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(Kelompok B) Jurnal 1 Asli PDF
(Kelompok B) Jurnal 1 Asli PDF
REVIEW ARTICLE
Journal of Advanced Clinical & Research Insights ● Vol. 4:6 ● Nov-Dec 2017187
Hari and Poovani Veneers
• Actively erupting teeth should not be subjected for veneering. Types of preparation
• Patients with parafunctional habits like bruxism should Three different types of preparation include:
hardly receive veneers.[1] • Type 1: Contact lens preparation in which the preparation
• Endodontically treated teeth are again not recommended for does not cover the incisal edges.
veneers as they present a poor receptive surface for bonding • Type 2: Classic or conventional preparation, which is
and full coverage restorations are indicated. commonly used by the practitioners. Here, the preparation
covers the incisal edge and terminates lingually.
Case selection for Porcelain Laminate Veneers • Type 3: Wrap around preparation, which is almost similar
to that of full coverage preparations, which is indicated for
• A static and dynamic occlusal relationship is of prime concern extensive color and contour.[3]
in the patients receiving veneers. Since the usual mode
of failure is the fracture at the incisal edges, the incisal tips Armamentarium
should be placed in such a manner that they do not contact
the opposing dentition at rest position. A diamond depth cutter with a wheel diameter of 1 mm, another
• As any other restoration, a healthy periodontium forms a depth cutter with a wheel diameter of 1.6 mm, a round bur, a
sound foundation on which the restoration rests. Mouth round end tapering bur, finishing diamond burs, and Airotor
breathers are considered as poor candidates for veneers. handpiece contributes to the armamentarium.
• Degree of discoloration of teeth along with the extent of
preexisting caries lesion and the restorations, if any, should be Procedure
examined before the treatment. Absence of enamel or a large • Facial reduction: Since the amount of enamel decreases at the
restoration that denies to give a proper surface for bonding cementoenamel junction, some teeth permit less reduction
makes the teeth again a poor candidate to receive veneers. at the gingival finish line to a standard of 0.3 mm and the
• Patient’s attitude and motivation to maintenance makes the reduction at the incisal half and incisal edge to a standard of
treatment more successful. 0.5 mm. The two diamond cutting burs of diameters 1.6 mm
• Oral habits say nail biting should be corrected before and 1.0 mm will create the exact depth orientation grooves
initiation of the treatment to avoid the shear stress on the and the remaining tooth structure is removed with round end
ceramics after the cementation of veneers. tapered diamond. The tip of the diamond establishes a slight
chamfer finish line at the gingiva.[3,4]
• Proximal reduction: Proximal extension is just a continuation
All Ceramic Systems used for Porcelain Laminate Veneers
of facial reduction with the round end tapered diamond.
• Conventional ceramics. Adequate reduction is recommended at the line angle and
• Castable ceramics. uneven finish line is avoided by keeping the bur parallel with
• Machinable ceramics. the long axis of the teeth.
• Pressable ceramics. • Incisal reduction: There are two techniques for the placement
• Infiltrated ceramics. of incisal finish line. The one in which we are terminating
our preparation at the incisal edge and the second technique
in which the incisal edges slightly reduced and the porcelain
Shade Selection
overlaps the incisal edges. As the porcelain is stronger in
Tooth color has an intimate relation with the color of eyes, compression than in tension, the wrap around preparation will
skin, and hair as all of these elements have the same embryonic place the veneers in compression and will provide better results.
origin and is considered in shade selection. Instead of precisely The multiwheel diamond burs are used to create 0.5-mm deep
matching the shade, a shade of lower chroma and higher value orientation grooves in the incisal edge and the remaining tooth
can be selected. This provides the dentist latitude and allows structure is removed by round end tapered diamond.[4]
for slight darkening attributable to increase translucency with • Lingual reduction: Lingual finish line is created by round
polymerization of the composite luting cement.[2] Increased end tapered diamond by holding the bur parallel to the
thickness of the porcelain makes the conventional shade guides lingual surface and forming a slight chamfer of 0.5-mm deep.
such as vita porcelain shade guide non-ideal for veneers. Moreover, the lingual finish line depends on the thickness
of the teeth and the patient’s occlusion. Finishing is done
further.
Tooth Preparation
Two major principles governs tooth preparation sounds
Provisional Restoration
• Preparation must be conservative and Provisional restorations for laminates may not be essential as
• Retention is solely by adhesion rather than tooth preparation. there is no exposure to the dentin and the proximal contacts are
188 Journal of Advanced Clinical & Research Insights ● Vol. 4:6 ● Nov-Dec 2017
Veneers Hari and Poovani
Journal of Advanced Clinical & Research Insights ● Vol. 4:6 ● Nov-Dec 2017189
Hari and Poovani Veneers
8. Hobo S. Porcelain laminate veneers with three-dimensional performance of porcelain veneers. Quintessence Int
shade reproduction. Int Dent J 1992;42:189-98. 1998;29:211-21.
9. Wall JG, Reisbick MH, Espeleta KG. Cement luting thickness 12. Stappert CF, Ozden U, Gerds T, Sturb JR. Longevity and failure load
beneath porcelain veneers made on platinum foil. J Prosthetic of ceramic veneers with different preparation designs after exposure
Dent 1992;68:448-50. of masticatory stimulation. J Prosthet Dent 2005;94:132-9.
10. Dunne SM, Millar BJ. A longitudinal study of the clinical
performance of porcelain veneers. Br Dent J 1993;175:317-21.
How to cite this article: Hari M, Poovani S. Porcelain laminate
11. Peumans M, Van Meerbeek B, Lambrechts P,
Vuylsteke-Wauters M, Vanherle G. Five-year clinical
veneers: A review. J Adv Clin Res Insights 2017; 4:187-190.
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190 Journal of Advanced Clinical & Research Insights ● Vol. 4:6 ● Nov-Dec 2017