Anterior Ceramic Veneers, Part 5: Super Veneer

[@seonghwang6059]

It's very nice of you to upload these free videos of preparation for people to see. Thank you again

[@StevensonDentalSolutions]

My pleasure Doc!

[@Tonitoho]

Indeed, thank you very much!

[@shot336]

Thank you very much for the great content. I have a small request and i dont mean to be greedy, but would you please follow the veneer series with a series on occlusion, which is very important to understand and at the same one of the most misunderstood topics amongst dentists. Like the how to establish CR using lucia jig, and how to equilibrate a bite etc etc. thanks again

[@StevensonDentalSolutions]

Big topics - usually a 20 hour basic intro course (!) so this will take some effort to trim things into small pieces - let me think a bit on this request - definitely an area many will benefit from! Thank you!

[@shot336]

@@StevensonDentalSolutions I understand and i appreciate you taking the time to consider it, thank you for what you do :) :)

[@nirmalm4296]

You are awesome , doc ... words wouldn’t make it to praise you enough ... the videos are all so awesome ! You have no idea how much it helps us ! Thanks a ton and looking forward to learning much much more with you !

[@StevensonDentalSolutions]

It is my pleasure - glad they help! Thank you.

[@nourhanadel1293]

Dr.Stevenson am so lucky to meet your videos about types of veneers preparation you are a great dentist thank you for your efforts I will watch all your other videos ❤ greetings from Alexandria,Egypt

[@StevensonDentalSolutions]

Thank you Doctor!

[@dr.tinajerov]

Very helpful series, thanks so much doc!

[@StevensonDentalSolutions]

My Pleasure! Dr. Stevenson

[@Channel_976]

thank you for your time and shring those very useful information.

[@nyesigarobert9523]

Loving these series ,greetings from uganda

[@StevensonDentalSolutions]

Great, thank you! Uganda is a beautiful country...

[@TheAbd1122]

Great job doctor. Satisfying to watch

[@StevensonDentalSolutions]

Thank you Doctor!

[@johnny9516284]

Thank you very much for your gorgeous lecture and all the details

[@StevensonDentalSolutions]

My pleasure!

[@momo9594]

Nice little funny touch this time.🤣

[@StevensonDentalSolutions]

:)

[@cletsmob]

Thank you

[@StevensonDentalSolutions]

Anytime!

[@farshadbajoghli1606]

Thank you for the nice informative video,it was great,my question is how many millimeters do you open the contacts?also is super veneer same as vonlay? thanks again for the great work

[@StevensonDentalSolutions]

The contacts are only slightly opened using a diamond IPR strip - about 40 microns - just enough to separate the dies in the lab and protect the finish lines form being damaged when the tires are separated. A vonlay is when a posterior onlay is extended to cover the facial for esthetic enhancement. A super-b veneer is a typical facial veneer that wraps over the lingua enough to gain resistance and retention form. The are related but the vonlay is a term used for posterior teeth and a super veneer is a term used for anterior teeth...

[@farshadbajoghli1606]

@@StevensonDentalSolutions hello doctor: thanks for the prompt answer, I meant what is the amount of contact opening in super veneers,looks to me that it is like a full crown. is it not?

[@StevensonDentalSolutions]

Oh, yes it may be quite a lot - depends on the needs of the case, the existing wear, existing restorations, etc.

[@farshadbajoghli1606]

@@StevensonDentalSolutions thanks doc.

[@StevensonDentalSolutions]

@@farshadbajoghli1606 My pleasure!

[@somecoffeeandtv]

Congrats on such amazing and educational content on your videos doctor! I have one question: wouldn't it be better to keep the class V as it is, insteading of filling it with the flowable composite, for extra retention ? After cementation the space would be filled as well. Thanks so much for everything, I've learned a lot with you!

[@chitranthirupathy6678]

I laughed so hard when the class V flew off. Excellent series doc. ❤

[@StevensonDentalSolutions]

Awesome, thank you!

[@LIZZIEMAC2010]

Will the temporary material stick to that flowable you used to patch up?

[@StevensonDentalSolutions]

Bis-Acryl and composite stick to each other with tremendous shear strength

[@macrodentistry886]

What a wonderful work but can i ask you about bond strength if these case i mean if we have exposed dentin 50 percent do you think it good case for a veneer? Data show increase of failure with dentin exposure , so whats your opinion ?? Thanks

[@StevensonDentalSolutions]

Correct - that's what we use additional retention and resistance features with the super veneer. Thank you.

[@Ahuromazda]

Dr. Greer: hope tou are doing well. The prep-line, should it be subgingival or if supra how far from gingival margin? Thanx

[@StevensonDentalSolutions]

Equigingival or about 0.5 mm sub gingival for esthetically critical cases.

[@helomy]

Is there a certain amount of lingual reduction required? For ceramic crown it's ~1 mm. Are we aiming for that here also even if the finish line may be above where the opposing tooth occludes? Thanks!

[@StevensonDentalSolutions]

With an enamel only preparation with bonding, the ceramic is mostly under compressive forces and requires very little thickness when adhesively bonded, hence as little as 0.8 mm would work, but 1.0 mm is better in areas where contacts occur. Also, we try to avoid contacts on marginal areas as well. Thank you!

[@helomy]

@@StevensonDentalSolutions Thank you! As luck would have it, her central incisors are mesially rotated so her contact is on the mesial marginal ridge haha

[@amirmo6615]

Doctor you said here that emax is indicated for super veneers when when we have more dentin or unsupported ceramic. But can we also use emax for labial or lingual wrap veneers? I believe they can also be made as thin as 0.3mm. Or feldspathic ceramic are better choice? Thank you in advance

[@StevensonDentalSolutions]

e.max is very very difficult to thin to 0.3 mm but it is possible with an exceptional technician. Feldspathic may be made thinner and has the distinct advantage of having intrinsically crafted modifications to shade and translucency.

[@amirmo6615]

​@@StevensonDentalSolutions ​ Thank you Dr. for taking the time and answering my questions. So what do you think a dentist should do when his lab doesn't make feldspathic porcelains and is incapable of making the e.max this thin? What would be the next material of choice that can be used without sacrificing tooth structure, remaining in enamel, and looking natural? Many Thanks

[@StevensonDentalSolutions]

@@amirmo6615 5Y TZP (Translucent Zirconia) and a careful bonding protocol using Air Abrasion, MDP Zirconia Primer and Resin Cement.

[@dr.noureenhemani9718]

i did not understand why that shelf was created on one side

[@StevensonDentalSolutions]

Super veneers require additional retention due to the lack of enamel present (less than 50%), hence the auxiliary retention afforded by the vertical wall created with the shelf.

[@OGKennyLee]

This looks like crown prep

[@StevensonDentalSolutions]

Yes, with a supragingival finish line and less tooth removal.

[@DragoDent]

😍😍😍😍😍😍😍😍

[@StevensonDentalSolutions]

Great!