Differential treatment planning for the single anterior crown.
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Composite and porcelain veneers offer a conservative method of masking discolouration of the teeth of younger patients. Composite veneers are the less destructive of tooth tissue, but also the less durable. This two-part article reviews the use of veneers in treating the adolescent patient. Part 1 described the clinical procedure for veneering with composites. Part 2 now gives a guide to porcelain veneer technique, and then draws some overall conclusions.
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In prosthetics, various options are available to the orthodontist for repairing dental arches. The basic choice is between full crowns and partial crowns. Full crowns are primarily indicated for aesthetic reasons, in order to correct tooth axes and in cases of recurrent caries. Partial crowns in precious alloys are indicated when the need is not essentially aesthetic. They continue today to offer advantages in restoring posterior teeth. Because of their supragingival limits, they alleviate periodontal problems and preserve tooth structure.
For years, odontology for aesthetic purposes meant significant tissue mutilation. Now, with bonded porcelain veneers, it is possible to achieve both an aesthetic result and a veneer preparation while restoring the function of anterior teeth. The clinical forms of such thin bonded restorations may vary considerably, from a simple veneer to a 3/4 crown. Although after five years of experience, prosthetic "enamelling" appears to be totally reliable, only long-term clinical results will determine the fatigue of thinly applied ceramics.
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