Comparison of Porcelain Veneers Vs Invisalign

[instagram url=https://www.instagram.com/p/Bvg_fYGFfqz/] This case was finished using porcelain veneers. [Summary: 1. Patient has naturally small laterals that were restored initially with composite and slight tipping of the centrals. This case was completed with 4 veneers.] This case was corrected with porcelain jacket crowns. [Summary: 2. Patient had previous restorations with composite, which was improved with 2 all-ceramic crowns.] This case was improved with esthetic composite. [Summary: 3. Patient had space between her centrals (diastema), which was improved with composite filling material to close the gap.] This case was completed using a no-prep veneer (Lumineer). [Summary: 4. Lumineer used to correct the spacing and improve the smile line. This approach used a minimal prep (virtually no prepping on the teeth.)] This case was repaired using a blended esthetic composite. [Summary: 5. Composite used to correct the… Read More »

Fractured Front Teeth Repaired with Composite

Fractured anteriors #8 and #9 repaired with composite (before and after) Accidents happen: 10-yr-old fractured his front teeth in apparent fall accident. The patient presented for emergency evaluation of his front teeth. The coronal portion of the tooth fractured in half, but, did not break into the pulp chamber. The teeth were fully erupted and a typical central incisor is 11mm long. His teeth were broken off at an oblique angle leaving only 2mm of tooth remaining on #8 near the midline and 1.5mm of tooth remaining on #9 near the midline. At some point in the future, we may elect to place all-ceramic restorations, e.g. an Obsidian-type crown (lithium silicate,) but, since the patient is young and still very active with sports and athletic recreation, we have elected to place composites on these teeth… Read More »

Replacing old composite bonding with porcelain veneers (Lumineers) Minimal Prep Veneers

By: Russell McFarlane In 2011, we completed composite bonding on the patient's peg laterals. A peg lateral is a tooth that naturally is smaller due to a genetic variation. Peg laterals or even missing laterals (Tooth #7 and #10) are very common. So, patients with peg laterals or missing laterals are often looking for a solution. Minimal Prep or No Prep Veneers can work very well on a case like this, so, for this case we used Lumineers with a guided minimal prep. Photo from 2/7/2019 showing composite bonding (completed 2011) on the laterals. Photo from 2/7/2019 showing the peg laterals with the composite bonding removed. Photo from 3/7/2019 case follow-up, after seating the porcelain veneers on 2/26/2019, then, letting the gums heal before the final photos were made. This case shows how attention to… Read More »

Bicycle Accident – Dental Implant Replacement Case

X-ray: Patient presents after bicycle accident with fractured teeth. (2/19/18) One tooth was completely avulsed and the others adjacent were fractured in half. The patient was in a bad bicycle accident, which left her severely injured. Her most notable injuries were the fracture of her front teeth. One tooth (a central) came out completely, while the other three anterior teeth were fractured off. It was determined that the other central (think: front middle tooth) would also have to be extracted as the tooth was fractured in the root. The other teeth, the laterals would need crowns to restore them, but, could be saved. So, we proceded to extract and bone socket preservation graft the sites for #8 and #9. NOTE: If you are looking for the blurred out picture from the Instagram video, it can… Read More »