Why You Should Prep the Interproximal (Wrap) Veneers

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In this Dental Minute video, Dr. Cutbirth discusses why you should prep Interproximal (Wrap) Veneers.
Dr. Cutbirth is the Founding Director of the Center for Aesthetic Restorative Dentistry (CARD) (www.CenterforARD.com) and maintains a full-time restorative and cosmetic practice (www.WacoSedationDentist.com).
Caroline Hobby is host of Nashville Insider and the syndicated podcast HYPER! with Caroline Hobby. (www.carolinehobby.com)
Edited by Casey Balda.

[@lannyrubin2600]

Always enjoy and more importantly learning new techniques from your videos and I have been practicing for almost 35 years. My question is:: if you are preping for porcelain veneers especially with dark stained teeth and you are reducing the facial and both interproximals, why not just place a full coverage crown at that point?

[@centerforard]

Conserving tooth structure and not affecting the occlusion if it is a maxillary anterior tooth. The tooth is less likely to ever require endodontics or fracture with a veneer. Remember, a properly done veneer is as strong as a natural tooth or crown. I hope you have subscribed to DentistryMasterClasses.com. Only $20/month. There is an organized library of all the DM videos plus many complete comprehensive cases not seen in DM videos and many very important technical articles. You will really like it if you wish to take your practice to the highest level!

[@ahmedalliby3621]

Thank you Dr Steven for these lessons

[@centerforard]

You are welcome!

[@nainachopra1983]

Thank you doc for the video .Instead of incisal wrap isnt a butt joint the best. I would incisal wrap only if my mip contact is at the butt joint ( ie tooth porcelain interface) Thank you Regards

[@centerforard]

The incisal/palatal line angle is a 90 degree angle. 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

[@maz7953]

Thanks I'm sure it improves resistance form as well

[@centerforard]

Yes it will.

[@ashnishah4628]

When will you do lingual wrap veneer?

[@centerforard]

I do not "wrap" onto the lingual. The "wrap" is including the interproximal and incisal surfaces in the veneer preparation. Watch my video on "wrapping" in the library of DMC.com. My friend Dr. Pascal Magne and his mentor Dr. Douglas developed the technique. 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

[@ashouhdy]

thank you a lot for your videos., what if there was multiple diastemas ? where should the prep stop ?

[@centerforard]

Interproximally, 0.5mm sub gingival so the margin is in the gingival sulcus. Be sure the prep "draws" so the veneer will slide onto the prepared tooth when you seat the veneer.

[@ashouhdy]

thnk you dr for your kind reply.., one of the most informative channel on the internet.

[@centerforard]

Take a look at DentistryMasterClasses.com.

[@centerforard]

Same place, at the lingual/palatal/incisal/interproximal line angle.

[@josephryanmabaquiao4825]

dr can you make a video focusing only on prximal cutting? im thinking ihow much wrap cutting should i do. is ther any part in the lingual area where i can use as a landmark?

[@centerforard]

Watch the forthcoming DentistryMastersClasses.com. The Dental Minute videos are short. The DMC videos are longer and cover full procedures, including treatment planning, inter proximal cutting, provisional veneer fabrication, veneer seating, etc. Subscribe. You won't be sorry if you really want to learn this stuff at the highest level. Come on, the cost of subscribing to DentistryMastersClasses.com is only $15/month, $180/year, for all this information. We charge more than that for a 1 surface composite filling!

[@centerforard]

Do not worry about a landmark. Go to the library in DentistryMasterClasses.com and view the videos on veneer preparation. The main thing is that the preparation will "draw" so that the gingival part of the preparation is wider that the incisal part, like a plastic cup sliding down over another plastic cup.

[@saerkhalil3228]

So we should break the contact point in all cases? I used to break it only if there is diastema.

[@centerforard]

Yes, from the mesial of the cuspids, break the contacts between the cuspids, laterals and centrals. In the maxilla, do not break the contacts between the cuspids and bicuspids unless a diastema exists. With mandibular teeth, the anterior teeth will receive veneers while the bicuspids will receive full crowns. I am going to go into more detail regarding all kinds of restorative cases in the DentistryMasterClasses.com comprehensive videos. Be sure to subscribe. Yesterday we videoed an upper veneer case in which their was negative space between the patient's left anterior upper and lower teeth, causing a lifetime lisp. By correcting the negative space with porcelain veneers that create the correct incisal plane and fill the void, the lisp will disappear and the patient will have an incredible smile. We will go into detail about the importance of "wax ups" prior to restoration as well as precise teeth length determination so their are no surprises; you know how the case will finish prior to beginning the case.

[@saerkhalil3228]

Dental Minute with Steven T. Cutbirth, DDS Thank you so much.

[@centerforard]

Yes, except between the cuspids and bicuspids or between the firsts and second bicuspids or between the second bicuspid and first molar. Go to the library in DentistryMasterClasses.com and view the videos.

[@harhoor2006]

thx a lot , i faced a problem when i include the inter proximal which is the proper seating of the veneers in the contact area ( especially if the lab is not so perfect ) but if not include the proximal i never faced such problem .... how can i solve this

[@centerforard]

The lab technician must use a marginally trimmed solid model, not a die model, to perfectly capture the inter proximal contacts. I have some videos in DentistryMasterClasses.com that demonstrate the method. With this method, I have not had to adjust an inter proximal contact in years. They are perfect every time!

[@harhoor2006]

thx alot for your kind reply

[@centerforard]

Include the inter proximal contact, get a better lab and have the lab perfect the inter proximal contacts on a solid model. Go to DentistryMasterClasses.com library and view the video I made on "How to Never Have to Adjust an Interproximal Contact Again."

[@ossmbc]

so in short, break contacts except when premolars are involved right ?

[@centerforard]

Yes, exactly. Read the studies by Magne and Douglas on wrapping. Watch my video on the reasons and method of wrapping.

[@centerforard]

Correct.

[@sushantdhalla4056]

So fracture resistance is more in wrap or butt joint?

[@centerforard]

Inter proximal wrap. Incised butt, flat prep. Subscribe to DentistryMasterClasses.com. Dental Minute videos are short. DMC videos are longer and show the entire procedure in greater detail. It is only $15/month. We have made DMC as inexpensive as we can because we want everyone who wants this information to have it.

[@centerforard]

Yes.

[@josephryanmabaquiao4825]

Dear dr. for incisal reduction? how much mm should be cut for emax to have strength? some say 2.5mm thanks doc

[@centerforard]

Normally 1.5 - 2mm occlusal reduction. If the patient is a severe bruxer or has major biting pressure, you might consider all zirconium crowns.

[@dralirashid168]

thanks alot, tuning in from Karachi, Pakistan :)

[@centerforard]

Wow! Impressive. Is there a demand for this type dental treatment in Pakistan?

[@dralirashid168]

Dental Minute with Steven T. Cutbirth, DDS yes there is but here the patients expect that once they have paid a visit to the dentist, for a composite restoration or anything so it will last for their entire life, a beautiful composite restoration that lasts 2 -3 years is considered fail here :/ so we're restricted to full crowns here, may be E.Max and zirconia. the patient expects to bite on burgers and everything after the treatment for life!

[@centerforard]

The only things we can guarantee will last a lifetime are a flint rock and a shot put!

[@centerforard]

Cool! There is a woman dentist from Pakistan on the teaching faculty of my teaching center, CARD, in Dallas. My chief of staff, Bx, has visited Pakistan. Maybe one day I will present a seminar there or in a country near there. I was scheduled to present a seminar in the Middle East last month, but the organizers felt that only a "hands on" seminar would be attended, and they only had the capacity for 12 dentists to attend. It was not worth the trouble of setting it up a hands-on for just 12 dentists. Do you think a "non-hands on", lecture only seminar would be well attended in the Middle East? If so, and someone will help organize it, I would do it.

[@winsonsunny]

Wow doc you talk like TOM FORD great personality 👌

[@centerforard]

Thank you I'm sure. I'm not sure who Tom Ford is.

[@Jehvenknb]

This is not correct. According to articles we have different types of preps for veneers. Opening the contacts has its own indications. No need to do it for all cases.

[@centerforard]

I disagree. Watch my video on wrapping. The technique was perfected by Drs. Magne and Douglas at the Michigan School of Dentistry. 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