Aurum’s Cristal® Veneers Case Planning Guide
Indications for Minimal Prep Veneers 1. Young patients. [Slides 3-4] 2. Closing spaces. [Slides 5 to 9] 3. Minor tooth position improvements (correcting rotation or overlap). [Slides 11 to 13] 4. Lengthening short or worn teeth. Improving tooth shape. [Slides 14 to 16] 5. Making aged teeth look youthful. [Slides 17 to 18] 6. Correcting teeth in lingual version. [Slides 19 to 20] 7. Post orthodontic treatment. [Slides 21 to 25] 8. Shade change/Brighten shade. [Slide 26 to 27]
Aurum’s Cristal® Veneers Indication 1. Young Patients Clinical Situation: Patient desired a fuller smile and to close the spaces in the anterior. Case Planning Tips: Young patients will likely need to have their veneers replaced at some point later in their life. The minimal removal of tooth structure and the strength of the bond to enamel instead of dentin will prevent compromises later, and increase the life of the veneers. Minimal preparation veneers can be removed without difficulty and be replaced many years later. Slide 3
Treatment Plan: Minimal reduction was needed to remove any areas on the teeth that were protrusive to the plane of the desired arch form. These areas were reduced and marked on the consultation model. Slide 4
Aurum’s Cristal® Veneers Indication 2. Closing Spaces Clinical Situation 1: Diastema Case Planning Tips: If the space is less than 1mm, the teeth will need to be reduced on the interproximal surfaces to allow enough thickness of porcelain to wrap around in the contact areas. Moderately prepping into the interproximals to remove undercuts will also allow the veneers to draw from the dies and preparations during lab procedures, during try-in and at final placement. Slide 5
Treatment Plan: The diastemas between the teeth were opened up to 1mm and any undercuts were removed from the interpromimal surfaces on the consultation model. Slide 6
Prepped consultation model. Lateral view. Slide 7
Clinical Situation 2: Diastema Slide 8
Treatment Plan: Consultation model prepped interproximally to open the diastemas to 1mm and to remove the undercuts. Slide 9
Prepped consultation model. Lateral view. Prepped consultation model. Slide 10
Incisal view of misaligned lateral. Aurum’s Cristal® Veneers Indication 3. Minor Tooth Position Improvement Clinical Situation: Misaligned Lateral Incisal view of misaligned lateral. Slide 11
Side view of misaligned lateral. Side view of misaligned lateral. Slide 12
Treatment Plan: Minimal reduction was completed on the consultation model and marked. The tooth that was out of alignment needed to have significant reduction done to bring it back into the plane of the arch form. Then the bulbous areas on the other teeth were modified to bring them back into the plane of the desired arch form. Slide 13
Aurum’s Cristal® Veneers Indication 4. Lengthening short/worn teeth Aurum’s Cristal® Veneers Indication 4. Lengthening short/worn teeth. Improving tooth shape. Clinical Situation: Short or worn teeth. Unattractive tooth shape. Slide 14
Lateral View Lateral View Slide 15
Treatment Plan: The Consultation model was reduced and marked. The incisal edges were rounded off and the facial surfaces reduced to the bring them back into the plane of the desired arch form. Slide 16
Aurum’s Cristal® Veneers Indication 5. Making aged teeth look youthful Clinical Situation: Short, aged teeth. Slide 17
Treatment Plan: To create longer and more youthful teeth, minimal reduction was done to the incisal edges on the Consultation model to round off sharp edges. Any bulbous areas on the facial of the teeth were reduced and marked. Slide 18
Aurum’s Cristal® Veneers Indication 6 Aurum’s Cristal® Veneers Indication 6. Correcting teeth in lingual version Clinical Situation: Teeth are in lingual version. Slide 19
Treatment Plan: To create a fuller smile, minimal reduction was needed to remove any areas on the teeth that were protrusive to the plane of the desired arch form. These areas were reduced and marked on the consultation model. Slide 20
Aurum’s Cristal® Veneers Indication 7. Post orthodontic treatment Clinical Situation 1: Not all post ortho cases are the final step to finishing a smile. Veneers or restoration may be needed to fill in the remaining spaces, modify the natural shape and length of the teeth and even out or change the shade of the teeth. Slide 21
Side view of missing bicuspid Slide 22
Treatment Plan: Minimal reduction was needed to remove any areas on the teeth that were protrusive to the plane of the desired arch form. These areas were reduced on the consultation model. This patient had tetracycline staining so with having the patient bleach their teeth, porcelain shade selection and the right choice of shade for the cement the new desired shade can be achieved. Slide 23
Clinical Situation 2: Post orthodontic case with relapse resulting in an open anterior bite. Slide 24
Treatment Plan: Minimal reduction was needed to remove any areas on the teeth that were protrusive to the plane of the desired arch form. The incisal edges were rounded off. These areas were reduced on the consultation model. Slide 25
Aurum’s Cristal® Veneers Indication 8. Shade change /Brighten shade Clinical Situation : This patient was happy with the overall length and shape of their teeth but wanted a brighter whiter smile. Slide 26
Treatment plan: The entire facial surfaces of the teeth being veneered were reduced between 0.5 and 0.8mm. The preps were rounded into the interproximals. This prep will allow enough porcelain ,without being too bulky, to block out or mask the undesirable color of the patients teeth underneath and to ensure the veneer covers the whole facial surface into the interproximals so no underlying color shows at the edges of the veneer. Slide 27