Veneer restoration: Calibrated preparation to close diastemas

Fig. 1: Initial situation with diastemas in the upper and lower jaws.

Fig. 2: Initial situation with diastemas in the upper and lower jaws.

Fig. 3: Initial situation with diastemas in the upper and lower jaws.

Fig. 4: Initial situation on smiling.

Fig. 5: Initial situation on smiling.

Fig. 6: Initial situation on smiling.

Fig. 7: Initial situation on smiling, lateral and frontal views.

Fig. 8: Initial situation on smiling, lateral and frontal views.

Fig. 9: Initial situation on smiling, lateral and frontal views.

Fig. 10: Digital smile system glasses and digital dental library selected by the software for the smile planning.

Fig. 11: Digital smile system glasses and digital dental library selected by the software for the smile planning.

Fig. 12: Digital smile system glasses and digital dental library selected by the software for the smile planning.

Fig. 13: Intra-oral and extra-oral final digital result.

Fig. 14: Intra-oral and extra-oral final digital result.

Fig. 15: Maxillary and mandibular impressions for the diagnostic models.

Fig. 16: Maxillary and mandibular impressions for the diagnostic models.

Fig. 17: Facial analysis for planning the individual tooth shape.

Fig. 18: Segmentation of the tooth and full segments divided into half segments.

Fig. 19: Plaster model of the pre-op maxillary situation.

Fig. 20: Facial transition lines.

Fig. 21: First wax-up unit, lateral view.

Fig. 22: First wax-up unit, lateral view.

Fig. 23: Central lobe and incisal cones.

Fig. 24: Wax-up of the entire facial area, frontal and lateral views.

Fig. 25: Wax-up of the entire facial area, frontal and lateral views.

Fig. 26: Wax-up of the entire facial area, frontal and lateral views.

Fig. 27: Lingual view of the waxed up incisal edge.

Fig. 28: Final wax-up and texture.

Fig. 29: Final wax-up of all units.

Fig. 30: Final wax-up of all units.

Fig. 31: Final wax-up of all units.

Fig. 32: Comparison of the pre-op situation and final wax-up.

Fig. 33: Silicone index for the mock-up in double material.

Fig. 34: Sectioned silicone key on the plaster model for laboratory reduction.

Fig. 35: Sectioned silicone key on the plaster model for laboratory reduction.

Fig. 36: Sectioned silicone key on the plaster model for laboratory reduction.

Fig. 37: Sectioned silicone key on the plaster model for laboratory reduction.

Fig. 38: Sectioned silicone key on the plaster model for laboratory reduction.

Fig. 39: Calibrated reduction completed by the laboratory and red marked areas.

Fig. 40: Calibrated reduction completed by the laboratory and red marked areas.

Fig. 41: Silicone index of the preparation for clinician control.

Fig. 42: Surgical silicone index for crown lengthening and cervical contours marked with a red pencil.

Fig. 43: Surgical silicone index for crown lengthening and cervical contours marked with a red pencil.

Fig. 44: Surgical silicone index for crown lengthening and cervical contours marked with a red pencil.

Fig. 45: Surgical silicone index for crown lengthening and cervical contours marked with a red pencil.

Fig. 46: Surgical silicone index for crown lengthening and cervical contours marked with a red pencil.

Fig. 47: Mock-up procedures and result in the mouth in order to evaluate the aesthetic relation between the face and the smile.

Fig. 48: Mock-up procedures and result in the mouth in order to evaluate the aesthetic relation between the face and the smile.

Fig. 49: Mock-up procedures and result in the mouth in order to evaluate the aesthetic relation between the face and the smile.

Fig. 50: Mock-up procedures and result in the mouth in order to evaluate the aesthetic relation between the face and the smile.

Fig. 51: Silicone index for crown lengthening and the new prosthetic marginal design marked in the cervical area with a black pen.

Fig. 52: The palatal-incisal silicone index was used to establish the space on the incisal margin. Steps before, during and after preparation.

Fig. 53: The palatal-incisal silicone index was used to establish the space on the incisal margin. Steps before, during and after preparation.

Fig. 54: The palatal-incisal silicone index was used to establish the space on the incisal margin. Steps before, during and after preparation.

Fig. 55: Silicone index used to check incisal-facial reduction.

Fig. 56: Silicone index used to check facial reduction.

Fig. 57: Silicone index used to check facial reduction.

Fig. 58: Laboratory prepared silicone key adapted to the clinical calibrated preparation.

Fig. 59: Final impression.

Fig. 60: Master dies after pouring, ready to be sectioned and manually worked.

Fig. 61: Alveolar model.

Fig. 62: Alveolar model.

Fig. 63: Alveolar model.

Fig. 64: Solid model for checking contact points and positions of the veneers.

Fig. 65: Cervical contouring for the new cervical design.

Fig. 66: Cervical contouring for the new cervical design.

67: Horizontal emergence angle and emergence profile of the veneers.

Fig. 68: Ceramic after the first firing.

Fig. 69: Disk bur being used to groove details.

Fig. 70: Tungsten bur being used for waving grooves.

Fig. 71: Restoration units after staining.

Fig. 72: Incisal edges of units with reflected light to view incisal effects.

Fig. 73: Glazed ceramic veneers on the plaster model.

Fig. 74: Glazed ceramic veneers on the plaster model.

Fig. 75: Glazed ceramic veneers on the plaster model.

Fig. 76: Glazed ceramic veneers on the plaster model.

Fig. 77: Ceramic opalescence and incisal effects.

Fig. 78: Veneers adapted to the master dies and ready to be delivered to the dental office.

Fig. 79: Definitive restoration of the maxilla.

Fig. 80: Pre-op and post-op situations.

Fig. 81: Pre-op and post-op situations.

Fig. 82: Initial and final lingual situations.

Fig. 83: Initial and final lingual situations.

Fig. 84: Smile before and after the treatment.

Fig. 85: Smile before and after the treatment.

Figs. 86a–c: Pre-op smile and customised smile in facial harmony (a) wearing the mock-up (b) and after definitive restoration (c).

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Veneer restoration: Calibrated preparation to close diastemas

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