Retreating Large, Awkward Veneers into Natural, Smaller, Prettier Teeth
Hello. I'm Park Jonguk, director of Dream Dental Clinic and director of Lamista Academy.
These days, ever since publishing 『최소 삭제를 위한 라미네이트 임상』 (Veneer Clinical Practice for Minimal Reduction),
I've been busy with countless lectures and seminars.
In particular, once the summer season — when there are almost no seminars — ends,
starting in September I find myself having to spend nearly every weekend on seminars and lectures.
I'm working even harder
to repay the enthusiasm dentists have shown for learning about veneers.
What I'd like to talk about today is the process of retreating large, awkward veneers
into veneers that are natural, small, and pretty.
To express the beauty of a tooth,
you have to capture the shape and color of a natural tooth well
while also creating a beautiful form.
The proportion and size between the teeth matter a great deal too.
The size ratio between the front teeth and the tooth beside them needs to be well matched,
and the details need to be well brought out.
Six front teeth had veneers on them.
All six were opaque, awkward-looking veneers.
On top of that, the teeth were so large that there was significant disharmony with the face.
To improve on this state,
improving the shape of the teeth,
improving the color of the teeth,
improving the tooth size,
improving the proportion between the teeth,
and expressing teeth with dimensionality
— all of these various changes were needed.
A diagnosis is needed to plan these changes,
and the process we use for this is precision wax-up diagnosis.
Please see the link below for related details.
We carry out the wax-up through the same process as in the link above.
Rather than actually changing the size of the teeth,
we decided to make the design more natural and beautiful
in a way that would make the teeth look smaller.
After removing the veneers,
we proceed with the understanding that we won't know the condition of the tooth until we see it.
We use a laser to remove the veneers.
Simply grinding off a veneer to remove it can cause a lot of damage to the tooth.
Please see the link below for that process.
This is the state after removing the veneers using the same method as in the link above.
This is the state after fully removing the remaining resin adhesive.
Looking at the state after removal, it appears
this was originally a case that should have received orthodontic treatment instead of veneers.
Since we can't turn back time, we proceed with treatment doing our best from the current state.
The veneer retreatment has been completed.
The shape of the teeth is now noticeably softer, matching the facial shape,
and with dimensionality added to the teeth, they look much smaller.
If you compare them to the canine that wasn't retreated this time,
you can see that the newly veneered teeth have much more life-like translucency
and a vibrant, natural-tooth feel.
We brought out the texture of the tooth surface well too, finishing it naturally.
Lectures for natural, beautiful veneer treatment
will continue through August as well.
In July, I held a special lecture timed with the book's publication,
and in August, I'll continue with the regular seminars.
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.