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    Veneers

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    snkid
    The document appears to be a slide presentation on facial analysis, digital design, and treatment planning for dental veneers, including discussions of the patient's facial and dental morphology, creating a mock-up and wax-up, conservative tooth preparations, and the use of a modified prepless technique for preparing interproximal areas.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Veneers

    Uploaded by

    snkid
    287 views128 pages
    The document appears to be a slide presentation on facial analysis, digital design, and treatment planning for dental veneers, including discussions of the patient's facial and dental morphology, creating a mock-up and wax-up, conservative tooth preparations, and the use of a modified prepless technique for preparing interproximal areas.

    Original Description:

    veneers book

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    The document appears to be a slide presentation on facial analysis, digital design, and treatment planning for dental veneers, including discussions of the patient's facial and dental morphology, creating a mock-up and wax-up, conservative tooth preparations, and the use of a modified prepless technique for preparing interproximal areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    287 views128 pages

    Veneers

    Uploaded by

    snkid
    The document appears to be a slide presentation on facial analysis, digital design, and treatment planning for dental veneers, including discussions of the patient's facial and dental morphology, creating a mock-up and wax-up, conservative tooth preparations, and the use of a modified prepless technique for preparing interproximal areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 128
    At a glance
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    The document discusses the various steps involved in digital smile design from facial analysis, mock-up creation, ceramic material selection to the final cementation and follow up procedures.

    The different steps discussed are pre-op modeling, wax-up creation, snap on mock-up, esthetic evaluation, surgical guide creation, ceramic try-in and adjustments.

    The final ceramic color is determined by considering the substrate, cement and ceramic thickness and material. It is also influenced by the layering technique used - monolithic or layered. The thickness also impacts the final color.

    Tuesday, October 30, 2012

    S l i d e P r e s e n t a t i o n Te m p l a t e

    Tuesday, October 30, 2012


    S l i d e P r e s e n t a t i o n Te m p l a t e
    video

    Tuesday, October 30, 2012


    Facial Analysis
    &
    Digital Design
    (Mac-Keynote Software)

    Tuesday, October 30, 2012


    Dental midline shifted but not canted
    Facial Analysis Occlusal plane OK
    &
    Digital Design

    Tuesday, October 30, 2012


    Dental midline shifted but not canted
    Facial Analysis Occlusal plane OK
    &
    Digital Design

    Anteriors are short related to posteriors and lips

    Tuesday, October 30, 2012


    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    8.5mm

    Tuesday, October 30, 2012


    8.5mm 10mm
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Sub-gingival probing
    Crown lengthening or Gingivoplasty
    on Bicuspids
    Tuesday, October 30, 2012
    Tooth proportion
    Tuesday, October 30, 2012
    L=10mm
    Tooth proportion
    W=7.5mm
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Dominant Centrals

    Smaller incisal embrasures

    Tuesday, October 30, 2012


    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Options x Limitations x Decisions

    Crown lengthening x Gingivoplasty?

    Veneers: 4, 6, or 10 teeth?

    Tuesday, October 30, 2012


    Morpho-Psychology

    Choleric Sanguine Melancholic


    Square Triangular Oval
    Straight lines Incline lines Curves
    Dominant Centrals Even incisal edge Open embrasures
    Strong cusps Incline cusps Round cusps
    Tuesday, October 30, 2012
    Morpho-Psychology Interview Oval
    Sensible

    Patient basic temperament Triangular


    Dynamic
    Patient Desire

    Retangular
    What do you want to express with your smile??? Strong

    Tuesday, October 30, 2012


    Morpho-Psychology Interview Oval
    Sensible

    Triangular
    Dynamic
    Reference

    Retangular
    Strong

    Tuesday, October 30, 2012


    Tuesday, October 30, 2012
    Pre-op model

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Wax-up

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Wax-up

    Snap-on Mock-up
    (Acrylic Outline-
    Anaxdent)

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Wax-up

    Snap-on Mock-up
    (Acrylic Outline-
    Anaxdent)

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Wax-up

    Snap-on Mock-up
    (Acrylic Outline-
    Anaxdent)

    Tuesday, October 30, 2012


    Pre-op model Digital Design

    Wax-up

    Snap-on Mock-up
    (Acrylic Outline- Esthetic Evaluation
    Anaxdent) Surgical Stent

    Tuesday, October 30, 2012


    Snap-on Mock-up
    (Acrylic Outline-Anaxdent)

    Try-in and adjustments

    Tuesday, October 30, 2012


    Mock-up
    &
    patient communication

    Tuesday, October 30, 2012


    Final Esthetic Conclusions

    -1.5mm longer
    Very conservative preps
    -0.5 buccal addition
    are possible.
    -Subtle color change

    Tuesday, October 30, 2012


    T h e M o c k- U p

    Tuesday, October 30, 2012


    Active Clinical Treatment

    Tuesday, October 30, 2012


    Hygiene session before:
    -gingivoplasty
    -prepping
    -impression
    Tuesday, October 30, 2012
    Mock-up
    &
    Gingivoplasty Surgical Stent
    Tuesday, October 30, 2012
    Incision guided by the stent

    Gingivoplasty
    Tuesday, October 30, 2012
    Incision guided by the stent

    Gingivoplasty
    Tuesday, October 30, 2012
    Incision guided by the stent

    Gingivoplasty
    Tuesday, October 30, 2012
    Incision guided by the stent

    Gingivoplasty
    Tuesday, October 30, 2012
    Incision guided by the stent

    3mm

    probing to check biological width

    Gingivoplasty
    Tuesday, October 30, 2012
    Incision guided by the stent

    Same on contralateral side


    Gingivoplasty
    Tuesday, October 30, 2012
    Snap-on mock-up

    Indirect mock-up
    (silicone index)

    Esthetic evaluation

    Tuesday, October 30, 2012


    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    incisal
    grooves
    Tuesday, October 30, 2012
    incisal
    grooves
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Depth Cutters

    Preping through the Mock-up


    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Depth Cutters

    Preping through the Mock-up 0.7 0.5 0.3


    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    buccal
    grooves
    Tuesday, October 30, 2012
    0.7 0.5 0.3
    buccal
    grooves
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    Preping through the Mock-up
    Gurel G, The Science & Art of Laminate Veneers, Quintessence, 2005.
    Tuesday, October 30, 2012
    final
    prep
    Tuesday, October 30, 2012
    Conservative
    Preparation
    Tuesday, October 30, 2012
    Interproximal Prep Design

    Tuesday, October 30, 2012


    Interproximal Prep Design

    Tuesday, October 30, 2012


    Transitional Line Angle & Tooth Width Coachman & Gurel in print
    Tuesday, October 30, 2012
    Interproximal Prep Design

    Tuesday, October 30, 2012


    Interproximal Prep Design

    Modified Prepless

    Coachman & Gurel in print


    Tuesday, October 30, 2012
    Interproximal Prep Design

    Modified Prepless

    Coachman & Gurel in print


    Tuesday, October 30, 2012
    Modified Prepless Technique
    Tuesday, October 30, 2012
    Modified Prepless Technique
    Tuesday, October 30, 2012
    Modified Prepless Technique
    Tuesday, October 30, 2012
    Modified Prepless Technique
    Tuesday, October 30, 2012
    Interproximal Chanfer

    Modified Prepless Technique


    Tuesday, October 30, 2012
    Modified Prepless Technique
    Tuesday, October 30, 2012
    1 week turnaround/
    No provisional
    Tuesday, October 30, 2012
    Cords & Impression
    Tuesday, October 30, 2012
    Cords & Impression
    Tuesday, October 30, 2012
    Cords & Impression
    Tuesday, October 30, 2012
    Work Model

    Tuesday, October 30, 2012


    Work Model Gingival Margins

    Tuesday, October 30, 2012


    Work Model Gingival Margins
    Interproximal Margins

    Tuesday, October 30, 2012


    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    IPS e.max HT A1 + Incisal Layering
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Pressed 0.3mm

    Reshape 0.2mm
    Tuesday, October 30, 2012
    Layered

    Monolithic

    Tuesday, October 30, 2012


    Layered

    Monolithic

    Tuesday, October 30, 2012


    Digital Smile Design Mock-up Ceramics

    Tuesday, October 30, 2012


    Digital
    Smile
    Design

    Mock-up

    Ceramics

    Tuesday, October 30, 2012


    Digital
    Smile Facial
    Design

    Mock-up and
    Emotional
    Ceramics
    Harmony
    Tuesday, October 30, 2012
    Facial & Emotional Analysis
    Digital
    Smile
    Design

    Mock-up

    Ceramics

    Tuesday, October 30, 2012


    Facial & Emotional Analysis
    Digital
    Smile
    Design
    Test Drive

    Mock-up

    Ceramics

    Tuesday, October 30, 2012


    Facial & Emotional Analysis
    Digital
    Smile
    Design
    Test Drive

    Mock-up

    Ceramics Predictable
    Final
    Outcome

    Tuesday, October 30, 2012


    Tuesday, October 30, 2012
    Incisal Edge Design
    Tuesday, October 30, 2012
    Try-In

    Tuesday, October 30, 2012


    LV +1 LV -1
    Try-In Paste
    Value

    Tuesday, October 30, 2012


    Final Color = Substrate + Cement + Ceramic
    Tuesday, October 30, 2012
    Final Color = Substrate + Cement + Ceramic
    Tuesday, October 30, 2012
    Final Color = Substrate + Cement + Ceramic
    Tuesday, October 30, 2012
    Final Color = Substrate + Cement + Ceramic
    Tuesday, October 30, 2012
    Thickness

    Final Color = Substrate + Cement + Ceramic


    Tuesday, October 30, 2012
    Color Influence Thickness

    Final Color = Substrate + Cement + Ceramic


    Tuesday, October 30, 2012
    Final Try-in
    Micro Esthetics Macro esthetics
    (Dental esthetics) (Smile design)

    Color Arrangement
    Shape Incisal edge
    Texture Display
    Lips/Face
    Tuesday, October 30, 2012
    Photography Analysis before Final Cementation
    Tuesday, October 30, 2012
    Cementation
    Tuesday, October 30, 2012
    supra gingival cervical finishing line

    Try-in After bonding


    Tuesday, October 30, 2012
    After bonding
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    supra gingival cervical finishing line After bonding
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Cementation day 1 month post op
    Tuesday, October 30, 2012
    Cementation day 1 month post op
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Before
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    Tuesday, October 30, 2012
    in partnership w/

    Dr. Braulio Paolucci


    CDT Edson Silva
    So Paulo - Brasil
    Tuesday, October 30, 2012

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