From: "Arturo R. García D.M.D."
To: "ROOTS"
Sent: Sunday, September 06, 2009 11:56 PM
Subject: [roots] Non Endo- A couple of (almost) no prep veneer cases

Well Kendo you guilted me into it.  I have not posted cases in a bit-
mainly because I am not doing as much endo and implants as before :-(.  I
am still transitioning into my new position with this new practice now.

Anyhow, let me show some of what I have been up to.  In the office I work
in now we do mostly cosmetic and rehab cases.  I'll have some rehab cases
with endo coming along in a month or so, but for now a couple of minimally
invasive veneer cases.  What does this have to do with endo?  Well,
hopefully not much as I hope I gave these two young ladies a great service
while minimizing their need for future endodontic intervention by not
violating their enamel.  While I love enamel, I am not ashamed to prep it
away when it is necessary.  In these two cases I think while a prepped
case may have been marginally superior in aesthetic outcome, IMO the no
prep approach is most appropiate allows preservation of tooth structure
while delivering a great service.

M & K are two sisters who wanted to tune up their smiles.  One is 16 and
the other 20.  One wants to be an actress the other is still undecided.  A
couple of cute young ladies who were a lot of fun to work with.

I did these following what I had learned (and remembered :-)) from Dennis
Wells's no prep veneer.  I did not hand sculpt the temporaries like Dennis
does, in fact there were no temps.  There was minor prepping (2-3 teeth
for each case- actually re contouring) to allow us to straighten out inter
dental spaces and some minor tooth position issues.  Both had gingival re
contouring on impression day with a diode laser done with topical
anesthetic and nitrous only.  I did use local for the seat. While the
impression appt is pretty smooth and easy, the seat can be a little hair
raising because so much is on the line, the porcelain is so delicate
before bonding and this approach is so technique sensitive.

They are both thrilled and I like the cases too.  In retrospect I could
have done some more pre op re contouring of the teeth before the
impressions andI think it would have turned out better.  With the no prep
cases theamount of porcelain re contouring we can do is much more limited
than with prepped cases.   But, I am enjoying no prep veneer cases now!

Disclaimer: no rotary, twisted or hand files were used in these cases ;-)

Regards, Arturo




Nice dude.  emax?  Who did the lab stuff?  Why the hell aren't you at the phillie's game??? - gary

Feldspathic porcelain.  We have a part time in house lab guy who does
feldspathic when we need it (no prep cases and 2 day turn around cases).
He has been doing no prep ceases for over 20 years.

I didn't go to see the Phillies because I could not bear the thought of
watching them get swept! :-(((((( - Arturo