• Title/Summary/Keyword: Laminate veneer

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Making of non-prep laminate veneer using lithium disilicate press ingot (Lithium disilicate press ingot을 이용한 non-prep laminate veneer의 제작)

  • Seo, donghee
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.25-34
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    • 2020
  • In recent years, as a burden on tooth preparationduring the processing the laminate veneer treatments to enhance aesthetics, the interests and demands for non-prep laminate veneers are increasing which do not require teeth preparation. Although there are clear limitationsbecause the restorations are fabricated without tooth preparation, there is a clear advantage of non-invasivehealthy teeth. When manufacturing a non-prep laminate veneer, an effective design should be selected according to the aesthetic requirements and intraoral condition because the margin of restorationsshould be determined on the natural tooth surface that isnot prepared. In this article, I would like to presentthe three different designsaccording to the range which teeth are covered, and the advantages and disadvantages of them. Non-prep laminate veneer introduced in this article was fabricated using Lithium disilicate press ingot.

Volume difference in upper central incisor preparation according to the changes of restorative design and marginal location (상악 중절치 삭제 시 수복 디자인과 변연부 위치에 따른 부피 변화)

  • Kim, Chong-Hyun;Park, Young-Bum;Kim, Sung-Tae;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.2
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    • pp.152-160
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    • 2011
  • Purpose: The aim of this study was to evaluate the volumetric change of teeth after preparation for various designs and margin locations through Micro CT analysis (Skyscan 1076: SKYSCAN, Konitch, Belgium). Materials and methods: The 36 artificial teeth were used to determine reduction volume of upper central incisor. According to the restorative design these 36 teeth were divided into 4 groups and according to the marginal location each group was divided into 3 subgroups. The volume of unprepared teeth was obtained by using Micro CT and the volume of prepared teeth was obtained in the same method. The CT scanned images before and after preparation were superimposed. Results: The volume difference was significantly increased as follows: traditional laminate veneer < full laminate veneer < all ceramic crown < metal ceramic crown. One-way ANOVA and Tukey multiple comparison analyses were used to analyze the data in this study. In each group the volume difference was significantly increased as follows: 1 mm above CEJ < CEJ < 1 mm below CEJ (P<.05). The % volume difference of all ceramic crown and metal ceramic crown was 31 - 48% and that of laminate veneer was 14 - 30%. The volume difference of the traditional laminate veneer was 1/3 of that of metal ceramic crown. The full laminate (1 mm below CEJ) and all ceramic crown (1 mm above CEJ) showed a similar volume difference. Metal ceramic crown showed 13.7% more volume difference than all ceramic crown. Conclusion: There exists the difference in volumetric change according to designs of restoration and margin locations of preparation.

Laminate production by manufacturing ceramic casting body and laminating using IPS Empress: a pressure casting method (가압주조방식인 IPS Empress로 세라믹 주조체를 제작 후 적층 형 성한 라미네이트 제작 증례)

  • Wook Tae Kim
    • Journal of Technologic Dentistry
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    • v.45 no.3
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    • pp.81-86
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    • 2023
  • Purpose: This study aimed to observe the effect of laminate veneer on patient's teeth based on the manufacturing of laminate veneer restorations, which are produced by fabricating a ceramic cast body using IPS Empress, a pressure casting method and then forming the veneer by layering. Subsequently, we assessed the potential of its clinical application. Methods: This study discusses and preserves various treatment plans, such as diagnostic wax-up and treatment room diagnosis, for patients who visit the hospital to improve the appearance of teeth due to diastema of maxillary teeth, inexperienced resin filling, lack of esthetics, and external teeth. A ceramic cast body is constructed using IPS Empress, which is an effective and aesthetic restoration pressure casting method to restore the veneer with a laminate made by layering. Results: Compared with the preoperative state, the frontal view of the patient after the final restoration showed the formation of a natural smile line; the space between the central and lateral incisors was filled in synchronously with the adjacent teeth. In addition, the emergence profile is maintained by reducing the over-contour as much as possible. Conclusion: The patient's quality of life is improved by providing them with a satisfactory natural smile.

Porcelain Laminate Veneer Restoration (Porcelain laminate veneer의 수복)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.191-200
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    • 2012
  • The patients' demand for treatment of unesthetic anterior teeth is steadily growing. Accordingly, several treatment options such as porcelain laminate veneers(PLV) have been proposed to restore the esthetic appearance of the dentition. Porcelain laminate veneers are considered minimally invasive, but they also require removal of sound enamel. One critical step in the porcelain laminate veneer technique is the achievement of sufficient ceramic thickness, and several different strategies for tooth preparation can be found in the literature. This clinical report describes a step-by-step protocols for preparation of these restorations used with the silicone index from diagnostic wax-up and the acrylic resin mock-up. Conservative use of porcelain laminate veneers provided satisfactory esthetic outcomes and preserved sound tooth structure.

Clinical case using The platinum foil Technique (백금박 라미네이트를 이용한 임상증례)

  • Kim, sun kyu;Shin, jun hyouk
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.4-12
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    • 2020
  • Recently, according to the concept of minimal invasive, there have been many opportunities for restoration treatment with porcelain laminate veneers that are less invasive and can ideally improve esthetics. Patients also visit the laminate well, and patients also want to reduce the amount of teeth cut, so the choice of the entire trimming crown is decreasing. Therefore, various techniques of laminate are required. Most dental clinicians seem to have negative images of laminates such as risk of fracture, margin pigmentation and dropout. However, this situation is due to incorrect adhesion manipulation and lack of inspection of the occlusal relationship, and there is no problem with the Porcelain Laminate Veneer itself. The purpose and scope of adaptation leading to the success of porcelain laminate veneer will be introduced.

MICROLEAKAGE OF DENTIN BONDING AGENTS IN PORCELAIN LAMINATE VENEER UNDER SIMULATED PHYSIOLOGIC PRESSURE (가상 생리적압력하에서 Porcelain Laminate Veneer 접착시 상아질 접착제의 변연 누출에 관한 연구)

  • Choi, Young-Jin;Lee, Ho-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.1
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    • pp.1-10
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    • 1993
  • The purpose of this study was to evlauate the microleakage of 3 dentin bonding agents using different dentin pretreatment method under simulated physilogic pressure in cementing the porcelain laminate veneer. Noncarious 60 human maxillary molars were selected and randomly assigned to 4 groups of 15 each. The group with the margin placed on the enamel was classified as the control and the groups with the margin placed on root surface were subdivided into 3 groups according to the dentin bonding agents used. The group using All Bond 2 was classified as experimental group 1, the group using Scotchbond MP was classified as experimental group 2, and the group using Gluma was classified as experimental group 3. Roots were removed at 3mm below the cementoenamel junction, and reductions of the teeth for the porcelain laminate veneer were done on the mesial 1/2 of the buccal surface of each teeth. The pulp was extirpated and the pulp chamber was cleaned with 37% phosphoric acid for the patency of dentinal tubule. Under simulated physiologic pressure, porcelain laminate veneers were cemented to the teeth using each dentin bonding agent and luting cement. After cementation, all samples were stored at 36t in water for 24 hours and thermocycled for 1500 cycles, then immersed in 0.5% basic fuchsin solution and the teeth were sectioned longitudinally by using diamond saw and the extent of microleakage was measured. The following results were obtained, 1. Microleakage was observed in a few samples of control group but all the samples of experimental groups. 2. The control group showed the less extent of microleakage than the experimental groups. In experimental groups the experimental group 1 & the experimental group 2 showed similiar extent of microleakage and the experimental group 3 showed the greater extent of microleakage than other groups. Conclusively, practicing the porcelain laminate veneers in the clinic, although the margin of the porcelain laminate veneer should be placed on enamel, in the case that it is inevitable to place the margin of the porcelain laminate veneer on the root surface, it is recommened to use dentin bonding agents which use no dentin pretreatment or a dentin pretreatment which can leave the smear plugs.

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THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN PORCELAIN LAMINATE VENEERS WITH VARIOUS AMOUNTS OF INCISAL COVERAGE AND TYPES OF INCISAL FINISH LINE UNDER TWO LOADING CONDITIONS (절단피개량과 절단변연형태 및 하중각도가 도재라미네이트 베니어 내의 응력분포에 미치는 영향에 관한 삼차원 유한요소법적 연구)

  • Ryoo, Kyung-Hee;Lee, Sun-Hyung;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.2
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    • pp.143-166
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    • 1999
  • The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.

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Influencing factors on the final color of laminate veneer restorations with various IPS Empress Esthetic$^{(R)}$ ingots (다양한 IPS Empress Esthetic$^{(R)}$ ingot으로 제작한 laminate veneer의 최종 색조에 대한 영향)

  • Yang, Mi-Seon;Kim, Seok-Gyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.4
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    • pp.308-315
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    • 2011
  • Purpose: The purpose of this study was to colorimetrically evaluate the masking effect of different opacity of ingots on the final shade of IPS Empress Esthetic$^{(R)}$ laminate veneer restorations using the CIE $L^*a^*b^*$ system. Materials and methods: Six porcelain disks of IPS Empress Esthetic$^{(R)}$ system (translucency: E 01, E 03, E 0C-1, E TC-1, E TC-2, E TC-3) were fabricated with 7 mm in diameter and 0.6 mm in thickness. Six extracted human incisors (shade: A1, A3, A4, B2, B3, C3) were used as the abutment specimens. The incisors were prepared using a diamond wheel and made with a flat labial surface on the middle 1/3. For each combination of different shades of abutments and copings, the change in color was measured with a colorimeter. CIE $L^*a^*b^*$ coordinates were recorded for each specimen. Color differences (${\Delta}E$) were calculated. Descriptive statistical analysis was done. Results: ${\Delta}E$ values were significantly affected by coping translucency and abutment shade (P<.05). The color differences (${\Delta}E$) of laminate veneers among abutments with A3, B3, C3, and A4 shade were mostly below 2.7 which was within the clinically acceptable range, while color differences between A4 and B2, A3 and B2, and A1 and A4 showed more than 2.7. Conclusion: The final color of IPS Empress Esthetic$^{(R)}$ laminate veneers were significantly influenced by translucency of the coping and shade of abutment teeth. The large value difference of abutment teeth limited the masking ability by laminate veneers.