Articles Front Teeth

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis

By Park Jonguk, DDS, MS — board-certified specialist in conservative dentistry Published

Hello, I'm Dr. Park Jonguk, director of Dream Dental Clinic, specializing in veneer treatment.

When the front teeth are large, like buck teeth,

there's a limit to what orthodontics alone can resolve.

Buck teeth usually involve two front teeth that are both large

and protruded—

two problems happening at once, in most cases.

In cases like this, orthodontics can bring the protruded teeth back in,

but it doesn't resolve the large size.

Front-tooth veneer treatment,

on the other hand, can somewhat improve the alignment

while also correcting the shape of the teeth—handling both roles at once.

The catch is that it requires reducing the tooth structure.

Unlike most tissue in the body, once a tooth is reduced,

it doesn't heal back,

so tooth reduction has to be approached with real caution.

Not every front-tooth veneer requires reduction,

but for buck teeth, some reduction is usually essential.

What matters here

is building a thorough treatment plan,

precisely analyzing how much reduction is needed,

checking for any resulting side effects,

and having a detailed discussion with the patient about the pros and cons

before beginning treatment.

In many cases, patients are given

far too little information about the treatment process beforehand,

which often leads to regret after treatment.

A precise diagnosis is the beginning of good treatment.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 1

With poor alignment

and two buck teeth that needed correcting,

we decided on front-tooth veneer treatment.

Tooth size was one issue,

but the shape of the teeth was also jar-like,

meaning that even with orthodontic treatment alone,

veneers would still be needed in this case.

Because of time and cost considerations,

we decided to proceed with veneer treatment.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 2
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 3
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 4
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 5

First, we analyze the current condition of the teeth.

Analysis of the current condition

is the first step toward good treatment.

Only once the problem is identified

can we know how to treat it.

And to solve that problem,

we need to simulate in advance how much tooth structure to reduce.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 6
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 7

This is how we carry out the tooth-reduction simulation.

Then, to see what shape the teeth will take once the veneers are placed,

we build a preview in wax.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 8
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 9

This entire process for front-tooth veneer treatment—

analyzing the current teeth,

simulating the amount of reduction,

and the wax-up process for the result—

is called wax-up precision diagnosis.

This process is important because it anticipates the entire course of treatment,

and the data gathered through it

gets used in various ways throughout the treatment.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 10
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 11

The teeth are reduced according to the precisely diagnosed plan.

Using a guide to reduce precisely according to the plan is important.

In particular, using a microscope is a very important part of veneer reduction.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 12

Using the wax-up,

we create the temporary veneers.

In this process, we need to confirm the tooth size, proportion, and degree of protrusion.

Through detailed consultation,

we keep making adjustments until we reach the desired shape,

and once the shape, proportion, size, and degree of protrusion are all finalized to the patient's satisfaction,

we take an impression of the teeth and begin fabricating the veneers in ceramic.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 13

The front-tooth veneer treatment has been completed.

The alignment has improved dramatically,

and you can see that the buck-teeth appearance has been fully resolved.

Through a three-dimensional tooth shape,

we expressed a natural form,

and by adding varied coloring and translucent areas in different parts of the tooth,

the result was finished beautifully.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 14

The expression of translucency, a hallmark of young, beautiful teeth,

is a particularly demanding part

of fabricating veneer ceramic.

It's an area same-day methods simply cannot match.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 15
Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 16

Down to the texture of the tooth surface,

every element of natural beauty was captured.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 17

The lower teeth were also finished more even and beautiful.

Veneer Treatment: Buck Front Teeth Corrected Through Precise Diagnosis — photo 18

Natural beauty

Since 2006, Dream Dental Clinic

This article is a clinical note written by Dr. Park Jonguk of Dream Dental Clinic, Gangnam; the original was published on his blog. The photographs shown are real cases he treated. Results vary with each patient’s condition, and every procedure carries the possibility of individual variation and side effects.

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