Dental Veneers - Dr. Gargi Kandhari

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DENTAL VENEERS

• Dr. Gargi Kandhari

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• So veneers or laminates are like a cover for the
  teeth, they are designed to cover the front
  surface of the teeth. They provide an excellent
  solution for smile designing or smile makeover.
  Veneers can correct various dental problems like
  
• Crowded or spacing between the teeth
• Stained or discoloured teeth
• Chipped or broken teeth
• Uneven teeth of different sized teeth
• Bite correction

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• Veneers provide a viable solution for anyone
  looking to fix their front teeth, whether the
  alignment, colour, size or teeth position. They
  can also be used to align teeth to a certain
  extent in patients who are unwilling to go ahead
  with Orthodontic treatment. There are several
  advantages of this treatment like
• Short Duration - The whole treatment can be
  completed in one or two sittings within a week.
• Very comfortable and painless procedure.
• Highly aesthetic results - Veneers can completely
  alter or give a complete makeover to ones smile
• Lasts for a long time - A well fitted veneer can
  last upto 10 to 15 years.
• Easy maintenance - They are relatively easy to
  Clean and maintain as compared to other
  prosthesis.

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1. TYPES OF VENEERS
Ceramic Veneers - This is the most durable and
long lasting veneer. It also gives the best
aesthetics and retains it colour and polish for a
very long time. They do not chip, break or
fracture or get dislodged over time.
PROCEDURE This typically takes two to at the
most three sittings. These are fabricated in the
dental laboratory and then cemented onto the
prepared teeth.
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Step 1
In the first sitting a detailed discussion is
initiated with the patient. This is of utmost
importance to understand the expectations and
what exactly the patient desires in their new
smile. After this a thorough oral examination is
carried out. This is followed by intra and extra
oral photographs and impressions for a study
model and treatment planning. After this at Dr
Kandharis Skin and Dental Clinic we also do a
digital smile designing for the patient. In this
we can show the patient how the veneers will look
on their face and what will the new smile be
like. Once the patient and the cosmetic dentist
are agreeable on the course of treatment we than
go ahead with the main clinical procedure.
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Step 2
At this stage after adequate anaesthesia and
isolation, the teeth are prepared. The labial or
outer surface of the teeth need to be reduced to
for the veneers to be placed. The enamel surface
is trimmed and the final impression is
recorded. After this we immediately fabricate
temporary veneers to cover the prepared teeth.
These protect the enamel while the final
prosthesis is being fabricated.
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Step 3
At Dr Kandharis Skin and Dental Clinic we try to
provide our patients with the final veneers
within two to three days. Once they arrive the
patient is called for the final appointment.
After the checking the fit , color, shape and
size we fix them with a temporary glue. Once
the patient is satisfied the final cementation
process is completed. In about one weeks time
the complete smile of the patient is altered.
this can easily last upto fifteen years if
maintained well and regular brushing and flossing
is followed by the patient.
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2. COMPOSITE VENEERS
At Dr Kandharis Skin and Dental Clinic we try to
provide our patients with the final veneers
within two to three days. Once they arrive the
patient is called for the final appointment.
After the checking the fit , color, shape and
size we fix them with a temporary glue. Once
the patient is satisfied the final cementation
process is completed. In about one weeks time
the complete smile of the patient is altered.
this can easily last upto fifteen years if
maintained well and regular brushing and flossing
is followed by the patient.
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PROCEDURE
After a thorough consultation and oral
examination, at Dr Kandharis Skin and Dental
clinic we go ahead with the intra and extra oral
photographs as well as some profile shots. This
aids us in the treatment planning and veneer
preparation. Once the patient and the cosmetic
dentist are on the same page we begin the
procedure. In this the amount of tooth structure
to be removed varies on the case. In some cases
minimal or no preparation is needed like in cases
where we need to build up the tooth or make them
bigger or close the gaps between the teeth..
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PROCEDURE
In other situations some amount of tooth
structure needs to be removed like when we are
trying to align the teeth or cover some dark
stains and discolouration. After the tooth
preparation the veneer is built up layer by layer
with composite and moulded to the tooth
structure. Once completed it is finished and
polished well and completed.
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The main disadvantages of composite Veneers are
They get discoloured or stained easily with time
as composite tends to absorb colour from our food
and drinks. Can get chipped or fractured easily
as compared to ceramic veneers.
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3. LUMINEERS
These are also ceramic or porcelain veneers but
are much thinner than conventional veneers. They
are also known as no prep veneers. They can be
considered in areas which do not require any
tooth preparation. The main disadvantage of
this system is because of it being much thinner,
they tend to chip off or break more easily as
compared to conventional ceramic veneers.
Although the quality and finish of these veneers
are excellent, one needs tone more careful with
them.
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PRECAUTIONS 
Minimal biting forces should be applied to the
front teeth once the veneers have been cemented.
Like biting into a hard apple or having a hard
cookie. Also certain activities like opening a
bottle with your teeth should be completely
avoided. Regular flossing is very important in
between the veneers to avoid any kind of food
impaction and to maintain the gingival health.
This ensures the gums around the veneers are
healthy and adapted well to the gender margins.
Hence, if the veneer procedure is done well by a
proficient cosmetic dentist and the treatment
planning is done well. It can last for a very
long time and give a fabulous aesthetic result.
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Thank You