Galip Gurel

The influence of tooth color on preparation design for laminate veneers from a minimally invasive perspective: case report.

Various types of dental preparations for laminate veneers have been proposed,depending on factors such as the properties of the ceramic material, remaining dental structure color, need for altering the dental contour, laboratory fabrication technique, and occlusal relationships. Clinical observations of successes and failures associated with the development of techniques and materials have allowed some safe parameters to be delineated for effectively performing dental preparations for ceramic veneers or even placing veneers without any preparation. This article describes the use of an additive diagnostic wax-up that is transferred to the mouth by means of an intraoral mock-up (aesthetic pre-evaluative temporary) with associated mathematic parameters to guide dental preparations. This technique, called Do the Math and presented here in the form of a clinical case report, aims to avoid excessive or incorrect tooth preparation by indicating the exact amount and location of the tooth reduction necessary to attain the desired color and shape.

A Simplified Approach for Restoration of Worn Dentition Using the Full Mock-up Concept: Clinical Case Reports

Treatment of tooth wear has increased over the last two decades. However, the treatments involved have not been satisfactory to most patients, nor have they achieved the expected goal on some worn teeth. New approaches have emerged to reconstruct full arches in a minimally invasive way that take advantage of developments in the field of adhesive dentistry. These new concepts constitute a revolution in dentistry and their application requires adapted techniques and training. The purpose of this article is to suggest a precise and reproducible method that simplifies the treatment of worn dentition. A wax-up and a mock-up are primarily used to design the esthetic outcome and then used as a guide for the preparation of anterior teeth or the occlusal surfaces of posterior teeth. This not only provides the exact new vertical dimension of occlusion but serves as a guide for precisely controlling occlusal preparation simultaneously with buccal preparation. The classical cavity design for a partial bonded restoration on posterior worn dentition is also reviewed. The authors believe that during the preparation of the occlusal surfaces of the posterior teeth surfaces, the marginal ridges must be preserved to reduce the biologic cost and mechanical stress leading to fracture. A new type of thin and reduced restoration called tabletop is presented.