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I’ve had veneers and they need to be replaced – Can you help?

Age: 35

Gender: Male

Complaint:

Patient had completed veneers in the last year. Since having them fitted he had, had monthly-lost veneers and simply lost confidence in his dentist and smile.

Consultation:

On consultation the teeth were examined and x-rays were taken. It was evident that the veneers were ill fitting and bulky and they had been cemented on numerous occasions and were unsightly.

Root canal treatment was required on numerous teeth due to infection. Smile redesign was also required. All risks and benefits were discussed with the patient. It was explained that veneers should no be deboned or unglued, it was also explained that an incorrect bite construction or adhesion could lead to veneer failure. All the aspects were discussed with this patient.

Treatment:

  • Endodontic treatment on 4 teeth
  • 2 3 unit bridges
  • 16 veneer/crown replacement

The material used to replace the veneer and crown work was zirconium. The colour was discussed in detail with the patient.

The design of the smile was produced on virtual models digitally prior to preparation.

Over approx. 8 treatment visits the smile was designed, tried, discussed, treated and fitted.

Conclusion:

The veneers and crowns have been fitted after 2 weeks. No debonds or loss of veneer have been noted. It is not normal for crowns or veneers to be lost in normal function.

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