Anterior Ceramic Veneers, Part 3: Incisal Butt Veneer

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  • Опубликовано: 22 ноя 2024

Комментарии • 142

  • @2kidsnosleep
    @2kidsnosleep 7 месяцев назад +2

    28 yrs and still learning. Very nice prep design, will incorporate much of this video technique👍🏻😎

  • @shahinershad3924
    @shahinershad3924 Год назад +3

    Thank u dr....u r a gem....u r a great mentor...coz u r very kind to reply for ur comments....i am learning veneer for the first time....n i am happy i am getting to know the topic very well zhrough ur videoa sir....thank u so much....god bless u sir..
    With lots of love from kerala ,india....

  • @samiasalama100
    @samiasalama100 2 года назад +1

    I love they way you teach us with ,very informative lectures ,god save you ..greetings from egypt

  • @hadeeraliraqi8071
    @hadeeraliraqi8071 3 года назад

    I cannot thank you enough for your valuable videos for first time someone talking not only about preparation but also stones, size and shape that can be very important to use.. thank you so much 🌷🌷🌷

  • @dentalmitra7864
    @dentalmitra7864 6 лет назад +3

    That was a great video doc , helping those of us at the learning end to grasp the nuances in the making of a good veneer. Thanks for your earnest efforts in educating .

  • @stevenlopez1717
    @stevenlopez1717 Год назад

    As always, great work.
    I'd love to see you do a video on placing a direct composite restoration on one of these veneer preps, ideally the butt-joint veneer prep.

  • @cuddlethepug9962
    @cuddlethepug9962 3 года назад

    Loved ur video. Learnt more then all the lectures I have been to. Thank u .

  • @hagaressammahmoud2636
    @hagaressammahmoud2636 4 года назад

    thank you dozens ..you 've helped me much with those demonastration.greetings from egypt

  • @veroxism1791
    @veroxism1791 5 лет назад +3

    I realy have to Thank you alot for these rich contetns doctor if you can go ahead with implants and endo courses, regards ♥️

  • @dipalipatil7366
    @dipalipatil7366 5 лет назад

    Thanks a lot dr.stevenson,your videos are very helpful for veneer preparation,detailed description of the techniques & materials as well.it helped me in my practice.All my best wishes to you doc !

  • @drshadykhalifa4839
    @drshadykhalifa4839 2 года назад

    Thank you very much doctor for your effort .. if you dont mind sir in this .. the incisal reduction should be straight or inclined lingually … thank you sir

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  2 года назад

      It may be perpendicular, sloped facially or sloped lingually, depending on the case. I usually try not to incline lingually because it will place a slight limitation on the line of draw which may lead to more tooth reduction. However, if lingual wear requires removal, then I'll incline lingually, instead of wrapping. My typical prep is parallel to the long access of the crown.

  • @johnny9516284
    @johnny9516284 2 года назад

    Thank you very much for your gorgeous lecture and all the details

  • @Onvishalpodcast
    @Onvishalpodcast 4 месяца назад

    Amazing work
    Shukriya for wonderful content 🇮🇳

  • @abodghafir3582
    @abodghafir3582 6 лет назад +1

    Amazing prep as always!

  • @haoyang9719
    @haoyang9719 4 года назад +1

    Amazing work and very thorough explanation!

  • @zahraamohammad4545
    @zahraamohammad4545 Год назад

    Fantastic video 👍👍

  • @dingdental4310
    @dingdental4310 6 лет назад +1

    thankyou doc, waiting for the final part

  • @euricequeen842
    @euricequeen842 4 года назад

    The donut bur is always magic!

  • @dorinamenkulasi8846
    @dorinamenkulasi8846 2 года назад

    Thank you doctor for the great video and accurate explanation.Why do you prepare the incisal butt and shorten the teeth if we want to lengthen it.How much longer can we make a tooth with a veneer without interfering in the occlusion?Thank you!

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  2 года назад +1

      Just to give the tech more control of the incisal translucency. If we are happy with the existing shade and only want yo lengthen, it is indeed possible to avoid prepping the incisal, but it is tricky - the edge must be a butt joint at the g to avoid ceramic thinning. For the functional, we set our length based on esthetic norms or slightly younger than the patient, then test this with a bonded mock-up for phonetics and pathways (excursive movements and border movements).

  • @ekucukkeles
    @ekucukkeles 4 года назад

    Thank you for the videos, but why not place some videos on cementation as well for the different types of veneers you explain ?

  • @scottsdaledentistprincessc4744
    @scottsdaledentistprincessc4744 4 года назад

    Thanks for sharing doctor. So much great informative in your videos

  • @Pistoldiego
    @Pistoldiego 4 года назад +4

    Thank you so much for this amazing lectures Dr. Stevenson @Stevenson Dental Solutions, I wanted to ask, how do you keep proximal contact point tight if you are eliminating it with the diamond strip and the restoration doesn't seem to contact in the part that was reduced? Thank you so much again!

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  4 года назад +8

      The amount of opening is less than 100 microns - just enough for the technician to separate the dies without marginal damage. Since you are extending the interproximal finish line slightly into the contact area, the final veneers will make good contact. It's an amazingly predictable technique, taught to me by the world class Prosthodontist and Technician, Ed McLaren about 20 years ago...

    • @Pistoldiego
      @Pistoldiego 4 года назад +1

      @@StevensonDentalSolutions Thank you so much Dr. pretty clear explanation!!

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  4 года назад

      @@Pistoldiego Great

    • @radicevicdent1354
      @radicevicdent1354 Год назад

      amaizing!!!!!

  • @josephryanmabaquiao4825
    @josephryanmabaquiao4825 5 лет назад

    dr hope you can make a discussion about cementation and managment of discolored tooth during cementation.

  • @darakshanvakil8235
    @darakshanvakil8235 5 лет назад

    Its really informative and a great contribution .Thanks a lot doctor.

  • @JoonKimDMD
    @JoonKimDMD Год назад

    If the teeth had nice contact, would you still run the diamond strip between the teeth to remove both the contact and the enamel rods?

  • @nainachopra1983
    @nainachopra1983 Год назад

    Thank you Dr.Stevenson for this amazing video.
    If we have a shallow overbite and after reducing incisal edge 2 mm our centric contact is falling at the butt joint junction( where ceramic would meet tooth,) what do it do....do a lingual wrap and take my lingual margin a mm away from that contact?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  Год назад

      Not usually. The interface of the ceramics and tooth with a bonded veneer is not designed with MIP (not "centric", which is an outdated term) as a factor. The margin will be smooth and the ceramic strong under compressive load. I like to think of bonded veneers behaving like enamel.

    • @nainachopra1983
      @nainachopra1983 Год назад

      @@StevensonDentalSolutions thank you so much for the reply.
      So you mean it's absolutely safe to keep the mip contact at the tooth ceramic interface
      The texts recommend to keep the interface half a mm to a mm away from mip contact so i believed that it's the weakest link.
      Thank you
      Regards

  • @aamin6933
    @aamin6933 4 года назад

    Great work doc. How would you tell if patient is bruxing during night or day? During night can provide splint but what can you do for daytime bruxism ?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  4 года назад

      Diurnal Bruxism will require asking the patient questions about their habits and suggesting a lower occlusal guard (usually tolerated better for diurnal bruxers). You also want to make sure that the issue is not related to a chewing pathway - use the chew test to help diagnose this - I'll provide a video on this later I hope!

    • @aamin6933
      @aamin6933 4 года назад

      @@StevensonDentalSolutions Fantastic advice doc. Really looking forward to the chew test video as I feel it is so important to increase the longevity of beautiful restorations we have managed to learn from you.

  • @rehamfaisal7761
    @rehamfaisal7761 5 лет назад +1

    very informative Dr, i would like to ask about the failed case with papilla . u mentioned in the video that u would overcome that mistaje if u lowered the contact 4 mm from bone and modify proximal wall. can u clear that point i tried many times to get it but i couldnot ,,,,,,,,,,thanks in advance

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      If the most gingival aspect of the contact is 4 mm above the bone research shows us that the papilla will be able to fill the gingival embrasure 100% of the time...Paper by D. Tarnow about 20 + years ago.

    • @rehamfaisal7761
      @rehamfaisal7761 5 лет назад

      @@StevensonDentalSolutions Thanks alot dr

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      @@rehamfaisal7761 My pleasure

  • @simple2471
    @simple2471 3 года назад +1

    Thankyou Doc for the amazing course. What type of veneer prep you recommend for peg shape lateral?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад +2

      Create a finish line on the gingival and the proximolingual (butt joint. That's usually it.

    • @simple2471
      @simple2471 3 года назад

      Thanks a lot.

  • @takreemalfahd5490
    @takreemalfahd5490 2 года назад

    Thank you for your valuable videos. Please if we have a barrel shape 4 up incisors what type of veneer prep is needed?specially the patient wanted a change of color from A3 to B1?thank you

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  2 года назад

      This will usually require a deeper prep on the facial, which allows for color change. The depth would be 0.8 or so and this will necessitate a super veneer wrap veneer design to overcome the loss of retention form the enamel insufficiency.

  • @wrtswrts
    @wrtswrts 2 года назад

    Thank you for the amazing video doc.
    Would the last step, stripping the interproximal to open contact points a little bit, also be necessary in a digital workflow (scanning + CAD CAM)?

  • @Feeleydental
    @Feeleydental 5 лет назад

    Hi, thank you so much for these videos. My question is with the prep guide. As you continue to prepare the teeth do you lose a stable stop when using the guide to assess your reduction?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      You may prevent losing prep guide stability by extending the guide over more surface area, particularly areas which will not be prepared. But it does become less stable after more preps are completed, so your clinical judgement will come to the rescue.

  • @georgieboy0511
    @georgieboy0511 4 года назад

    I’m a dentist in the UK, is there a way of obtaining your burs and other equipment in the UK 🙏🏼 amazing videos I have watched most of them thank you so much.

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  4 года назад

      This is often difficult, I don't have a resource yet... we do ship to the UK and this works well. Thank you.

  • @drsubikashgorai5970
    @drsubikashgorai5970 3 года назад

    With due respect it is very much helpful

  • @josephryanmabaquiao4825
    @josephryanmabaquiao4825 4 года назад

    doc can you make a video with prep on veneer with proximal cutting or extension?

  • @josephryanmabaquiao4825
    @josephryanmabaquiao4825 5 лет назад

    hi dr i hope you can do e demo on splice techniques in veneer prep. or what they call proximal overlap thanks

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      Send me a reference on this prep design - I'll look into it!

    • @josephryanmabaquiao4825
      @josephryanmabaquiao4825 5 лет назад

      Stevenson Dental Solutions the prep
      usually used for diastema and not aligned teeth cutting the proximal areas parallel
      to the long axis.

    • @josephryanmabaquiao4825
      @josephryanmabaquiao4825 5 лет назад

      Stevenson Dental Solutions ruclips.net/video/7wxAhYWBOsY/видео.html doc i want your thoughts about the prep
      technique kay e you can make a close up prep and how we can do it properly. some
      dentist they dont have finish lines in the proximal doing this prep

  • @gojnebbich7474
    @gojnebbich7474 4 года назад

    Thank you for sharing your experiences! I might be a little late with my question. You were so kind as to share a failure, too. Under that perspective in this special case wouldn't you rather extend your preperation on the plastic model further interproximal closer to the gum. Wouldn't this have created a black triangle between 11 and 12 as well?
    Greetings from Germany!

  • @aamin6933
    @aamin6933 5 лет назад

    Thank you Dr Stevenson for putting in so much effort so we can all learn benefit from the videos. Are there any situations where anterior slide of the lower incisors can fracture off the incisal edge of these veneer designs? What should I look out for in anterior guidance when I want an incisal butt finish?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад +3

      Good question - the key is bilateral even protrusive contacts, and canine guidance through lateral movements AND no pathway interferences while the patient is chewing (perform the chew test with the patient chewing on wax or gum and use 200 micron paper between the anterior teeth while they are chewing and make sure that no marks touch the veneers). Also, the last thing is a crossover check, where the teeth should have broad contacts with the lower teeth and no bumps or "catches" from large lower embrasures during border movements and while edge to edge. Before starting treatment, the lower teeth are leveled out and polished to facilitate the above requirements.

    • @aamin6933
      @aamin6933 5 лет назад

      Fantastic explanation Dr Stevenson. Thank you

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      @@aamin6933 My pleasure Doc!

  • @megacicilia8978
    @megacicilia8978 3 года назад

    please make a video bout preparation on mock up..coz i got confused with the concept 🙏

  • @عبدوحبيب-ك8س
    @عبدوحبيب-ك8س 4 года назад

    Great explanation,,, thanxxx Dr,,,

  • @mahalak4383
    @mahalak4383 6 месяцев назад

    I have a query. When we are cutting through a diagnostic mock up for veneer preparation, all the composite resin left behind s remove n then an impression is made or before that.

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  6 месяцев назад

      Remove all of it, roughen any un touched enamel, and create a finish line, then take the impression. It is key to try to make a prototype mock up and not strictly an additive mock up. Instruct your lab to prepare the teeth prior to the wax up to place the proposed contours in the precise location desired. Often the putty made from this will not fit onto unprepared teeth, hence the need to prep them first.

    • @mahalak4383
      @mahalak4383 6 месяцев назад

      @@StevensonDentalSolutions I didn't expect a reply back so thank you. Cleared one doubt which was nagging me☺️

  • @eugeneee7328
    @eugeneee7328 5 лет назад

    Hi Dr. Stevenson thank you for the video. What is the maximum incisal reduction to give better porcelain support? Is it 2mm porcelain ?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад +1

      Correct, 2 mm. Any more than that you are best to use lithium dislocate as a foundation, layered with feldspathic. Thank you!

  • @Bordondental
    @Bordondental 5 лет назад

    great thanks. - one question - how much reduction is caused by your finishing ? and semi polishing

  • @aamin6933
    @aamin6933 5 лет назад

    Thank you for this great video.Is buccal seating of the veneer difficult when we aim for slight inclination towards the lingual during incisal reduction ? I feel this may introduce an undercut unless the veneer is placed incisal reduction.

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад +1

      Yes - the line of draw is not buccal and not incisal but a combination of the two. Preparing the incisal and then further extending by wrapping always limits the paths of insertion and this will usually lead to preparation modifications to allow for no undercuts.

  • @내귀에습진
    @내귀에습진 3 года назад

    Did you mean to say a slight inclination towards the facial instead of the lingual? as in it's almost a straight reduction but with the ligual is supposed to be slightly lower as opposed to higher than the facial aspect of the incisal prep.

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад

      Slightly more reduction on the facial incisal angle compared to the lingual. The resulting incisal will angle facially - in other words will be visible when looking straight at the facial. Thank you!

    • @내귀에습진
      @내귀에습진 3 года назад

      @@StevensonDentalSolutions Thank you for your reply. And is the lingual just kept as virtually a 90 degree butt margin angle with no beveling?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад +1

      @@내귀에습진 Slightly beveled gingivally - just a few degrees to make sue the enamel is not left rough/undermined.

    • @내귀에습진
      @내귀에습진 3 года назад

      @@StevensonDentalSolutions I appreciate it!!

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад +1

      @@내귀에습진 Thank you for your insightful question and observation.

  • @grishater-antonyan2206
    @grishater-antonyan2206 2 года назад

    Thank you 🔥

  • @jigarpatel98980
    @jigarpatel98980 9 месяцев назад

    If there is fractured anterior teeth in the middle 3rd with pulp open, we proceed with RCT followed by composite build up in middle and incisal area. If we want to give veneers than can we give margin on composite on lingual aspect of the teeth or normal butt joint is sufficient??

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  9 месяцев назад

      Great question. In this situation, you will be best off extending the finish-line all the way to the gingival and the facial AND lingual - like a veneer crown. It's usually not a good predictor of longevity to leave veneer margins on composite, as this does not encase the clinical crown - It's wise to take advantage of both micro- and macro-mechanical retention and resistance forms. Best wishes, Dr., Stevenson

  • @avo9741
    @avo9741 3 года назад

    beautiful!

  • @josephryanmabaquiao4825
    @josephryanmabaquiao4825 5 лет назад

    dear doc how is it the same with canine and pre molars?

  • @olaahmed821
    @olaahmed821 3 года назад

    thank you

  • @alirezamotazarre5512
    @alirezamotazarre5512 Месяц назад

    the best

  • @DragoDent
    @DragoDent 3 года назад

    and can u tell me please if there any different in the measurment of preparation in this vedio(incisal buut) and the vedio part 2 I mean same measurment?? In the facial and gingival third and middle third and incisal third??

  • @DragoDent
    @DragoDent 3 года назад

    Doc. can u please tell me why u used Lvs1 instead of Lvs2
    and please tell me the incisal reduction is 1.5
    From the facial is 0.7?
    and from the middle is what??
    and from the gingival margin is 0.4???
    Doc I mean the measurment of prepararion

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад +2

      The LVS1 gives you 0.5 mm of reduction and the LVS2 gives you 0.3 mm of reduction. In general, the gingival 1/3 is 0.3, the middle 1/3 is 0.5 and the incised 1/3 is 0.7 mm. The incised reduction ranges from as little as 1.0 mm for cases not requiring much incised translucency characterization to as much as 2.0 mm in cases where a lot of characterization is required. I will show different burs to show how they work and what they may produce. To keep it simple, use the LVS2 for the gingival 1/3, then us the LVS1 with the tip in the middle 1/3 and estimate 0.7 mm in the incised 1/3. I hope this helps.

    • @DragoDent
      @DragoDent 3 года назад

      @@StevensonDentalSolutions
      I don't know how to thank you doctor, you are a great person

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  3 года назад +1

      @@DragoDent My pleasure doc!

  • @vmathvmath
    @vmathvmath 6 лет назад

    Thanks doc for showing your mistakes, when you are a solo practitioner you sometimes think your the only one that makes errors

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  6 лет назад +1

      Thank you Doc. Dentistry is incredible and yet so humbling at the same time - I think that excellence means that you never stop learning and always try your best...

  • @nasseragize8019
    @nasseragize8019 5 лет назад

    Thanks alot doctor ❤️

  • @rushinkadeeja457
    @rushinkadeeja457 4 года назад

    What kinda veneer prep is apt for flurosis case

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  4 года назад +1

      If the fluorosis is deeply stained, grade 3, the veneer preps will require a deeper axial reduction and likely will need wrapping and e.max veneers. However, if the staining is Grade 1 or 2, normal veneers may work. After preparation, assess the color and reduce more if the area is deeply opaque or brown. Another consideration is enamel quality - frequently, fluorosis patients have enamel that will not provide the long term adhesive predictability we expect, hence, a lingual wrap may again be indicated. These are some of the most challenging cases and must be approached with caution and full disclosure to the patient. In other words, the patient must be advised that the final preparations may need to be much closer to full coverage and that opaque layers usually require greater layering and therefore more reduction.

    • @rushinkadeeja457
      @rushinkadeeja457 4 года назад

      @@StevensonDentalSolutions thank you for the prompt and accurate reply dr

    • @rushinkadeeja457
      @rushinkadeeja457 4 года назад

      Is there any way I can send u the pic of the patien?

  • @1smail.khaled
    @1smail.khaled 5 лет назад

    If we make the incisal straight lingually without bevel , what about the anterior guidance ? I think this will lead to stress concentration that can fracture the veneer ..

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад

      Thank you for your comment. I like your thinking.

    • @1smail.khaled
      @1smail.khaled 5 лет назад

      @@StevensonDentalSolutions I don't know if i make incisal bevel lingually , can i have the 2 possible path of insertion ( from incisal and from buccal ) or we will have only incisal path of insertion like lingual overlap prep ?

    • @StevensonDentalSolutions
      @StevensonDentalSolutions  5 лет назад +1

      @@1smail.khaled If beveled the path of insertion will tighten, much like a wrap. Thank you for your thoughtful insights.

  • @harhoor2006
    @harhoor2006 5 лет назад

    nice

  • @alishahab3018
    @alishahab3018 4 месяца назад

    Wao

  • @devangkankane
    @devangkankane Год назад

    👍🏻👍🏻👍🏻

  • @nooraldeenadeeb2524
    @nooraldeenadeeb2524 6 лет назад +1

    👍

  • @DragoDent
    @DragoDent 3 года назад

    ❤🧡🧡🧡🧡🧡

  • @dsndds
    @dsndds 2 года назад

    please reduce the volume of your intro it blows my eardrums then you talk at 50% volume lol. But thanks and great job!