Title: Direct anterior composite veneers in vital and non-vital teeth: a retrospective clinical evaluation (original) (raw)

Prefabricated direct composite veneer: with and without teeth preparation

INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH (IJEHSR)

Background: Componeer (prefabricated direct composite veneer) is a nano-hybrid composite enamel veneer that combines the advantages of both, placing a direct composite resin and those of a prefabricated laminate veneer manufactured in a laboratory. Any structural defects or anomalies in the anterior teeth or 'esthetic zone' create a problem for the patient. Hence, composite laminate veneers focus on targeting such abnormalities where the dentist is in complete control of the outcome, despite the pre-existing color, shape, structure, contours or morphology of the tooth. The aim of the study was to determine the success rate of using prefabricated direct composite veneers for cases with minimal preparation and 'prep-less' technique and compare both outcomes for establishing a better and long-lasting restoration. Case presentation: The study presented two case reports, the first case was of a 46-year-old female with major complaints regarding spaces between upper teeth along with yellow discoloration. While the second i.e. Case 2 was of a 23 years old female with generalized spacing in her teeth due to microdontia and her chief complaint was the diastema present in between her upper front teeth. Management and Results: A minimal preparation technique for composite veneering was used in Case 1 to combat the problem of yellow discoloration along with generalized spacing whereas a 'prep-less' technique was used for Case 2. Both cases depict different methods of composite veneering and restorations for both minimally prepared or 'prep-less' technique showed no differences at the follow-up visit (after 6-month). Conclusion: Composite veneers have shown excellent results for restoring anterior defects while preserving tooth structure and surrounding tissues. It has proven to be the most time-efficient way of restorations meeting the high demands of superior esthetics and cost-effectiveness.

The Success of Dental Veneers According To Preparation Design and Material Type

Open Access Macedonian Journal of Medical Sciences, 2018

BACKGROUND: Due to their high aesthetic outcome and long-term predictability, laminate veneers have become a common restorative procedure for anterior teeth. However, because of the variety in the preparation designs and the material types, the clinician faces a dilemma of which approach to use. AIM: To compare the survival rate of dental veneers according to different preparation designs and different material types. The sub-aim is to reach a favourable preparation design and material based on scientific evidence. METHODS: Comprehensive electronic search of the dental literature via PUBMED, MEDLINE and Scopus databases was performed using the following keywords: “porcelain veneers”, “composite veneers”, “all-ceramic veneers”, “success of porcelain veneers”, “preparation design”, “preparation geometry”, “patient’s satisfaction”. Additionally, references from the selected studies and reviews were searched for more information. RESULTS: Under the limitations of the available literatur...

Success of dental veneers according to preparation design and material type

Open Access Macedonian Journal of Medical Sciences, 2018

Background: Due to their high aesthetic outcome and long term predictability, laminate veneers have become a common restorative procedure for anterior teeth. However, because of the variety in the preparation designs and the material types, the clinician faces a dilemma of which approach to use.Aim: to compare the survival rate of dental veneers according to different preparation designs and different material types. The sub aim is to reach to a favourable preparation design and material based on scientific evidence.Methodology: comprehensive electronic search of the dental literature via PUBMED, MEDLINE and Scopus databases was performed using the following keywords: “porcelain veneers”, “composite veneers”, “all ceramic veneers”, “success of porcelain veneers”, “preparation design”, “preparation geometry”, “patient’s satisfaction”. Additionally, references from the selected stu...

Clinical performance of the composite resin veneers: the minimally invasive approach

ARCHIVES OF HEALTH INVESTIGATION

Minimally invasive approach lead composite resin veneers restorations as a conservative and alternative treatment option, with the aim to improve the aesthetics anterior dentition. Clinically, this treatment reducing the clinical time and has a lower cost than indirect technique. In addition, new resin composite was developed to support the clinician to make more natural restorations. The present case report aim to evaluated the clinical performance of direct composite veneer technique was restored with 100% supra-nano spherical filler composite. A 39-year-old female, searched for restorative treatment of anterior teeth, which were unaesthetically altered. In the clinical examination, it was observed color alterations in maxillary left and right incisors and canines due to use of medicines, and bruxism. The treatment plan included an in-office dental bleaching, removal of inadequate anterior restorations and confection of composite veneers restorations. The dental bleaching was perf...

Randomized Controlled Split-mouth Clinical Trial of Direct Laminate Veneers with Two Micro-hybrid Resin Composites.

Laminate veneers, made directly with resin composites or indirectly with ceramics, are indicated to restore hypoplastic enamel and/or dentine, fractured, malformed, malpositioned or discoloured teeth since more than 20 years. Direct applications with resin composites are usually quick, inexpensive, and easy to repair compared to ceramic veneers and they can provide acceptable aesthetic results. Yet, j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 7 6 6 -7 7 5 Adhesion Clinical trial Direct composite veneers Existing composite restorations Laminate veneer Silica coating Surface conditioning a b s t r a c t Objectives: This randomized, split-mouth clinical study evaluated the survival rate of direct laminate veneers made of two resin-composite materials. Methods: A total of 23 patients (mean age: 52.4 years old) received 96 direct composite laminate veneers using two micro-hybrid composites in combination with two adhesive resins (Ena-Bond-Enamel HFO: n = 48, Clearfil SE Bond-Miris2: n = 48). Enamel was selectively etched with 38% H 3 PO 4 for 30 s, rinsed 30 s and the corresponding adhesive resin was applied accordingly. Existing resin composite restorations in good conditions (small or big)

Randomized clinical trial on indirect resin composite and ceramic laminate veneers: Up to 10-year findings.

Objectives: In this randomized split-mouth clinical trial the survival rate and quality of survival of indirect resin composite and ceramic laminate veneers were evaluated. Methods: A total of 48 indirect resin composite (Estenia; n = 24) and ceramic laminate veneers (IPS Empress Esthetic; n = 24) were placed on maxillary anterior teeth. Veneer preparations with incisal overlap were performed using a mock up technique. Survival of the restoration was considered the primary outcome measure and reported using Kaplan-Meier statistics and survival curves compared by means of Log Rank (Mantel-Cox) test. After luting, restorations were evaluated by calibrated operators at baseline and every year thereafter, using modified USPHS criteria and compared by means of Mann-Whitney U test. Results: In total, 6 failures were observed, consisting of debonding (n = 3) and fracture (n = 3), all in the group of the indirect resin composite laminate veneers. Cumulative chance on survival after 10 years of the indirect resin composite and ceramic veneers was 75% (se 3,8%) and 100% respectively (p = 0.013). Of the surviving 42 laminate veneers, the variables 'color match' (p = 0.002), 'surface roughness' (p = 0.000), 'fracture of the re-storation' (p = 0.028), and 'wear of the restoration' (p = 0.014), were significantly less favourable among the composite laminate veneers as well. Conclusions: The ceramic veneers on maxillary anterior teeth in this study performed significantly better compared to the composite indirect laminate veneers after a decade, both in terms of survival rate and in terms of quality of the surviving restorations.

Clinical Performance of an Experimental Veneering Composite in FPDs. One-year report

Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, 2007

Objectivos: Avaliar o desempenho clínico de pontes fixas com 3 elementos, construídas com um compósito experimental microparticulado, sobre infra-estrutura em compósito com fibra ou em metal. Materiais e métodos: Foram fabricadas 60 pontes com uma versão experimental do compósito de revestimento, SR Adoro. Metade das pontes tinha uma infra-estrutura em Vectris, e a outra metade numa liga de ouro. Os parâmetros avaliados foram: "estabilidade cromática", "textura de superfície", "contorno marginal", "fenda marginal", "fractura", "cárie secundária", "retenção" e "sensibilidade dos dentes pilares". As pontes foram classificadas como: R (ideal), S (aceitável) ou T/V (inaceitável). Os resultados obtidos foram analisados estatisticamente com os testes de Mann-Whitney e Wilcoxon. Resultados: No grupo Adoro/Ouro, a comparação dos resultados obtidos em Baseline e 1ano demonstrou não haver alteração na "estabilidade cromática". Foi no entanto encontrada uma degradação estatisticamente significativa em "textura superficial" (p=0.007), "contorno marginal" (p=0.014), "fenda marginal" (p=0.034) e "fractura" (p=0.025). As alterações observadas foram de R para S excepto no critério "fenda marginal" com uma ponte classificada T/V, e "fractura" com 5 classificações T/V. Uma vez que se trataram apenas de pequenas fracturas do SR Adoro, apenas uma ponte foi substituída. No grupo Adoro/Vectris, apenas se observou degradação estatisticamente significativa na "textura de superfície" (p=0.001). A comparação dos resultados obtidos nos dois grupos, em cada período, evidenciou diferenças estatisticamente significativas para "sensibilidade" em Baseline (p<0,001). Conclusões: Após 1 ano, embora revelando alguns problemas, a performance global deste novo material pode ser considerada como boa.

Porcelain Veneers vs Composite Resin Veneers: A Review

2020

The main concern for clinical dentistry is the rehabilitation of lost dental aesthetics. These days' people are more conscious of how they feel about their smiles and their effect on other people. Contemporarily based upon the patient's fascination, they are various procedures and material options to select. It is quite challenging for the dentist to satisfy the needs and keep within the patient's budget. The effect of preparation design and material type on the success of dental veneers is controversial. Usually, the clinician's preference decides the preparation geometry. Nevertheless, veneers with incisal coverage seem to have better aesthetic and more predictable outcomes, while having a chamfer finish line palatable seems to be unnecessary, and limiting the preparation to a butt-join finish line is more sensible. Composite veneers provide good aesthetic outcome and patient satisfaction; however, due to its physical properties and bonding strength compared to por...

The Use of Pre-Fabricated Composite Veneers to Enhance Esthetics

Balkan Journal of Dental Medicine, 2017

Background: This article is focused on the use of polymerized, prefabricated nano-hybrid-composite veneers to close diastema and to regain a vitality appearance of non vital discolored teeth. Case Reports: A 24-year old patient presented herself with a major complaint about the discoloration of her maxillary central incisors. The prefabricated composite veneers were recommended as the perfect solution in this case. Tooth shape and size was evaluated with the contour guide. Two prefabricated composite veneers size "M" were trimmed and cemented with the same hybrid composite resin that they were made from. A 28 year-old patient presented herself with a major complaint about her diastema. Her maxillary frontal teeth were intact. It was decided to use two veneers; size "L" and shade A2/B2 and Enamel Universal were chosen. Identical steps were followed as in clinical case 2. Conclusion: This new technique of treatment resulted to be an affordable way to regain esthetics. It is a one session treatment and requires no lab sessions, which makes it very comfortable for both dentist and patients. As with all new techniques, there is still a lot to be done, to confirm its effectiveness as a long term solution in esthetic dentistry.

Two-year clinical evaluation of direct and indirect composite restorations in posterior teeth

The Journal of Prosthetic Dentistry, 1999

Estheti c considerations are gaining in importance for the restoration of posterior teeth. Patients refuse amalgam restorations and even gold inlays, despite excellent material properties. 1-3 Esthetic alternatives to cast gold inlays and amalgam restorations include glass ionomers, compomers, direct composites, composite inlays, and ceramic inlays. Composite application requires accurate use of the adhesive technique and knowledge about complex bonding mechanisms.