today i'm here to talk about my procedure of the dental veneers that we completed a couple
of weeks back and let you know a little bit about the procedure and the results
dr alexander yay at smiles dental group restored eight of my teeth with porcelain veneers
we did the procedure about a month back previously i had had a accident
and had a dental implant and a couple of porcelain crowns placed um to be completely honest i was
never really happy with the initial procedure it was done outside of this practice at another
specialist office because i felt like the veneers that were done were not
similar to my natural teeth and i was always a little bit self-conscious over the placement of
the teeth now that we've had this procedure done i couldn't be happier with the results
i think my teeth look amazing and i'm very happy with the shade and overall appearance of
my smile makeover to ensure the most optimal result for the patient dr yay sent me to the
dental lab where we did custom shading and a wax up of my case to make sure that the shape of the
teeth and the staining was going to be natural and i would be happy with the whiteness of the teeth
some reasons to do dental veneers would be to have a wider brighter better aligned smile but they
can also be used to repair or replace broken or damaged teeth and they also help with sensitivity
during the procedure of waiting for the the case to be completed by the lab
we placed eight temporary veneers on my teeth and they actually worked out
perfectly um they looked just like natural teeth and they lasted for the whole month
that it took to complete my case and get everything ready to be completed
so this is the live smile enhancement procedure
at this point we are taking off the temporaries uh we all have already prepped and temporized and
the lab has already fabricated the porcelain restorations so we're removing the uh acrylic
temporary crowns and or veneers here you see i'm just i'm cutting the acrylic off
and we are also removing the temporary crown that is
on the implant site
we're just cleaning up the preps removing any excess acrylic
so the technique here is just to cut a slot cut into proximally with a fine needle type diamond
and so that's that's my favorite burr to use is that really thin mosquito diamond
so we're just using a scaler just to remove the the acrylic shell temporaries and again those
those temporaries are just there to for aesthetic purposes as well as it prevents the gingiva from
from over growing onto the margins of the preparations as well as maintaining the
interproximal spaces between the prepared teeth to prevent shifting or super eruption
and of course to prevent the teeth from being sensitive
while she's in temporaries and right now so we are we are putting the porcelain
crowns and or veneers on just to try them in and make sure they all fit the implant
had a custom zirconia abutment made which i screwed in already so all of the
porcelain restorations whether they be veneers or crowns are
tried in they fit quite well so i don't typically do traditional veneer preparations i do what
some people refer to as three-quarter crowns and then on the premolars we have
uh traditional crowns like full coverage restorations
and then the implant supported crown of course is a full coverage restoration the every other
tooth is a three-quarter crown where the the lingual is not the palatal part is not
prepped but every other surface the incisal facial and interproximal surfaces are prepped
so right now we're just making sure um everything fits well i've got some small
adjustments where there's sometimes the preparations have slight hang-ups
and they need to be smoothed out which is what i'm doing here i'm just making sure we're torquing the
zirconia abutment to the implant to the correct torque which is 35 million centimeters
that's a little torque wrench that engages the screw in the zirconia abutment
so here we're we're cementing um the porcelain restorations because there's so many of them
we're just going to do the first quadrant first and then we'll do the second one and after
right now i'm just i'm doing the the implant supported crown before anything else because
we're using a different cement for that particular crown that zirconia crown or porcelain fuses or
chronic crown now we're using the patch for the teeth which is a 37 phosphoric acid etch
once that's etched and rinsed off we dry it
i think what we missed we missed the bonding step so obviously we did bond the the teeth we put
a bonding agent on all the teeth and hair dried that what you're seeing now is the step after that
which is the cementation of the uh the porcelain restorations what we also missed was the
step where we prepared the porcelain the internal aspects of the porcelain restorations with
a porcelain etch and then salinating agent
the porcelain edge being a 9.6 hydrofluoric acid etch for the porcelain right now you're seeing the
cementation of the first quadrant of restorations
and we're using a resin cement which is light cure now we've moved on to the second
quadrant i used to do all the unit like didn't matter how many units i did i used to just do
them all at the same time um i found sometimes that it was a bit rushed when when we did that
when we did like six eight ten or more units at the same time was a bit rushed
this way we have plenty of time to get things right make sure everything's seated correctly
um cleaning up the excess cement and then of course light curing everything which which i
mean everything doesn't take this step doesn't take a lot of time it's just um
it's just less less things can go wrong
so some people just like doing everything at the same time i used to do that way but now i don't
so this is a light cure unit so we're just spot curing so what we're doing is we're
just securing kind of the gingival aspect to just lock the porcelain restoration in place
and then to prevent any marginal leakage of saliva and or blood
and we'll do the lingual aspect as well or the palatal aspect
and then while the cement into proximally isn't like rock hard we're going to floss in between
the teeth and just clean out as much of the cement into proximally as possible
if her if the patient's gums start to bleed or hemorrhage even slightly we're going to like your
immediately so that there's zero chance of contamination underneath the porcelain restoration
so right now we're just checking the occlusion which is a really important step
especially when you're changing the shape of the teeth
you're going to end up having high spots for sure and that takes time to
adjust all these areas of high occlusion so now we're just taking a bite registration and
impressions for her night guard so we always do a bruxism appliance for all of our small enhancement
patients to protect our investments one of the most destructive things that you can do with
porcelain restorations is grinding them at night and here's the before you can see that there's
some obvious asymmetries and discolorations and then here you have the final results
in the middle you see the temporary restorations
two considerations to make when choosing to do dental veneers is how many teats you would like
to do if you'd like to go brighter or whiter it's always a smart consideration to make to do more
teeth because of shade matching and to ensure that the teeth look natural and like they're
your own teeth and the second consideration to make would be getting a night guard or
orthotic because during the night time it's very important to protect the veneers
when you're sleeping and to avoid any issues with bruxism or teeth grinding if you're interested
in a complimentary consultation for a brighter and wider smile give us a call at smile central
group we accept new patients at all of our seven locations throughout edmonton and area
you