Referring Dentists
Veneers
Case Study 1
This 28 year old patient was recommended to our practice as she was concerned about the appearance of her poorly fitting and un-aesthetic veneers. One of her teeth was also causing pain. She had traumatised her upper front teeth approximately five years prior to her appointment. Her general dental practitioner had placed six porcelein veneers.
Pre-operative extra-oral views
Pre-operative intra-oral views
Following a detailed clinical assessment the first step was for root canal treatment to two teeth.
The particular clinical challenges for the veneers in this case were to address:-
asymetrical contours giving an unbalanced appearance
poor marginal fit
poor shade selection
too-high opacity giving an unnatural appearance
'black triangles'; the gap between the teeth at the gum line showing dark behind
avoid over-preparation as the teeth had already been prepared for the first veneers
A wax-up was a vital part of the treatment to ensure that the patient would be happy with the planned end result. The diagnosis was carefully discussed with the patient and a treatment plan agreed.
To allieviate her symptoms root canal treatment was completed in-practice for the upper right central incisor (FDI 11) and upper left lateral incisor (FDI 22) teeth.
Replacement of six poorly fitting and un-aesthetic porcelain veneers
Page 1 - Pre-operative
Private Dentists in Central London
Information for Referring Dentists
Working length radiograph
Post-endodontic treatment radiograph
Pre-operative radiographs indicating peri-apical areas
associated with 11 and 12
020 7580 2551/1828
Plowman & Partners
Centre of Dental Clinical Excellence
London
Click below to go to the next pages of this Case Study 1:
Page 2: Veneers - Preparation
Page 3: Veneers - Fitting
Page 4: Veneers - Final result
Page author: Duncan Edworthy