processed composite
2. Feldspathic porcelain
3. Cast or pressed ceramic
• Two appointment are required

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 • Porcelain Veneers
• Composite Veneers
• One visit procedure
• Less expensive
• Repair potential
• Chair-side control of the
anatomy
• Minimal irreversible loss
of tooth
structure
• Esthetic stability
• Stain resistant
• Stronger and durable
• Gum tissue tolerates porcelain
well
• The color of a porcelain veneer
can be selected such that it
makes dark teeth appear whiter.
• Veneers offer a conservative
approach to changing a tooth's
color and shape.
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 Processed composite veneers
First Appointment
 *Window preparation recommended due to limited bond strength.
 *Incisal lapping if incisal defect.
 *Intraenamel preparation.
 *Elastomeric impressions.
 *No temporization.

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Second
Appointment
 Evaluate fit of veneer.
 Tooth side of veneer (pre etched) is primed.
 Tooth etched, rinsed and dried. Adhesive is applied but not cured.
 Adhesive cement applied.
 Veneer placed and excess cement removed.
 Light cured for 40-60sec facial & lingual.*
 Check for fit with no.2 explorer.

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Etched porcelain veneer
A Etched porcelain veneer is a thin piece of porcelain that is bonded
to the front of a tooth. Porcelain is a durable, translucent, strong,
natural-looking, and beautiful material.
The only difference in this procedure for porcelain veneers from the
composite veneers is the need to condition the internal surface of
each veneer with a silane primer just before applying the resin-
bonding agent

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FIRST APPOINTMENT
(Veneer Preparation SECOND APPOINTMENT
Procedure)

Shade Selection Remove temporary

Tooth preparation Clinical try-in

Impression Cementation

Temporary Veneers
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Tooth preparation

• Labial reduction - Interproximal

• Incisal modification reduction
- Cervical definition

• Place a horizontal facial depth cut, it is usually 0.3 mm from

proximal line angle to proximal line angle. Make this depth cut
at the junction of the cervical and middle one-third of the facial
surface of the tooth.*
• Paralleling the entire gingival margin, prepare a definitive
chamfer finish line.
• Continue the definitive chamfer finish line with diamond bur
from the papilla tip toward the incisal edge on both the mesial
and distal proximal surfaces.
• The facial depth cuts are removed with the diamond bur,
and the long axis of the diamond bur is “rolled” into the
proximal chamfer area to eliminate any sharp line angles 26
Labial reduction
Interproximal reduction
Incisal modification
Cervical definition

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 Temporary
Impression Veneers

• The retraction cord • They are placed when

should be left in necessary or desired
place if possible • Hand sculptured
during the using composite, kept
impression supragingival and
• Use a polysiloxane or attached by spot
polyether material etching
for the impression

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The laboratory procedures

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Second Appointment

Remove temporary

Care must be taken not to damage margin areas of preparations

Clinical try-in

Contacts need to be carefully assessed Proximal contacts can be adjusted

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Cementation
Try-in paste allow you
Apply saline solution to Etch, rinse, dry
to mask any underlying
the internal aspect of but do not
color abnormalities and
the veneer desiccate
select cement shade

Apply cement to the

Apply
internal aspect of the
Floss contacts and primer/adhesive
veneer, seat the veneer,
adjust occlusion. to the tooth and
clean off excess cement,
lightly air dry 32
light cure
Lumineer
Difference between Lumineers and standard porcelain veneers
• The main difference is that Lumineers are made from a special
patented cerinate porcelain that is very strong but much thinner
than traditional laboratory-fabricated veneers. Their thickness is
comparable to contact lenses.

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Advantage
• Lumineers can be placed on the teeth without removal of the tooth
structure.

• Patients can receive their veneers quickly, usually within two

weeks
from the date that the impressions are made.

• Lumineers bond directly to the tooth, making the bond very strong. They
are also very long-lasting- up to twenty years or longer.

• Lumineers are a reversible procedure. 33

The LUMINEERS Minimal
Contouring Technique

• requires slight modification of the enamel but never touches dentin

during LUMINEERS placement. Only0 .3 mm-0.5 mm enamel is
removed, causing no sensitivity for the patient and therefore no
need for any anesthesia.

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Before & After

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Conclusion
• This procedure is becoming more common in dental offices
because everyone want a great smile.
• It is a great way to change a smile that shows yellowed,
stained
teeth into one that make you look fantastic.
• But remember veneers are not for everyone, & if your teeth are
not strong enough you will not be recommended to have the
dental veneers applied.
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BIBLIOGRAPHY
•Sturdevant's art & science
operative dentistry
•Essential of operative dentistry I
Anand Sherwood
•Textbook of operative dentistry
sumeeta sandhu
•Dr. Lazare's The Patient's
Guide
To Dentistry

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