Aurums Cristal® Veneers Case Planning Guide. Indications for Minimal Prep Veneers 1. Young patients. [Slides 3-4] 2. Closing spaces. [Slides 5 to 9] 3.

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Case Planning GuideCase Planning Guide

Indications for Minimal Prep VeneersIndications for Minimal Prep Veneers

1. Young patients. 1. Young patients. [Slides 3-4][Slides 3-4]

2. Closing spaces. 2. Closing spaces. [Slides 5 to 9][Slides 5 to 9]

3. Minor tooth position improvements (correcting 3. Minor tooth position improvements (correcting rotation or overlap). rotation or overlap). [Slides 11 to 13][Slides 11 to 13]

4. Lengthening short or worn teeth. Improving 4. Lengthening short or worn teeth. Improving tooth shape. tooth shape. [Slides 14 to 16][Slides 14 to 16]

5. Making aged teeth look youthful. 5. Making aged teeth look youthful. [Slides 17 to 18][Slides 17 to 18]

6. Correcting teeth in lingual version. 6. Correcting teeth in lingual version. [Slides 19 to 20][Slides 19 to 20]

7. Post orthodontic treatment. 7. Post orthodontic treatment. [Slides 21 to 25][Slides 21 to 25]

8. Shade change/Brighten shade. 8. Shade change/Brighten shade. [Slide 26 to 27][Slide 26 to 27]

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Indication 1. Young PatientsIndication 1. Young PatientsClinical Situation:Clinical Situation:

Patient desired a fuller smile Patient desired a fuller smile and to close the spaces in the and to close the spaces in the anterior.anterior.

Case Planning Tips:Case Planning Tips:Young patients will likely need to Young patients will likely need to have their veneers replaced at have their veneers replaced at some point later in their life.some point later in their life.

The minimal removal of tooth The minimal removal of tooth structure and the strength of the structure and the strength of the bond to enamel instead of dentin bond to enamel instead of dentin will prevent compromises later, will prevent compromises later, and increase the life of the and increase the life of the veneers. veneers.

Minimal preparation veneers can Minimal preparation veneers can be removed without difficulty and be removed without difficulty and be replaced many years later.be replaced many years later.

Slide 3

Treatment Plan:Treatment Plan:

Minimal reduction was Minimal reduction was needed to remove any areas needed to remove any areas on the teeth that were on the teeth that were protrusive to the plane of protrusive to the plane of the desired arch form. the desired arch form.

These areas were reduced These areas were reduced and marked on the and marked on the consultation model.consultation model.

Slide 4

Clinical Situation 1:Clinical Situation 1:DiastemaDiastema

Case Planning Tips:Case Planning Tips:If the space is less than 1mm, If the space is less than 1mm, the teeth will need to be reduced the teeth will need to be reduced on the interproximal surfaces to on the interproximal surfaces to allow enough thickness of allow enough thickness of porcelain to wrap around in the porcelain to wrap around in the contact areas. contact areas.

Moderately prepping into the Moderately prepping into the interproximals to remove interproximals to remove undercuts will also allow the undercuts will also allow the veneers to draw from the dies veneers to draw from the dies and preparations during lab and preparations during lab procedures, during try-in and at procedures, during try-in and at final placement.final placement.

Slide 5

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Indication 2. Closing SpacesIndication 2. Closing Spaces

Treatment Plan:Treatment Plan:

The diastemas between The diastemas between

the teeth were opened up to the teeth were opened up to 1mm and any undercuts 1mm and any undercuts

were removed from the were removed from the interpromimal surfaces on interpromimal surfaces on the consultation model.the consultation model.

Slide 6

Prepped consultation model. Prepped consultation model. Lateral view.Lateral view.

Prepped consultation model. Prepped consultation model. Lateral view.Lateral view.

Slide 7

Slide 8

Clinical Situation 2:Clinical Situation 2:DiastemaDiastema

Treatment Plan:Treatment Plan:

Consultation model prepped Consultation model prepped interproximally to open the interproximally to open the diastemas to 1mm and to remove diastemas to 1mm and to remove the undercuts.the undercuts.

Slide 9

Prepped consultation model.Prepped consultation model.Lateral view.Lateral view.

Slide 10

Prepped consultation model.Prepped consultation model.Lateral view.Lateral view.

Clinical Situation:Clinical Situation:Misaligned LateralMisaligned Lateral Incisal view of misaligned lateral.Incisal view of misaligned lateral.

Slide 11

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Indication 3. Minor Tooth Position ImprovementIndication 3. Minor Tooth Position Improvement

Side view of misaligned lateral.Side view of misaligned lateral.

Slide 12

Side view of misaligned lateral.Side view of misaligned lateral.

Slide 13

Treatment Plan:Treatment Plan:

Minimal reduction was Minimal reduction was completed on the consultation completed on the consultation model and marked. model and marked.

The tooth that was out of The tooth that was out of alignment needed to have alignment needed to have significant reduction done to significant reduction done to bring it back into the plane of bring it back into the plane of the arch form. the arch form.

Then the bulbous areas on the Then the bulbous areas on the other teeth were modified to other teeth were modified to bring them back into the plane bring them back into the plane of the desired arch form. of the desired arch form.

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Indication 4. Lengthening short/worn teeth. Indication 4. Lengthening short/worn teeth.

Improving tooth shape.Improving tooth shape.

Clinical Situation:Clinical Situation:Short or worn teeth. Short or worn teeth. Unattractive tooth shape.Unattractive tooth shape.

Slide 14

Lateral ViewLateral View Lateral ViewLateral View

Slide 15

Treatment Plan:Treatment Plan:

The Consultation model The Consultation model was reduced and marked.was reduced and marked.

The incisal edges were The incisal edges were rounded off and the facial rounded off and the facial surfaces reduced to the surfaces reduced to the bring them back into the bring them back into the plane of the desired arch plane of the desired arch form.form.

Slide 16

Clinical Situation:Clinical Situation:

Short, aged teeth.Short, aged teeth.

Slide 17

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Indication 5. Making aged teeth look youthfulIndication 5. Making aged teeth look youthful

Treatment Plan:Treatment Plan:

To create longer and more To create longer and more youthful teeth, myouthful teeth, minimal inimal reduction was done to the reduction was done to the incisal edges on the incisal edges on the Consultation model to Consultation model to round off sharp edges. round off sharp edges. Any bulbous areas on the Any bulbous areas on the facial of the teeth were facial of the teeth were reduced and marked.reduced and marked.

Slide 18

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Indication 6. Correcting teeth in lingual versionIndication 6. Correcting teeth in lingual version

Clinical Situation:Clinical Situation:

Teeth are in lingual version.Teeth are in lingual version.

Slide 19

Treatment Plan:Treatment Plan:

To create a fuller smile, To create a fuller smile, minimal reduction was minimal reduction was needed to remove any areas needed to remove any areas on the teeth that were on the teeth that were protrusive to the plane of protrusive to the plane of the desired arch form. These the desired arch form. These areas were reduced and areas were reduced and marked on the consultation marked on the consultation model.model.

Slide 20

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Indication 7. Post orthodontic treatmentIndication 7. Post orthodontic treatment Clinical Situation 1:Clinical Situation 1:

Not all post ortho cases are Not all post ortho cases are the final step to finishing a the final step to finishing a smile. Veneers or smile. Veneers or restoration may be needed restoration may be needed to fill in the remaining to fill in the remaining spaces, modify the natural spaces, modify the natural shape and length of the teeth shape and length of the teeth and even out or change the and even out or change the shade of the teeth.shade of the teeth.

Slide 21

Side view of missing bicuspidSide view of missing bicuspid Side view of missing bicuspidSide view of missing bicuspid

Slide 22

Treatment Plan:Treatment Plan:

Minimal reduction was Minimal reduction was needed to remove any areas needed to remove any areas on the teeth that were on the teeth that were protrusive to the plane of protrusive to the plane of the desired arch form. These the desired arch form. These areas were reduced on the areas were reduced on the consultation model. consultation model.

This patient had tetracycline This patient had tetracycline staining so with having the staining so with having the patient bleach their teeth, patient bleach their teeth, porcelain shade selection porcelain shade selection and the right choice of and the right choice of shade for the cement the shade for the cement the new desired shade can be new desired shade can be achieved.achieved.

Slide 23

Clinical Situation 2:Clinical Situation 2:

Post orthodontic case with Post orthodontic case with relapse resulting in an open relapse resulting in an open anterior bite.anterior bite.

Slide 24

Treatment Plan:Treatment Plan:

Minimal reduction was Minimal reduction was needed to remove any areas needed to remove any areas on the teeth that were on the teeth that were protrusive to the plane of protrusive to the plane of the desired arch form. The the desired arch form. The incisal edges were rounded incisal edges were rounded off. These areas were off. These areas were reduced on the consultation reduced on the consultation model.model.

Slide 25

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Indication 8. Shade change /Brighten shadeIndication 8. Shade change /Brighten shade

Clinical Situation :Clinical Situation :

This patient was happy with This patient was happy with the overall length and shape the overall length and shape of their teeth but wanted a of their teeth but wanted a brighter whiter smile.brighter whiter smile.

Slide 26

Treatment plan:Treatment plan:

The entire facial surfaces of the The entire facial surfaces of the teeth being veneered were teeth being veneered were reduced between 0.5 and 0.8mm. reduced between 0.5 and 0.8mm. The preps were rounded into the The preps were rounded into the interproximals. interproximals.

This prep will allow enough This prep will allow enough porcelain ,without being too porcelain ,without being too bulky, to block out or mask the bulky, to block out or mask the undesirable color of the patients undesirable color of the patients teeth underneath and to ensure teeth underneath and to ensure the veneer covers the whole facial the veneer covers the whole facial surface into the interproximals so surface into the interproximals so no underlying color shows at the no underlying color shows at the edges of the veneer. edges of the veneer.

Slide 27