Porcelain vs Composite
Here is a young woman, early 20s, that came in and wanted a bigger, brighter smile. She was asking for porcelain veneers.
I was hesitant to put veneers on her because she is so young and I didn't want to cut down her teeth if I didn't have to. She was already a B1 and had a great smile but this is someone who wanted Hollywood bright. I talked her into letting me do composite work instead. These I did free hand and I am so thankful for everything I have learned by using my CEREC that I could apply here. Could I have milled these? Probably, but the reason I didn't is because her contacts were so tight already that I thought I would be fighting seating these as a no prep, ultra thin veneer. If she would have had open contacts or even lighter contacts milling would have been an easier option. If I was going to mill them I probably would have used Enamic. They have the brightest shades available at this time as a hybrid. Instead I used Cosmedent Nano Plus composite, B zero. This is my favorite composite because of the opaqueness of it to give that bright look. I added composite on teeth #3-14.
She was happy when we were done, and I was happy that no tooth structure taken away. It was a win-win for us both ;)
Nice job...took the hard road but did what you felt was best which is always nice to see. nice skillllzzzz
On 7/25/2018 at 8:16 am, Kristine Aadland said...Here is a young woman, early 20s, that came in and wanted a bigger, brighter smile. She was asking for porcelain veneers.
I was hesitant to put veneers on her because she is so young and I didn't want to cut down her teeth if I didn't have to. She was already a B1 and had a great smile but this is someone who wanted Hollywood bright. I talked her into letting me do composite work instead. These I did free hand and I am so thankful for everything I have learned by using my CEREC that I could apply here. Could I have milled these? Probably, but the reason I didn't is because her contacts were so tight already that I thought I would be fighting seating these as a no prep, ultra thin veneer. If she would have had open contacts or even lighter contacts milling would have been an easier option. If I was going to mill them I probably would have used Enamic. They have the brightest shades available at this time as a hybrid. Instead I used Cosmedent Nano Plus composite, B zero. This is my favorite composite because of the opaqueness of it to give that bright look. I added composite on teeth #3-14.
She was happy when we were done, and I was happy that no tooth structure taken away. It was a win-win for us both ;)
Key point. Very nice job!!
Very nice technique and surprising result for composite. You are either very skilled or very patient or both
But for my taste too opaque to compete with real veneers. It must look a little dead because of the opaque composite.
On 7/26/2018 at 12:06 pm, Armin Giessmann said...Very nice technique and surprising result for composite. You are either very skilled or very patient or both
But for my taste too opaque to compete with real veneers. It must look a little dead because of the opaque composite.
So funny enough the "dead" look was exactly what she was looking for. Originally I placed color tints and added violet for translucency and white framing like I do for porcelain work but she freaked out when she saw it. Her idea of natural and my idea of natural were different. Her idea of natural was a model out of a magazine... so I polished away the color tints and added more, flat composite. She was happy.
Nice job meeting the patient's goals for her smile. It is always hard to do what we may not see as ideal to follow their desires. Kudos.
On 7/31/2018 at 7:28 pm, John Lee said... Nice work! She was not interested in bleaching? KOR?
She had tried bleaching many times before but was starting to get the blue/grey tint. She also didn't like the flat wear. She wanted more pop!
