Case Type 5 – Direct restoration of six (upper front) teeth or more with direct resin (composite) veneers.
Problem: The patient had extreme wear of her upper front teeth as a result of a jaw movement habit (bruxism). This left her with an unattractive smile line.
Solution: Models were made of the patient’s teeth. A diagnostic wax design for a new smile demonstrated that the goal could not be achieved without creating more space for the new veneers. Dr. Strain built up the back teeth first with freehand bonded composite. This created the necessary separation if the front teeth. Then a template from the wax design was utilized as a guide for the freehand layered buildup of composite veneers on 10 upper teeth. This process is very time intensive, often requiring many hours for the patient and dentist to work together for the desired result. Final reshaping and polishing is completed after Dr. Strain studies the results on close-up photographs.
Note to other dentists: After success of the direct restorations, my preference would be to replace the posterior restorations with no prep occlusal onlays on both arches.