Anterior Ceramic Veneers, Part 6: Provisionals

[@goodthyme]

Its absolutely generous of you for sharing such detailed knowledge for free and without endorsing any products. Alot of paid CE doesn't even go this deep into the topic. Keep up the good work Dr Stevenson!

[@StevensonDentalSolutions]

Thank you - more to come!

[@venicefrasier5289]

absolute truth

[@DrGlennChiarello]

i am loving this course in its entirety. i didnt necessarily need the education, but to my surprise i got one. it is refresshing to see a master at work. the explainations and techniques shown are excellent. Thank you Dr!

[@StevensonDentalSolutions]

Very kind of you! Best, Richard

[@ligayaaquino-paguyo649]

My very best professor, Part 3 and Part 4 Reviews. Thank you, so inspiring.

[@ligayaaquino-paguyo649]

How can I order your special burs?

[@StevensonDentalSolutions]

Thank you!

[@MsMathab]

Thank you so much for a very well made and informative video series on veneers! I’m most definitely subscribing!

[@StevensonDentalSolutions]

Great! Thank you for your support.

[@dr.nikhatshaikh7316]

One of the best and important details covered in these lectures. Thanku so much Dr. Stevenson.

[@StevensonDentalSolutions]

Thank you - I appreciate your support. Dr. S

[@layalyakoosh5537]

I cant believe there is a doctor sharing all this info on youtube i wast my money on courses i fall in love with your chanal and you🙊

[@StevensonDentalSolutions]

Thank you Doctor!

[@horiaaldea6845]

Thank you doctor for this 6 parts video presentations!

[@StevensonDentalSolutions]

My pleasure Doctor

[@faizanbilal2434]

Thank you so much dr what a generous man you must be, i mean even paid courses don't teach us in that detail but you did it.. i rarely subscribe ytb channels...you earned my respect & subscription 😄. Love you, from Pakistan 🇵🇰🇵🇰

[@StevensonDentalSolutions]

Thank you so much - I appreciate your words and kindness.

[@brannenk921]

For whatever reason, I've been intimidated by veneer cases. You're video's have given me the confidence to take on more of these cases. Thank you.

[@StevensonDentalSolutions]

The best dentists typically are cautious while the most troubled dentists dive in without much worry. In Beverly Hills, you'll find some of the worst veneer dentists on the planet, charging large fees. I completed my very first veneer case in 1986, and have been teaching, researching and performing veneers ever since, and, they are still the most nerve racking procedures I do!

[@tsitnedance]

@@StevensonDentalSolutions I couldn't agree more!!! It's my first anterior ceramic veneer case tomorrow. And I have been reviewing everything I have learned from dental school, combined with all the pre-op details of my case, in order to prepare. I will FOREVER remember 2022 and your great great amount of help Dr. Stevenson. 🙏 Thank you.

[@seonghwang6059]

Thank you for sharing your skill and knowledge.. I can’t wait for Oct to learn more from you

[@StevensonDentalSolutions]

Thank you - See you then!

[@hasansaleh6232]

Hello doctor can you make a video about removal of temporary restorations as this looks really difficult when the shade is so close to the tooth prepared without damaging our preparation or margins

[@StevensonDentalSolutions]

I will try! It’ll probably need to be a patient case

[@hasansaleh6232]

@@StevensonDentalSolutions thank you so much

[@erinwhittaker6340]

Thank you, I am excited to try this technique. Veneer temporaries have always been very frustrating - take too long, come off when you don't want them to, etc.

[@fikryboutros1895]

Thank you dr Stevenson It is marvelous,very inspiring and intuitive I enjoyed 6parts and agitated for the next 😂😂🙏🙏❤ Dr Boutros from Egypt 🌷🌷

[@StevensonDentalSolutions]

Great! Hope to meet you one day in a hands-on course in California! Dr. S

[@lindsaybarry374]

I am super excited about trying this technique. Thanks!!

[@StevensonDentalSolutions]

Cool!

[@dinadinashi1064]

Dr you ‘re just fantastic ! 💐

[@StevensonDentalSolutions]

Thank you for your support!

[@Dr.Alexandru.Chireu]

Hello Dr. Stevenson! Thank you so much for all of your amazing videos and the value that you are providing to the dental community all around the world! You have mentioned that you are planning to create a video on the cementation of the veneers and occlusal adjustments. Also, in another video, you've mentioned creating a video about CCP (Constrictive Chewing Pattern) Do you know when you will be creating the videos on these topis? Thank you very much! Best regards! Dr. Alexandru Chireu

[@StevensonDentalSolutions]

I will soon...I have a videographer coming to help. Stay tuned!

[@johnny9516284]

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

[@StevensonDentalSolutions]

Thank you.

[@anijar3340]

Amazing 6 series sir.. worth watching. Learnt a lot. Love from India Dr. Anija R

[@StevensonDentalSolutions]

That's great - thank you

[@Tom-go4ej]

A fanstic video, thank you for sharing your knowlege, which bond are you using alongside the spot etch?

[@StevensonDentalSolutions]

ScotchBond Universal

[@bsk4627]

Hi Dr Stevenson thank you for a great video again can you please elaborate a easy method to remove the temporary veneer especially facial veneer

[@StevensonDentalSolutions]

usually, I simply use a large spoon and grab a gingival margin and lift upwards. The temps are thin and typically break off. Sometimes, I'll use a piezo to vibrate off excess material. Rarely, I'll use a thin diamond very very carefully to section thick areas and use the spoon to pry the two halves apart.

[@bsk4627]

@@StevensonDentalSolutions thank you sir if possible can you make a video for it sir it will be very useful for us sir

[@shot336]

Thank you very much, I wish you a Merry Christmas and a happy new year :)

[@StevensonDentalSolutions]

Thank you and same to you! Best, Dr. S

[@nacerouazzani9498]

Dear Dr Stevenson, thank you for sharing knowledge and would be happy to follow your work and your recommendations, Brotherly Dr Nacer Ouazzani, Morocco

[@StevensonDentalSolutions]

Thank you, that's great!

[@csm9003]

Thank you very much for sharing your knowledge and experience, great videos, thanks, sir 🙏 Greetings fr Sweden ❄

[@StevensonDentalSolutions]

Great - thank you!

[@amirhosseinmehdipour1791]

Such a great video

[@StevensonDentalSolutions]

Thank you Doctor!

[@omarsaleh2099]

Thank you very much doctor

[@StevensonDentalSolutions]

My pleasure doctor!

[@MikeBassil]

Is the RSVP technique, why cleave the bisacrul above the cervical area and then use flowable? Why not let bisacryl replace the whole thing?

[@StevensonDentalSolutions]

The two-step approach allows you to control the location of the cervical segment - to keep it flush with the margins and out of the sulcus. If you make it in one piece, (since it cannot be removed without breaking to trim) the excess into the embrasures, sulcus, and tissue will leave uncleanable areas and tissue inflammation during the delivery appointment.

[@write2drsushil87]

Doc plz make a video on occlusion n what types r occlusion can effect venners ...

[@StevensonDentalSolutions]

For sure! Thank you

[@dongdongdong8413]

thank you teacher

[@dongdongdong8413]

I try to follow next part of occlusion for porcelain veneer, but i can’t get it. Can you guide the link for that part. Thank you so much teacher.

[@StevensonDentalSolutions]

@@dongdongdong8413 It has not been produced yet - stay tuned.

[@dongdongdong8413]

@@StevensonDentalSolutions Do you have recommended paper must read for this issue? Thank you.

[@StevensonDentalSolutions]

@@dongdongdong8413 I will work on this soon - there is no really clear paper, unforntuately

[@dongdongdong8413]

@@StevensonDentalSolutions Thank you teacher

[@peachyviengteerawat3252]

Hello sir, I’m a dentist from Thailand. Can I attend your class, or you accept only US dental licenced dentists? I have the Thai dental licence tho but not US licence. Thank you for the valuable lecture!

[@StevensonDentalSolutions]

Yes, we would enjoy having you attend. Our participants come from all corners of the globe. We are International!

[@juthikamallika2969]

How do we remove those temporary veneers? Kindly put up some videos. Thanks

[@StevensonDentalSolutions]

Usually with a spoon excavator at the gingival with an upward twist. When that doesn't free them, I make a slit through the incisal, careful not to hit the tooth, and use the spoon to once again twist the slit area and crack the temps into two pieces. The residual spot bond may be easily air abraded away. Will try to make a video during my Veneer Course later this year.

[@mohamedfattah411]

hello dr. could i ask you why this method of provisionals is better than the conventional way that the temporary crown material cover the whole preparation ?? why we make provisionals in two steps ??

[@StevensonDentalSolutions]

Great question. This technique allows the dentist to carefully control the placement of composite along the gingival margin area. This will keep the composite from overlapping into the tissue and making for a difficult clean up and potential damage to margins.

[@DragoDent]

Hi Dr can u tell me please where the difference between all the 6 part of venner preparation and who from them I used to the patient

[@StevensonDentalSolutions]

The series was designed to teach fundamentals. Patient cases will be very similar with attention to existing enamel and structure, esthetic parameters, dynamic occlusal factors, and of course the periodontal health of the patient. We teach a three day course that covers most of this and includes live patient demos.

[@DragoDent]

@@StevensonDentalSolutions thank you Dr very much

[@mohamedfattah411]

hello Dr.Stevenson . i would ask you about an online veneers course, is it available ?

[@StevensonDentalSolutions]

Not at this time, but maybe in the future! Thank you.

[@Eleventheory]

Hello Dr. Which material did you use for the impression?

[@StevensonDentalSolutions]

The putty is our own brand SDS Putty, available through our website, and the syringe material is Aqasil Ultra XLV. Thank you!

[@ashrafsabateen9179]

Thanks 😊 😍

[@StevensonDentalSolutions]

Thank you Doctor!

[@88PianoKeys]

Once again, amazing videos. When will you make the cimentation and oclusion video? Thank you

[@StevensonDentalSolutions]

Coming soon - super busy these days with my new practice and the teaching center.

[@sabakhan-yo7zk]

sir do u have an online course now????

[@StevensonDentalSolutions]

We are meeting in person for the Veneer course in August. We may do an online course in the future if Covid does not settle down.

[@aliehrish190]

Dr how to remove composite later on? Thank you inadvance

[@StevensonDentalSolutions]

Use a spoon and uplift from the gingival.

[@kalo4925]

hello great videos can u make a video about cementing the veneers which cement to use with colour or translucent etc..

[@StevensonDentalSolutions]

For sure - in the queue, thank you!

[@chinonsonwachukwu6840]

Hello Doctor, please could you explain to me how these provisionals are removed for the final restorations? would it be challenging since you used adhesive system technique? Can it be done with temporary cement? Please, I would appreciate a response from you. Thanks a lot for these videos! :)

[@StevensonDentalSolutions]

They come off very easy with a spoon since the middle of the facial is etched with a small etch pattern. After the bulk of the veneers are removed, the excess adhesive may be removed with either a disc or intramural air abrasion unit. Temporary cements simply don't work well - poor retention.

[@chinonsonwachukwu6840]

@@StevensonDentalSolutions Thank you so much for clarifying this for me, I am happy you replied me. God bless you!

[@StevensonDentalSolutions]

My pleasure doctor!

[@KhurramA]

Doc, what's your at home protocol for patients in veneer temps? I usually like to give them an endo syringe with a fuzzy tip and have them use peroxide around the gingiva for one week and then switch to chlorhexodrine in the same manner for 4 days prior to insert date. Also super floss everyday and a rubber tip stimulator on any areas that have been lasered. Just wondering what your post op instructions include. Thanks for the great videos and looking forward to seeing more!.

[@StevensonDentalSolutions]

8:59 Usually no CHX - staining issues...Thanks Doc.

[@KhurramA]

@@StevensonDentalSolutions Thanks for the reply doc.

[@FL-gg4dq]

Slightly unrelated. What do you think about componeers ? For patients who cannot afford porcelain

[@StevensonDentalSolutions]

Very Good Question! I think these are often ideal solutions. Direct bonding veneers and diastema closures have been great conservative and more appropriate and affordable options that we've employed for decades. Take a 15 year old for example with a peg lateral - perfect case for a direct composite veneer or a componeer. Best, Dr. S

[@bufeu]

Thank you for your educational content! It's great! Learning lots! Did you ever make the video on veneers and occlusion? I'm hungry for this knowledge...

[@StevensonDentalSolutions]

I am holding a veneer course in November and have ired a professional videographer, so yes, more content coming!

[@DrDGr2]

With the etch and the bonding, how is it when we have to remove it (making sure nothing is left prohibiting proper seating of the porcelain veneer)?

[@StevensonDentalSolutions]

I recommend NOT curing the adhesive prior to the cementation of the veneer - the bonding layer will not inhibit the full seating.

[@mohammedalattar8418]

@@StevensonDentalSolutions and doctor if we use etch and bond like you said , we are gonna to remove it by instrument or we remove it by hand piece?

[@StevensonDentalSolutions]

@@mohammedalattar8418 ALWAYS best to remove excess with a microbrush, then cure. The final step may involve smoothing and polishing the margin with care...

[@shockwave208]

Hello Dr. Stevenson, thank you for a great video again. Do you have any videos/tips on making provisional crowns (Jet or Provisa) for posterior teeth?

[@StevensonDentalSolutions]

Not yet - planning on it!

[@josephryanmabaquiao4825]

dr i want to know how you manage the tooth after removing the temps and you are doing final cementation on teeth. you put an adhesive how to you clean the tooth without causing anu issues on the fit thanks

[@StevensonDentalSolutions]

Oh - got it. I have not made a video of this yet. Essentially the spot etching allows for retention, and yet very easy clean up. I remove residual adhesive with a piezo on low energy or a sharp instrument. To verify fit, Bausch ArtiSpray blue or green to spray onto the preps before try in to uncover possible hang ups to seating. The areas will be obvious and easily removed - occasionally with a composite disk - never a diamond bur. The ArtiSpray left on the tooth may be cleaned off with a trophy brush/air abrasion.

[@josephryanmabaquiao4825]

Stevenson Dental Solutions thanks dr hope you can make video about this thank you

[@عبدوحبيب-ك8س]

Great video Dr👍✌️❤️,,, But how you can removed the provisional and especially flowble composite with easy way from the teeth without damaged preparation or harm gingiva,,,

[@StevensonDentalSolutions]

Engage the margin and up fracture. This is only spot bonded and is easy to remove. Residual material left on the facial surface may be removed with a light sand blasting

[@asmith4086]

Can spot etching and bonding lead to pressure sensitivity in that area since the provisional is only connected in one tiny spot?

[@StevensonDentalSolutions]

Sometimes, but preps are typically in enamel for the most part, and even if not the sensitivity is fleeting and rarely an issue.

[@JoonKimDMD]

Why would you remove about 1mm incisal to the gingival margin and put composite there instead? What's the point of doing this instead of just filling up with temp material? And do bisacryl stick to the spot etch/bonded area the same way the composites do?

[@StevensonDentalSolutions]

You can control the flash and avoid overfilling with bis-acryl. Yes - they bond perfectly

[@JoonKimDMD]

@@StevensonDentalSolutions Thank you. I am about to do my first veneer case. Do you know a program that goes over what to do regarding incisal wear, posterior wear cases and when it is indicated to change CR, deprogram for veneer cases? I don't want my veneers to chip off or pop off because of their grinding habits.

[@StevensonDentalSolutions]

@@JoonKimDMD Our course in August covers this an much more i detail. stevensondentalsolutions.com/product/anterior-ceramic-restorations-august-20-22-2021/

[@ramayelisetty3935]

Hi Dr.Stevenson ! Just ordered a bunch of veneer prep stuff from your website and excited to use them on my patient this week . I have a question and appreciate your feedback . If I etch and bond like you showed in the video , can the composite attached be removed using the Kerr optidisks I got from your website ? Or is there anything else I should use ? If I can , would the coarse one be good enough ? Thank you !

[@StevensonDentalSolutions]

Yes, try the coarse dry with air spray to remove the spot binding - should be enough. Also, you can spray the tooth with Arti-Spray and try in the veener to fin any residual high spots if not seating. Best wishes!

[@ramayelisetty3935]

@@StevensonDentalSolutions Thank you Dr.Stevenson !! What burs /kit do you use to adjust veneers and polish them after adjustment ? I would love to order on your website If you can let me know the details . Thank you for all your help !

[@StevensonDentalSolutions]

@@ramayelisetty3935 I use fine red strip diamonds like the 8379-014 football for the lingual margin, but never use rotary instruments on the gingival and proximal margins. It's good to use the VisionFlex strips for the interproximal and Diacomp polishers for the margins - slipping the cup sub-gingival...

[@ramayelisetty3935]

@@StevensonDentalSolutions can’t thank you enough Dr.Stevenson ! Means a lot you taking your time to answer my questions . Truly appreciate it from the bottom of my heart !!

[@StevensonDentalSolutions]

@@ramayelisetty3935 My pleasure

[@prudhvidangeti1060]

Can we use a matrix band to prevent adhesion to adjacent tooth instead of using a scalpel

[@StevensonDentalSolutions]

Yes, you can. I usually don’t because I haven’t etched or applied adhesive to the adjacent tooth and nothing bonds in this area. Your method would work very well though! Thank you for your question!

[@rajasuliman6182]

Thank you very much doctor ... i have one thing that confuses me and I appreciate it if u clarify it to me ... in so many clinics they do veneers to lengthen the tooth but without any prep of the incisal edge and no butt margin ... even when i asked my doctor in college he said that there is no need today to prep the incisal edge even if you are lengthening the tooth

[@StevensonDentalSolutions]

If you lengthen the tooth 2.0 mm, then it is possible to avoid a prep, but this will leave the lingual margin shape dependent on the contours of the linguioincisal line angle - this area is rounded typically and lacks a clean finish line. Thinning the ceramic to cover the curved transition from the incisal to the lingual presents numerous problems for the technician as well. You simply can not feather ceramic to a knife edge, that is why we insist on shoulder-like finish lines for butt joint margins with ceramics. If you wish to lengthen less than 2 mm, then prepping is necessary for the above reason AND additionally to allow for more incisal effects in the final case. I have seen many NO PREP cases as your professor recommends and none of them is excellent - they are all simply "acceptable." Excellence is a path that few chose to travel...

[@rajasuliman6182]

@@StevensonDentalSolutions thank you very much ❤️

[@StevensonDentalSolutions]

@@rajasuliman6182 Yes my pleasure.

[@mohammedalattar8418]

@@StevensonDentalSolutions in simple sentence, we make reduction for veneer to get enough room for ceramic to seat it and get great retention also . Is that right ??

[@StevensonDentalSolutions]

@@mohammedalattar8418 Sounds good to me!

[@alturfy]

Thanks dear doctor you are GREAT hope to see you soon in Iraq 😅

[@StevensonDentalSolutions]

That would be awesome!

[@JC-yg9uh]

Thanks for a great video again. Just wondering how easy it is to take out a 6u RSVP temp? Does the composite part come out with the temp material? Thanks

[@StevensonDentalSolutions]

Great Question! Yes, the class V's easily pop off as they were not bonded extensively to tooth structure. I use a beefy spoon and uplift the gingival areas. Clean-up takes a few minutes. Do not use a bur to cut through the facials as you risk creating a groove on the facial of the prep - if they are stubborn to remove, slit the incisal edges (like a depth cut not entirely though the material) and use a twisting move with a spoon to create a fracture in the material.

[@JC-yg9uh]

@@StevensonDentalSolutions thanks for the reply! You've mentioned you are going to have a video on cementation. Will you show how to take off the temp in the same video? I would really appreciate if you could! I am looking into taking your courses in the future!

[@StevensonDentalSolutions]

I will indeed. Best, Dr. S

[@DragoDent]

😍😍😍

[@StevensonDentalSolutions]

Thank you!