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Porcelain Veneers Without The Drill
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A new look at drill-free cosmetic dentistry
The notion of adding substances to teeth in order to change how they look is nothing new for dentistry. Traditionally, teeth are ready in some way or style in order to put and retain a restorative material -- normally a filling, porcelain crown or veneer molding. Not only is tooth loss usually vital to restore damaged or lost natural enamel as a consequence of the ravages of tooth decay or injury, but it's also required to make room to put an aesthetic and functional "restoration."
The purpose of this guide is to introduce and provide a clear understanding of an alternative cosmetic treatment option, the "no-prep" or "prepless veneer," whereby no drilling is needed to enhance a smile. Most of all, it examines the case decision procedure; when prepless dentistry will operate and if it will not. As with almost all dental and medical procedures, there are risks, benefits and alternatives. It's with the help of a dental professional experienced in these complex methods, together with your own targets and understanding, which you're able to make decisions that are ideal for you.
No-Drilling: Reality Or Ridiculous?
"Prepless veneers" is a theory that elicits various reactions and opinions among dentists, ranging from complete disbelief that they can ease effective restorations, to admiration for these conservative and innovative works of art! This assortment of opinion about a novel approach to cosmetic dentistry is vast and with good reason. The idea of "additive simply" restorations intuitively results in the experienced clinician reason for concern as visions of bulky, over-contoured teeth quickly come to mind. Regrettably, some prepless techniques and products circulated heavily in the media have shown thick, bulky looking restorations, causing skepticism among some consumers and dentists alike.
And yet, despite those issues, an undeniable tendency is emerging among many prestigious cosmetic dentists to incorporate not only minimal prep, but also "no-prep" restorations into their compendium of viable treatment options and alternatives.
In the last few years, new developments in materials and techniques have resulted in a new look in the aesthetic possibilities for its no-prep veneer alternative. Cases done by gifted dentists and laboratory technicians have produced outcomes which would meet the greatest standards in cosmetic dentistry [Figures 1 and 2]. Section of this advanced level of training for prepless veneers includes the most important aspect of proper case selection. Not every situation lends itself to a no-prep strategy, but when it does, the results can be not only beautiful, but also stable and reversible!
Paradigms and Beliefs -- A Shift
The promotion and endorsement of "prepless" veneers is predicated on the following paradigms and beliefs:
It's not required to prepare a tooth to create a border (known in dental terms as a "margin"). Highly skilled dental technicians can design a custom-fit veneer that feathers into the tooth only short of the gumline.
Aside from the other obvious advantages of prepless veneers, they are not put under the gum tissue. This eliminates the risk of the restorations having a negative impact on the periodontal (gum tissue) health.
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