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Photo Essay Porcelain Veneers for Tetracycline Using Blockout Method – ARTICLE and CLINICAL PHOTOS by Michael B. Miller, DDS NOTE FROM THE EDITOR: I don’t know how many dental books you own, but I have a couple of cabinets full of them. Most of them start gathering dust after my initial read, some come out a couple times per year (especially my favorite local anesthesia book), but only one has its own permanent parking spot on my desk: REALITY Publishing’s “The Techniques: Volume 1.” This publication, based on everyday applications of research and clinical experience, is the greatest gift young dentists could receive to help them achieve success in esthetic dentistry. It is also a useful reference manual for us older dentists. Dr. Michael Miller put this volume together and has been generous enough to share excerpts of it in <strong>Chairside</strong>. In this installment, Dr. Miller shares an esthetic challenge we have all faced: placing porcelain veneers on tetracycline-stained teeth. Visit www.realityesthetics.com for more infor mation on REALITY’s various publications. 14 www.chairsidemagazine.com
1 2 3 4 5 Figures 1–5: Patient, with recently completed orthodontics and maxillary all-ceramic crowns on incisors and porcelain veneers on canines and premolars, wants mandibular veneers to mask tetracycline stains, despite not showing his mandibular teeth in a full smile. This type of color change can be done with an extended regimen of home bleaching instead of the expense and invasive nature of veneers, but patient wants immediate improvement and is not concerned about the upkeep necessary or cost for veneers. Note that the tetracycline stains are in the incisal half of each tooth, except for the central incisors, where the stains extend almost to the gingival crest. Masking stains in the more incisal portions of the teeth is much easier than when the stains are at the gingival margins. Because the stains are more incisal, the gingival color is quite normal. Porcelain Veneers for Tetracycline Using Blockout Method15
Page 1: Chairside® A Publication of Glidew
Page 4 and 5: Contents 35 Faster Is Not Always Be
Page 6 and 7: Letters to the Editor Dear Dr. DiTo
Page 8 and 9: Contributors Michael C. DiTolla, DD
Page 10 and 11: Numbers by the 52% Percentage of de
Page 12 and 13: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 14: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 19: 12 Figure 12: Veneers returned from
Page 22 and 23: Figure 1: A smile in need of a rema
Page 24 and 25: Figure 9: Bonding resin is applied
Page 26: Figure 18: Cross section through a
Page 30 and 31: Figure 1: A preoperative view of to
Page 32 and 33: Figure 10: A provisional restoratio
Page 34: Figure 19: A lingual view of the ce
Page 38 and 39: quality of the impression.” Howev
Page 40 and 41: Figure 7: Gaps and ledges with lack
Page 44 and 45: 42 www.chairsidemagazine.com
Page 46 and 47: Dr. Michael DiTolla: The thing I lo
Page 48 and 49: you go over and the caller ID says
Page 50 and 51: low. If I’m about to prep away th
Page 52 and 53: that is we have to give the technic
Page 54 and 55: is one little spot where there’s
Page 56 and 57: worrying that self-etchers don’t
Page 59 and 60: - ARTICLE and CLINICAL PHOTOS by Ca
Page 61 and 62: Patient Positioning You can take th
Page 64 and 65: BIOLOGIC SHAPING An Alternative to
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Figure 5: Smoothing the tooth’s s
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Doc moved to Dallas, Texas, and qui
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The Chairside® PHOT Hunt This phot
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