During veneer preparation of incisal aspects
The to famous preps:
1-butt joint vs palatal extension
Which one is the best and at what indication.
I will discuss this dilemma in this thread by studies. Stay with me
Studies also proved:
3-Chipping off the palatal part of the veneer
4-More invasive preparation due to the insertion path being in line with the long axis of the tooth
Preparation without palatal extension decreases the risks of:
1-Constriction of the envelope of function (in case of thick porcelain)
2-Unpredictable preparation of the palatal surface, which is difficult for the dentist to repeat and can turn out to be too shallow
Im conventional teeth preparation we know for sure that the optimum incisal reduction is 1-1.5mm.
But that does not always mean you should prep as much as you can.
Because in most cases the aim of veneers is just to lap the incisal edge.
دخلت الطب عشان هدف واحد
ابي أعطي كل طاقتي وجهدي و وقتي للمرضى
ابي أساعد المرضى ابي أكون قريبه من المرضى
م تهمني الفلوس وآخر همي ولو افني عمري كله بدون ولا ريال موافقه موافقه موافقه
Let me know what do you think about this dilemma and which do you think is more compatible with the digital 3D designing.
Besides i’ll be talking about the updated concepts of these if anyone is interested.
Old school vs new school
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In teeth preparation we measure how much we cut the tooth surface unlike in new school which we measure how much space we can give for the crown to be build.
We might go with the first choice but with modern dentistry is the exact opposite.
A patient with full edentulous upper arch and six implants.
The patient treatment plan was to restore the upper arch with full implant supported prosthesis on the all on six implants.
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The first real tx was placing a temporary acrylic prosthesis to to detect any occlusion defect
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After the temporary the following defects were noted
1-unilateral crossbite
2-anterior open bite
3-class 3 skeletal malocclusion