Anterior Ceramic Veneers, Part 1: Preparation Guides

In clinical practice, treating anterior teeth esthetically has always been difficult. Many restorative solutions, including resin composites, all-ceramic crowns, and ceramic veneers, have become available due to advancements in dental materials. Dentists and patients must select the best option to enhance oral health and aesthetic outcomes. Dr. Richard Stevenson demonstrates Anterior Ceramic Veneers: Prep Guides in this video.
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Thanks for watching!

[@dentalmitra7864]

Thanks doc , for putting up a video that lays before others your personal techniques and the methods you adopt to get closer to success and perfection ! Needs great generosity of mind to do it! Keep going .

[@StevensonDentalSolutions]

So nice of you to say this!

[@di-hareem9325]

Thank u for all ur videos . Luckily have motivated me alot to start all over again ❤

[@MrBeo33]

I have been looking for the best supervision for this particular series for yeeeears! Before watching the other videos I'm thanking you first to get to meet you and second for getting pretty much knowledge in a very simple academic way to comprehend it easily. I can't wait to watch more of your videos. Keep showing us more videos Doctor.

[@StevensonDentalSolutions]

THANK YOU DOCTOR!

[@johnny9516284]

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

[@dentalmitra7864]

That was a detailed video on the vital preprep that was so enlightening. Those seemingly small steps one takes at the outset is what helps diminish the tensions at the later stages. Thanks for sharing your techniques.

[@StevensonDentalSolutions]

Thank you Doc! Appreciate your thoughtful comments.

[@rahulg1156]

Great video. Looking forward to the rest of the series.!!

[@alanljliuterubear]

Thank you for the series Dr. Stevenson!

[@StevensonDentalSolutions]

My pleasure.

[@shot336]

Thank you very much

[@antar48]

Thanks doctor

[@ranjo2860]

Absolutely best Dental channel on youtube , keep up the good work !

[@StevensonDentalSolutions]

Very nice of you, thank you!

[@moneykaile]

Thank you so much for your Tutorial. Helped me a lot for my appt earlier today. Watched last night and this morning. VERY GRATEFUL! Love the quality on your videos as well. Keep up the good work! Prep Guides worked perfectly, now I have the confidence to try more cases like this!

[@StevensonDentalSolutions]

So happy to learn of this! Way to go Doc!

[@DoviPrero]

Beautiful Dr. Stevenson !

[@StevensonDentalSolutions]

Thanks Dovi! All the best, Dr. S

[@Mojtba-wB]

Iam very grateful for you doctor I'm getting better and better thanks to your effort You taught me alot❤

[@StevensonDentalSolutions]

My pleasure! Dr. S

[@euricequeen842]

I feel sad that my Aesthetic Training course is postponed due to the pandemic. So,to comfort myself i came to youtube watching a bunch of videos on veneer and maybe learn techniques as well. Thank you for sharing your knowledge Dr. Stevenson! I am excited to add this service to my patients someday. May the universe bless you with bountiful gifts! And keep you healthy,too! Lord knows we need to stay healthy these days. ❤️

[@StevensonDentalSolutions]

That's great - thank you!

[@aleksandrshibko4211]

Thanks Dr Stevenson for great video!

[@StevensonDentalSolutions]

Happy to provide the video - thank you!

[@myrnasharif499]

thanks, it really helps!!

[@dingdental4310]

You're the one doc. Waiting for the series.

[@omomer546]

thank you very much..

[@ddsgabo]

You are an amazing doc. Thanks for sharing your knowledge

[@StevensonDentalSolutions]

My pleasure!

[@dt.furkanuz]

Yes thats what i wanted. Great video appreciated :) waiting part 2-3.....

[@StevensonDentalSolutions]

Terrific - working on it every day!

[@ThePocoyo96]

Thank you for the great video Dr Stevenson. I can't wait to use this method of lab putty prep for my next patient! It would also be interesting to see how you would prep your lab putty for lower anterior composite build ups canine to canine. A video on that would be super helpful!

[@StevensonDentalSolutions]

Cool idea - it's in the queue Thank you

[@rabchaudhry3939]

Amazing and concise!

[@StevensonDentalSolutions]

Thank you Doc!

[@zahraamohammad4545]

Great 👍

[@ndpitch]

Good stuff! Looking forward to the other parts. The doctors in my office are hoping to come out to CA for some CE in the future as well!

[@StevensonDentalSolutions]

Awesome - thank you!

[@hybridtavo]

Always a pleasure to watch your videos Doc, will in the future take the bench prep with you guys for Int dentist

[@StevensonDentalSolutions]

GREAT - Look forward to meeting you!

[@surajbhaiyana2869]

Very helpful sir

[@devangkankane]

Excellent!!

[@StevensonDentalSolutions]

Glad you found this helpful! Dr. S

[@tamtambaj]

Wonderful Dr Stevenson! I loved how you sectioned the putty. I am looking forward to see how you do temps for provisionals and how you cement them.

[@StevensonDentalSolutions]

Thank you Doc!

[@westonjosue8912]

instablaster

[@salimabdullsyev8478]

Спасибо (thanks)

[@StevensonDentalSolutions]

Thank you Doc!

[@hovuthienthanh4001]

Amazing Dr. Learns a lot from you

[@StevensonDentalSolutions]

Great - thank you!

[@sowmya1778]

Thank You Dr. Stevenson. Are the veneer prep videos already posted? Thanks again for clinical guidance

[@StevensonDentalSolutions]

They are all there. Check out Veneers part 2-6.

[@drsayedmujahid68]

you are great doctor

[@StevensonDentalSolutions]

Thank you Doctor!

[@vasjapupkin1710]

If you do your preparations over APT (aesthetic pre-evaluative temporaries) and placing depth cuts in APT indicate you do not actually need to grind tooth enamel, do you still required to prepare gingival and/or proximal margins? How wide? What bur tipe? How do you do no-prep veneers?

[@mohammadkhalil3265]

Thank you so much dr We are waiting the series Regard

[@StevensonDentalSolutions]

Thank you!

[@81od]

very smart tip..thank you very much...greating from Morocco

[@StevensonDentalSolutions]

Thank you, my Moroccan friend!

[@nodnalneyugn8753]

doc stevenson, thank you so much! you are DA MAN!

[@StevensonDentalSolutions]

My pleasure Doctor!

[@nodnalneyugn8753]

Stevenson Dental Solutions are you teaching treatment planning of implants, placing implants, preserving gingiva for implant restorations, and restoring implants? if you have a class that incorporates all of aspects of implants treatment. I’d pay to learn from you. you have so much dental knowledge and are willing to share with the dental community. you’re so humble. mad ✊ respect!

[@StevensonDentalSolutions]

@@nodnalneyugn8753 Tank you - we have an Implant-Restorative Course which focuses on the restorative phase, and will soon add the Surgical (later this year). Hope to see you then!

[@123mareena]

Most helpful and insightful

[@StevensonDentalSolutions]

Great - all the best, Dr. S

[@abelrhmanalbasheer7945]

You are great

[@StevensonDentalSolutions]

Thank you Doc!

[@nadanadosh5298]

Very good technique amazing

[@StevensonDentalSolutions]

Thank you Doctor!

[@michelleguo7210]

Best video for veneer preparation

[@StevensonDentalSolutions]

So nice of you!

[@deshrangeela8065]

Can it be done by putting the putty on just anterior surface ? as it may be difficult to cut it precisely

[@juwairiyahmunir2522]

Thank you, doctor, for this amazing series. The dynamic guide is such a good idea. We learnt to just cut the silicone into halfs to look at the reduction in occluso-gingival aspect. This guide makes it way better. I watch your videos avidly to then practice the tips and tricks in the sim lab. You have helped me immensely. I struggle with finishing the procedures on time. Do you have any suggestions as to how I can speed things up? Thank you again.

[@StevensonDentalSolutions]

Thank you for watching - you have the best attitude! I have always been slower than others and I don't worry. Slower is better than faster with less refinement. You will speed up over time...years of practice.

[@user-gd6gm5cr3u]

Best ever

[@StevensonDentalSolutions]

thank you!

[@user-dz4cg4dt3e]

Very informative

[@StevensonDentalSolutions]

Thank you

[@user-nj2zj8bk2e]

Although the ceramic material is brittle material ,but we can use it in less than 1mm for facial and occlusal veneer ..why??

[@D_Riz]

Nice!

[@StevensonDentalSolutions]

Thank you!

[@user-nj2zj8bk2e]

Although the ceramic material is brittle material ,but we can use it in less than 1mm for facial and occlusal veneer ..why??@@StevensonDentalSolutions

[@mohammedal-muqdad5107]

I like the procedure i think it is so good theoretically but clinically it is time consuming and it is difficult for upper teeth becuse u need indirect vision to check that

[@StevensonDentalSolutions]

Correct. Excellence isn’t easy.

[@jesusguillermoberrelesmend5353]

also i was tought in dental school that gloves interact with the polymerization process of the silicone

[@StevensonDentalSolutions]

The powder in powdered gloves contained sulfur which interfered with the setting reaction. We use powder free Nitrile gloves.

[@rehamfaisal7761]

now that prep should be done on cast after wax up or on patient direct teeth befor reduction ?i got confused

[@StevensonDentalSolutions]

Use the wax-up or digital design to fabricate a stent with the proposed final contours and lengths. Add a temporary material to this stent and apply it to the patient to see the final proposed veneers. If the patient accepts this and it meets your functional and esthetic objectives, you may remove this, then acid etch and bond it to the teeth and start prepping in the mouth. Use the prep guide to check your progress. After the preps are completed, remove any remaining mock up material, create a finish line and take the impression.

[@aliraqialiraqialiraq]

Thanx for sharing dr. How can i get preparation guide for full crown preparation (zircon or PFM).

[@StevensonDentalSolutions]

The same technique, or use the T prep. Watch my video on this...

[@aliraqialiraqialiraq]

Stevenson Dental Solutions thanx for replaying dr. Your video helped me alote and now i like crown preparation by your videos. 🌹🌹🌹

[@jasmine.pponnudurai835]

Hello Dr; I had veneer procedure done yesterday for 4 front tooth. And my dentist spilled mild gum on one of the veneers; now that veneer surface on the front is very rough to touch compare to other three veneers. What would you recommend for my case?

[@StevensonDentalSolutions]

They may be polished with the correct ceramic polishers.

[@jasmine.pponnudurai835]

@@StevensonDentalSolutions ok thank you for your reply

[@JoonKimDMD]

I think this putty reduction guide is used when we want to maintain the current shape of the teeth but only want to change the texture or color. What if patient is not happy with the alignment or shape of the current teeth? Would you request the waxup from the lab and then make a putty reduction guide of the wax up instead? Could you make a separate video for this?

[@StevensonDentalSolutions]

You are correct. I use Digital Smile Design for this and print a model from a virtual wax-up. I plan on making a video of this soon. Thank you!

[@hudamirza5819]

Dr. Does it constructed on natural teeth or the wax_up?

[@StevensonDentalSolutions]

Wax-up

[@redpoppy3569]

Haven't watched yet but do these veneers provide full tooth coverage?

[@StevensonDentalSolutions]

Facial and incised and some of the lingual in some - depends on the type.

[@AmritAssi]

I've actually read about making this index in a textbook, way before, i don't remember it now Can you please help me recollect the book. I think it was some QP book

[@StevensonDentalSolutions]

It might have been Guip Gurel - he has done such nice work explaining this.

[@AmritAssi]

@@StevensonDentalSolutions Really appreciate the response, saw Galip a couple of times, think I'll try once more. Cheers, have a blessed day.

[@jesusguillermoberrelesmend5353]

Thats silicone by addition

[@StevensonDentalSolutions]

Try again Doc. Condensation reaction silicones irreversibly cure leaving ethyl alcohol as a by-product and aren’t meant to polymerize intra-orally. The reaction and the by-product can lead to polymerization shrinkage, so this kind of material is generally packaged with a highly filled putty base and a lower viscosity catalyst activator. The highly filled putty base has less polymer and results in less polymerization shrinkage. Examples of this type of lab putty are Sil-Tech (Ivoclar Vivadent) and Lab-Putty (Coltene/Whaledent). Some users report skin irritation from the catalyst and recommend using gloves while mixing this type of lab-putty. Latex gloves have been implicated in interference of the setting reaction so a different glove material is suggested.

[@fplusk]

RIP speakers

[@StevensonDentalSolutions]

Sorry!

[@fplusk]

Stevenson Dental Solutions not a problem. Can I just say thank you for your excellent videos. Watched the veneer series and absolutely fantastic. I have major concerns with placing anything but a facial veneer as feel normal excursive and chewing motions of the lower mandible will displace it. Do you have any advice for this? Other than reducing the contact ?

[@StevensonDentalSolutions]

Great question! Lengthening anterior teeth requires a thorough understanding of dynamic function: Pathways taken by the teeth during chewing AND parafunction: the forces and patterns of wear when the patient clenches or grinds. Before embarking on a veneer case, the Functional Diagnosis must be made, and then the planning may be made. Too much for KZbin - fortunately I teach this in my Anterior Veneer course. I will put out a video on the 5-step check that I teach some time in the future - this will help...

[@fplusk]

Stevenson Dental Solutions thank you. I actually travel to America quite a lot so may consider this if the dates line up. Thank you for your reply and look forward to the video

[@StevensonDentalSolutions]

Awesome - hope to meet you someday...Best, Dr. S