Complex Aesthetic Restorative Dentistry Part 2 (Tetracycline Case)

The "not so typical, typical case."  Does this sound familiar?  A patient walks in the door with esthetically compromised dentistry, which has failed due to time or simply poor dentistry.  The patient has deep tetracycline stains and you have no idea what you are going to find once you remove the old restorations.This is a far more typical patient than the "perfect" candidate we are use to seeing lectures talk about.

In the second part of this course Dr. Kirtley will discuss the importance of the seating appointment in relation to the degree of overall success achieved, demonstrate preparation removal and placement of the veneers.  Flexibility in dentistry is a critical skill and you will see how Dr. Kirtley handles every curve ball thrown at him to create a smile design that the patient is excited about.

Last Reviewed: 04/18/2012

1. Understand variation of preparation design in dark stained (tetracycline) case from a more normal shaded case.
2. Learn the importance of cervical margin placement.
3. Understand the significance of added preparation depth to mask color.
4. State the rationale for extension of the gingivoproximal and interproximal finish lines (breaking contact).

 I.     Seating appointment

II.    Preparation removal

III.   Restoration try-in

IV.   Veneer placement

1. Prepare veneers
2. Place etchant
3. Manage bleeding
4. Use desensitizer
5. Use bonding agent, use liberally.
6. Light cure
7. Place veneers
8. Cure

Kirtley, George. Esthetic Restoration of the Anterior Edentulous Area. Contemporary Esthetics and Restorative Practice Magazine. 2002, July.