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All Posts Tagged: veneers

Bonding & Veneers

Bonding and Temporary Veneers

The journey has begun for our patient who wanted to close the spaces between the upper lateral incisor teeth.

The  worn edges on the central incisors are restored with bonding. The lateral incisors will be restored with porcelain veneers. The second photograph shows the provisionals immediately after the appointment.

The provisionals are a fabricated from acrylic and the colour match will not be perfect but they guide us in determining the colour and contour of the final porcelain veneers.

The gums are slightly irritated from the polishing. This is not uncomfortable for the patient and they will heal in time for the insert of final porcelain veneers.

The provisional phase with temporary veneers is critical to determine if we have contours that will be in harmony with the bite and speech. At this point we can make changes and then mimic those changes in our final veneers.

Aesthetics and function must always work hand in hand! 🤝

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Veneers and Composite Bonding

Sometimes very conservative treatment can reap significant changes. In the before picture our patient had two composite veneers (bonding) placed on the lateral incisors during youth. The bonding had changed colour and our patient was ready to improve her overall smile.

I replaced the composite veneers with porcelain to ensure a better colour match between the veneered teeth and its neighbours. I also lengthened the teeth slightly with the veneers to make them more in proportion to the two central incisors.

The bonding on the left central incisors was beginning to show its age. This was simply replaced with new bonding but in doing so I evened out the edges of the two central incisors.

The treatment was simple but the resulting change is quite noticeable. We made a pretty smile just a little bit prettier!

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Veneers

When do we consider veneers instead of bonding?

Meet “Carol”. Carol was concerned about the appearance of her front teeth. She had previous bonding in the past which had stained and chipped. The two lateral incisors are also dark when compared to the other teeth. 

In order to improve Carol’s smile, we needed to mask the darkness of the lateral incisors and lengthen them in order to achieve pleasing proportions. The two front teeth also had to be narrowed very slightly in order to balance the smile. With the changes needed in the colour and shape of the teeth, in addition to the fact that the teeth already had bonding that was failing, I decided that veneers were the best treatment option for Carol. 

How do I determine the correct proportions? Before we started any treatment, I took a series of photographs and study models in order to plan Carol’s treatment.  I then let Carol try out the proposed changes with temporary veneers

Temporary veneers are a very important part of the treatment because they allow me to fine tune the way the future veneers will look, feel and function during speaking and chewing. The front teeth have a very precise position in the mouth in order to look and feel good and the temporary veneers help me determine that position. 

The picture of the veneers is a few years after the original picture was taken. Carol has been speaking, chewing and smiling with these veneers for some time now. I wonder if Carol realizes how much she makes me smile when she comes in for her cleanings

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