before and after
May 18, 2022
Prof. Paulo Monteiro, DMD, MSc

Clinical Case: Smile makeover with ceramic veneers to improve esthetics.

Using 3M™ Protemp™ Plus Temporization Material, 3M™ Imprint™ 4 VPS Impression Material, 3M™ RelyX™ Try-In Paste, 3M™ RelyX™ Ceramic Primer, 3M™ Scotchbond™ Universal Etchant and 3M™ RelyX™ Veneer Cement.

About the Case

Patient: Female patient, 26 years old
After a past orthodontic treatment, the patient was unhappy with the appearance of her upper teeth. The patient`s main concern was to improve the appearance of her smile, especially regarding the shape of the upper anterior teeth. The challenge in this patient was to harmonize the smile and the shape of the upper anterior teeth, recreating a proportional dental shape, correcting the volume in the posterior area, but always with the minimum possible preparation of the dental structure.
Results: The final result achieved with the ceramic veneers corresponded to the patient’s expectations, correcting the smile, improving the shape, volume and dental proportion. Patient’s satisfaction was obtained.

Initial situation

Final modifications of mock-up to get desired outcome/smile improvement and gingival contour correction using 3M™ Protemp™ Plus Temporization Material.

Preparation

For minimal invasive tooth preparation, the mock-up helps to control thickness. A pencil is used to highlight the groove depth.

3D printed view

Thickness control guide to check available space for ceramics, after dental preparations.

3M™ Ketac™ Universal Aplicap™ Glass Ionomer Restorative

Final veneer preparations: minimal invasive/non-prep approach.

Preparation ready for bonding

Try in of final veneers with 3M™ RelyX™ Try-In Paste.

bite-wing radiograph

10% HF conditioning of ceramic veneers following surface conditioning and silanization with a universal adhesive. 3M™ RelyX™ Ceramic Primer was used.

Etching of preparations and application of adhesive on tooth surfaces before the final cementation using 3M™ Scotchbond™ Universal Etchant and 3M™ RelyX™ Veneer Cement.

Final situation with all veneers bonded one month after seating appointment.

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