3 Reflections from a Composite Veneer Case – IC003

Published: Feb. 5, 2020, 8:22 p.m.

In this short episode I discuss 3 reflections from a composite veneer case: https://www.youtube.com/watch?v=JAGyIySRQUc Need to Read it? Check out the Full Episode Transcript below! 1) Communication – regarding case communication and case acceptance in an ethical manner 2) Using the Mylar Pull technique for interproximal management Full Youtube video for mylar pull technique: https://www.youtube.com/watch?v=L-fqXLi78P0 3) A bur which I LOVE to use to shape composite (Bur code is 831.204.012) If you liked this mini episode, please share with a Dentist friend and subscribe to my podcast. Thanks for watching! Click below for full episode transcript: Opening Snippet: Welcome to the Protrusive Dental podcast the forward thinking podcast for dental professionals Join us as we discuss hot topics in dentistry, clinical tips, continuing education and adding value to your life and career with your host, Jaz Gulati... Main Podcast: Guys, it's Jaz Gulati from the Protrusive Dental podcast and today's interference cast is just three tips I have to share with you. Based on my reflections of doing a composite veneer case recently, patient's main complaint was actually different to begin with. And actually this is part of the sort of the three little tips I want to share with you guys. So let me discuss three learning points from this case number one will be communication tip. Number two will be how I managed the interproximal part of doing composite veneer. And number three will be the composite refinement tip, I've got a bur that I want to recommend to you to use for composite refinement, which I found really useful. So before we come on to that, if you're listening to me on the Protrusive Dental podcast, then yes, you're still gain from this because I'm sharing some stuff that is tangible, even though you're listening and not watching. But it's probably worthwhile going logging on and actually watching the seeing the images, so you get to see what I'm talking about. But anyway, let's proceed. So tip number one I have for you is regarding communication. This patient initially came to me and she had busted her upper right five, she went on to get a vertical crown on upper right five in Zirconia, which I've done and as you can see, that's done. But actually her main complaint after was that actually, I don't like the way my crown looks at the back and she was pointing to her metal ceramic crown on the upper right six, as you can see that she didn't like the fact that the color was a bit off to that yellow bit too warm. And she didn't like the fact that there's a gray line. And we all know why that is a metal ceramic crown is the metal showing through. So when you have a case like this, and you look at this lady smile after her teeth are actually framed really nicely within her lips, she's 68 years old, she looks great when she tells me that she has an aesthetic concern, instead of replacing this upper right six, because there's two good reasons why I shouldn't replace it upper right six. One is that it's still healthy. The margins still good, even though it's done many years ago is still a good tooth. But the second reason is because she has a limited opening. And for me to do a good job back there in a limited opening compared to I'm assuming she had a better opening many years ago when the crown was first done to actually be a pension to be doing a disservice for this patient. That's two good reasons. But the third good reason is will that really massively help her smile. So by changing the upper right six crown to something a bit nicer that says a Zirconia or just a better color with no metal, that may improve her smile and her perception, but really look at the anterior is look at the upper right one, the upper left one and upper left two. Yes, in this particular photo, I've just put a composite blob on to check shade. But if you have a look at this original photo, you'll see that they are,