Before focusing on the teeth, which would significantly reduce the goal of the treatment, it is mandatory to analyze the elements that form the facial composition.
Dr. Emanuele Cicero does a frontal and lateral examination of the individual, including analysis of the position of the eyes, nose, lips and chin in order to identify the reference points and lines that are absolutely necessary for the esthetic and functional dentofacial rehabilitation.
Dr. Emanuele Cicero analyzes the facial features that have a significant influence on the perception of an individual’s personality and communicates them to his team of talented ceramists and dental technicians. The somatic traits are in fact often correlated with particular psychologic characteristics, and some features are associated with specific tooth morphology.
What are Ceramic Veneers?
Ceramic veneers are considered a conservative solution for patients requiring improvement of the shape, color, or position of their anterior teeth. Ceramic veneers have been extensively and successfully used to mask intrinsic staining, to give the appearance of straightening, and to correct minor malformations of anterior teeth without the removal of substantial amounts of sound tooth substance.
Dr. Emanuele Cicero uses an evidence – based approach taking into consideration the most important parameters determining the long-term success and correct application of ceramic veneers.
The success of the porcelain veneers is greatly determined by the strength and durability of the bond formed between the three different components of the bonded veneer complex: the tooth surface, the porcelain veneer, and the luting composite.
The preparation of the teeth greatly influences the durability and color (translucency and tonality) of the ceramic restoration, as the tooth preparation will determine the inner superficial contour and the thickness of the ceramic material.
The minimum-thickness anterior ceramic laminate veneers may be a conservative and esthetic alternative to reestablish the form, shape, and color of anterior teeth. Even though it is one of the most conservative of treatment options, some rules have to be followed. The case has to be carefully selected and treatment planned. Tooth reduction for any restorative technique should be as conservative as possible.
No-preparation veneers are indicated for selected cases only, and a larger number of cases require some kind of tooth modification for superior esthetics, patient satisfaction, and better color change without affecting the thickness and emergence profile of the veneer.
To improve esthetics in anterior teeth by means of laminate veneers, two types of materials are indicated for their translucency and potential to be used in small thickness: sintered feldspathic porcelain and pressable ceramic, which can also be milled using a computer-aided manufacturing technique.
Clinical Success Key
Paying great attention to detail for the following: planning the case, conservative (enamel-saving) preparation of teeth, proper selection of ceramics, proper selection of the materials and methods of cementation, proper finishing and polishing of the restorations, and proper planning for the continued maintenance of the restorations