Internal bleach, Gingival Recontouring and single central Veneer
Here is a fun case that I just finished. A 25 year old with trauma on #9 (had old RCT)... she was very conscious of the color of the tooth and wanted a solution.
We talked about several options including internal bleach. After showing her the pictures, she was also unhappy with the gingival asymmetry.
Our final plan was:
- Internal bleach
- Gingival recontouring with Diode Laser
- Veneer (more aggressive) with Vita.
If you look at the initial picture and the incisal translucency present, my first instinct was to go with Vita Trilux. However, her teeth were too light for Vita Trilux and that would not work. I went with a Vita Mark 2 OM1 and try to recreate a little translucency by thinning the edge. It's not perfect and the value is a little bit light, but looks pretty good. I would always rather error a little on the light side with value.
Nice Mike - I like the symmetry/harmony of the incisal edges of the two centrals.
Did you do gingival recontouring same day as the veneer?
On 12/1/2015 at 5:43 am, Ken Heath said...Nice Mike - I like the symmetry/harmony of the incisal edges of the two centrals.
Did you do gingival recontouring same day as the veneer?
Hi Ken-
I did do the recontouring the same day as the prep. Placed it where I wanted it to be, packed a cord (size 0), and prepped to the cord.
Thank you on the incisal edges. Making things look natural to that person is the goal. Slight imperfections is how you achieve that.
On 12/1/2015 at 7:08 am, John Pasicznyk said...Great healing response from the tissue. Polish only on the restoration?
There is stain, but no glaze.
On 12/1/2015 at 10:36 am, Francis Shin said...Nice result! Do you have a picture of the prep?
Just a software screenshot. Was too busy to take the prep and forgot.
More of a "crowneer" or 3/4 crown than a veneer.
Mike,
'what's your internal bleach product and directions?
i thought in dental school someone told me internal bleach can cause bigger problems so I stayed away from trying it but would like to for these cases if can and no downside...
