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The patient was a 38 year old male with intrinsic staining from Tetracycline therapy at a young age. There was also extensive spacing between the anterior teeth and several areas of crossbite. The patient elected to improve his smile through placement of porcelain veneers on the front eight upper teeth, and front six lower teeth. At the first visit the teeth were anesthetized and prepared so that veneers could be fitted over them and the alignment corrected. Plastic temporaries were placed and impressions were taken and sent to a dental laboratory for fabrication of permanent veneers.
At the second visit the temporary veneers were removed, and the permanent porcelain veneers were inserted. After the doctor and patient approved the esthetic result, the permanent veneers were bonded to the underlying tooth structure. The veneers upon completion were ready for immediate function. The patient was very pleased with his new appearance.
Veneers are indicated in teeth that have a history of minor or no tooth destruction from decay and restoration. They are especially useful in cases where there is a space discrepancy and gaps between the teeth. Usually in preparing for veneers, the tooth reduction will only involve the front surfaces of the teeth nearest the lips and cheek, while the tongue side remains largely untouched. Teeth with more extensive destruction often require crowns that cover all surfaces of the tooth. Often veneers and crowns can be mixed in the same case.
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