How to Fabricate Temporary Veneers - Dental Minute with Steven T. Cutbirth, DDS

[@puneetsekhon3436]

Beautifully explained and very informative. Really appreciate the way you explained everything very thoroughly. Wondering what is your opinion on Shrink wrap temporaries? Which technique do you prefer and why do you prefer one over other. Thanks

[@centerforard]

I know nothing about shrink wrap provisionals. I have used the method in the video for almost 40 years. It works well.

[@jerryneutron107]

This is a very good video about temporary veneers some doctors don’t even know how to cement them and they try to use temp bond , I would like to see your direct technique of fabrication of veneers! Without the model and the waxing thank you! 🙏

[@centerforard]

I do not do direct veneers. I assume you are referring to direct composite veneers covering the entire facial surface of the teeth. Is that what you are referring to?

[@DrSiddharthGovalkar]

Hey Dr, Could you guide me after tooth preparation? Im actually confused about the fabrication of temporary veeners, like which model should I prepare on? The ones before tooth prep or ones which labs send us for a mockup version? Also Guide me with the materials to use for temp veeners

[@centerforard]

Fabricate the PVS matrix on the waxed up model. Use Luxatemp bisacrylate for the provisional veneers. Those points should be in my videos on provisional veneers. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@amirhossein-fs1mz]

Please take a video about occlusal adjustment of resoratiom in mouth. I mean are you off all cusp or functional cusp.

[@centerforard]

You try to adjust the transverse ridges or inclines, not the direct cusp tip. If you flatten a cusp tip, it widens the contact and you can end up with eccentric interferes on inclines. Watch my video on occlusion in the library of DentistryMasterClasses.com. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@PaulDoodes]

Thanks for another great video. I like the limited etch, bond (no primer) as cement idea.

[@centerforard]

Great. Subscribe to DentistryMasterClasses.com.

[@healinghandsbydrshilpa6680]

Which material used to make temporary veneer what is that gun name /brand

[@centerforard]

Bisacrylate. It is like acrylic, but does not heat or shrink. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@hasansaleh6232]

Please doctor can you make a video how to remove them safely because I wanna know how to do this without touching the margins or damaging the final preparation

[@centerforard]

Use a large mirror and view the preps and provisionals from the palatal view to be sure you are not touching the prepared teeth.

[@TheBriansle]

Thank you Dr. Cutbirth. super informative. just what i was looking for to give veneers a shot!

[@centerforard]

Perfect! Veneers are fantastic if you use the correct technique. Much better than full crowns for anterior teeth in most situations because you are conserving tooth structure. If done correctly, veneers are as strong as natural teeth. Subscribe to DentistryMasterClasses.com.

[@Peace19899]

Cleanly explained! Thanks doc.

[@centerforard]

You are welcome. Subscribe to DentistryMasterClasses.com. If you like this, you are missing the really good stuff plus the organized library of all Dental Minute videos and all the other comprehensive cases not in Dental Minute videos. Plus important articles. Only $15/month.

[@mauthe101]

Do you need to add bonding agent to the bis-acrylate before adding flowable? That's what I have been doing/have been told to do, but didn't see that particular step in the video? Great videos by the way

[@centerforard]

No, it adheres to the bisacrylate without adhesive.

[@aymansays]

THANK YOU for sharing your technique. Time to invest in a bolo tie.

[@centerforard]

You are welcome. Subscribe to DentistryMasterClasses.com.

[@nicksaveka5078]

Hi, thanks for the video- 2 things 1- would you do this for 1 veneer prep only? 2- How easy are the temps removed with the bond material covering the tooth's surface?

[@centerforard]

For 1 veneer provisional, do not use the adhesive. Rely on interproximal mechanical retention to hold the provisional veneer in place. Be sure the bisacrylate goes completely through the interproximal space. Watch the DentistryMasterClasses.com video on fabrication of a single provisional veneer.

[@tiagocaldas6612]

Thank you for this great video.

[@centerforard]

You are welcome. If you like this, you will love the DentistryMasterClasses.com! Complete cases and inexpensive

[@TheJimmy365]

My upper two front teeth are missing Bottom 3 front are missing Can I get this veneer s ???? I cant work like this at my second job Anymore im sad😔

[@centerforard]

Not veneers, but either a fixed bridge, implants or removable partial denture. The removable partial denture is the least expensive.

[@Sandy-wh3ev]

If I don’t have wash can I use a light body?

[@centerforard]

Yes, light body poly ether impression material is "wash." Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@aleksandrshibko4211]

Great info!

[@centerforard]

Thank you. Glad the video was helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@puneetsohi3158]

How do you remove temporaries? Do you cut inter proximally or on the centre of the each tooth?

[@centerforard]

Subscribe to DentistryMasterClasses.com and watch the videos. It's only $20/month and there is an organized library of many, many cases.

[@Joeywatts1500]

Were you guys located

[@zein881]

Dr you are great

[@centerforard]

Thank you.

[@waelabutayeh8556]

Thank you! But how would you remove the temporary? By cutting it? Or it can be deattached easily?

[@centerforard]

A single veneer provisional is held in place by mechanical retention and can be removed with a scaler. Multiple connected veneer provisionals must be cut inter proximally because they are cemented with adhesive (unfilled resin).

[@mahmoudhisham9688]

Hi DR , how do u divide temp into parts without damaging proximal contact and instrument used to divide them ? Thankss

[@centerforard]

You are going to lute them back together once you have adjusted them, so you intentionally cut through the interproximal contact with a two sided diamond disc.

[@drmoshe7062]

thanks for a detailed video as usual!! quick Question in your temporary cementation technique you are doing dpot etching and "luting" with adhesive. I do the same spot etching but then use temp Bond instead...any thoughts about that?

[@centerforard]

Use unfilled resin (adhesive, but no primer).

[@danielsularso1023]

@@centerforard may i know how to remove the temporary venners after the ceramic venners done from the lab? the easy way. thanks.

[@josephryanmabaquiao4825]

doc once you remove the temps how do you clean the tooth? will the adhesive not affect the adhesion for final veneers?

[@centerforard]

Watch the video on veneers in the library of DentistryMasterClasses.com. I cover all of that in many cases.

[@dyf19910704]

Hi dr, why do you wet the prep before seating temp material?

[@centerforard]

Not wet, just damp is fine, especially if dentin is exposed. Dry is fine if just enamel. Dry is actually fine for all the teeth with provisional veneers because we are cementing the provisionals with adhesive only, no primer.

[@camophlage2009]

Thank you ❤

[@centerforard]

You are welcome. Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@trevorlane8123]

How do you floss between that?!

[@centerforard]

You cannot, that is why it is important the patient rinse and brush thoroughly and, ideally, rinse finally with chlorhexadine to control plaque.

[@masoud_s5430]

Vry fast and very nc tanks dok ur awsome

[@centerforard]

Thank you.

[@dentistem9062]

on th first visit when you prep, do u send the patient home with his teeth preped?or he just wait there till you wax up and then fabricate temporary veneers? how long it took for wax up on model?

[@centerforard]

Of course the study models are waxed up and the provisional veneer matrix fabricated to the ideal prior to the actual tooth preparation appointment. Subscribe to DentistryMasteClasses.com and look up all that information in the organized video/PowerPoint library of all the Dental Minute and DentistryMasterClasses.com comprehensive cases, specific techniques and procedure explanations. Your questions will all be answered!

[@centerforard]

The wax up is performed prior to the teeth preparation appointment. The provisional matrix is fabricated from the wax up model.

[@dribrahim3788]

I have two questions Doctor. 1-Do we always need to prep open the proximal contacts and why ? Because most practitioners discourage preping and opening the proximal contacts for veneers. 2-if we don’t open the proximal contacts can we still use your technique for temporary veneers? Thank you!

[@centerforard]

Subscribe to DMC.com and watch my videos on "wrapping" with veneers. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@monicalewinsky1234]

How long do they need to wear temporaries?

[@centerforard]

Until the final porcelain veneers are ready to seat. Normally, 2-4 weeks.

[@josephryanmabaquiao4825]

dr. i can see the you divided the temps in 3 parts. do you suggest doing it or is it possible to put it as 1 arch. and also dr after spot etch what i do is i put small amount of flow without bonding will it work to?

[@centerforard]

I always divide veneer temps into parts when there are 8 -10 adjacent veneers in the maxillary arch. If you don't, the distal provisional veneers with "spring outward," like a starched shirt, and it will be harder to seat them. I want the veneer provisionals to seat passively and that occurs when you divide multiple adjacent veneer provisionals into 3 parts. It is simple to "lute" the provisional parts together with flowable composite.

[@josephryanmabaquiao4825]

Dental Minute with Steven T. Cutbirth, DDS copy that dr. but what i was thought when bonding temp is etchand smal spot of flow on it and cure do you think it will work fine? do you have any tips also dr or video about removing temps for preparation for cementation?

[@centerforard]

I believe I cover temp. veneer removal in the video. Separate the veneers with a small mosquito diamond, then use a plastic instrument or elevator to fracture them apart and they remove easily. Yes, you can place a small dot of etch on the teeth for added retention.

[@andrewwilliamson9244]

How long does it take you to do each veneer on a tooth?

[@centerforard]

It takes a morning, from 8-12 or 1 to prepare, provisionalize, impress and take records on 8-10 teeth for veneers. I schedule another morning from 8-12 or 1 to seat 8-10 veneers and reline and seat a nightguard. It takes about 3-4 weeks for the lab tech. to fabricate the veneer case, so the patient is in provisionals for 3-4 weeks.

[@andrewwilliamson9244]

What do you think about using the CEREC machine to make the veneers in the office?

[@centerforard]

Not good if you are interested in a high level of aesthetics. They will all be monochromatic. One of the things a master ceramist does is create surface texture and translucency melded with opaque to make the veneers/restored teeth appear natural. I call it a "natural light" appearance if we are restoring all the anterior and bicuspid teeth with veneers and can select the shade. Patients, especially women, in the US want "white" teeth. The shade of veneered teeth has become an accessory, much like red lipstick, blue eye liner, blond hair with purple streaks, etc. If I am restoring all the anterior and bicuspid teeth for a woman patient, the shade is "natural light," similar to the color of snow, but with surface texture for light refraction and some translucency to make them look like natural bleached teeth. It took my ceramic technician and me 10 years to work out this particular shade and overall veneer. Another reason I am not a fan of Lumineers.

[@andrewwilliamson9244]

Do people experience more teeth sensitivity after getting veneers?

[@centerforard]

No.

[@elshimaa78]

Do I wash off the tubulicid red before applying the adhesive bond for final cementation ?

[@centerforard]

No, just blot it with a cotton square. Treat it the same way you would treat water on the tooth.

[@elshimaa78]

Dental Minute with Steven T. Cutbirth, DDS much appreciated

[@DS-ej4hs]

Can I do this without the Tubulicid?

[@centerforard]

Yes.

[@DS-ej4hs]

Can I use any light body PVS material in the putty matrix?

[@centerforard]

Yes.

[@shot336]

Thank you very much Dr T for the invaluable info and advise

[@centerforard]

You are welcome.

[@mortadhaghannem5630]

Whats the purpose behind putting flowable composite gingivaly ?

[@centerforard]

In the video at 2:05 Dr. Cutbirth states that, “Because the technician (incorrectly) did not wax a thickness at the gingival line…, I’m going to have to add some flowable composite at the gingival line.” In other words, the thickness of the temporary veneers was too thin at the gingival line so additional flowable composite had to be added.

[@elshimaa78]

What about if I want to recement it? Do I have to make a new one?

[@lotion90]

propaply yes.

[@centerforard]

Yes, you probably will have to replace them unless the provisionals fracture cleanly when they are removed with the elevator. If they do fracture cleanly and not break up, you could probably replace them and lute the separate parts together with flowable composite.

[@elshimaa78]

Dental Minute with Steven T. Cutbirth, DDS thank you

[@eddiesanders2719]

Mentor!

[@centerforard]

Thanks! I hope you are subscribed to DentistryMasterClasses.com!

[@eddiesanders2719]

Looks great, I'll read through the website. Thank you!

[@Johaylon]

Wouldnt the technician be able to create a bis-acriylte provisional on the model, instead of waxing the prepared teeth? It would save us time and its easier to do it in lab instead of the patient's mouth. We would just have to cement.

[@centerforard]

Probably, but there has to be some teeth preparation, so you would have to do more than "just cement." I have done it this way for so long and it works so well I have not looked for a different method. I know some dentists try to simulate the veneer teeth prep, or have the lab simulate the veneer teeth prep, of the stone teeth on a pre-op model and construct the provisionals on that prepped model. I tried it once and it did not work very well for me because the simulated stone model teeth preps were not the same as the actual natural teeth preps. I have a funny personality. I like predictability so I can anticipate how much time a procedure will take. With the method I presented, I know quite precisely how long the entire procedure will take so I am not trying to "rig" something that has not worded well.

[@Johaylon]

Thank you for the detailed reply. I thought the model the lab had in your video was already an impression taken from the prepared teeth of the patient. Then I failed to ask what I wanted to ask in the first place. Let me rephrase that. It's going to look like nit-picking, but would we able to do the procedure in this order? 1)Prepare the teeth 2)Take an impression and send it to the lab 3)The patient has to wait either a couple of hours if he/she is free, or has to come back tomorrow. 4)Lab makes a model and created provisionals 5)We cement the provisionals. The only downside looks like that the patient has to wait 2-24 hours if I'm not missing anything. Would it hurt, that much? Thanks again for your attention.

[@centerforard]

I have never thought of doing it that way. What is the reason you would do it that way? Those teeth would be sensitive during the time the lab was fabricating the provisional restorations plus you would probably have to reanesthetize the patient. The provisional method I am presenting is quite simple and works very well.

[@Johaylon]

Dental Minute with Steven T. Cutbirth, DDS I wanted to do it this way to eliminate the mistakes that can be done by my hand while working inside the mouth, just in case. But you are of course right. Thank you again.

[@centerforard]

It probably takes 30 minutes of my time to complete 10 porcelain veneer provisionals once I have removed the set bisacrylate in the matrix from the patient's mouth. Total time fabricating the PVS matrix on the waxed up model and other miscellaneous procedures, including my time of trimming and luting the provisionals to the teeth, is about 1 hour. My lab tech does the wax up, so I am not counting his time. I am shooting for "perfect," or as perfect as it can be done, with the final restorations. I am shooting for "time efficiency, diagnostic for the laboratory technician and very good aesthetics, comfort and function" with the provisionals.

[@AnAdorableWombat]

He is so handsome to me. And he looks tall and dominate lol

[@centerforard]

How kind of you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@shabadoo799]

Great video and very informative. But, loose that blond at the end of video with high pitch voice. I find her annoying.

[@centerforard]

Get over it.