Dental veneers

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A veneer is a thin prosthetic device bonded to the enamel and designed to change the colour, structure, position and shape of the original tooth.

They allow us to restore the aesthetic appearance of a healthy, young and bright tooth while preserving the original living tissue as much as possible.

Our dental practice in Geneva adapts to the most demanding schedules and private requirements of each patient. We guarantee a strict punctuality and offer an emergency service in case of necessity.

 

Rhone Dental Clinic Facets Dental

Veneers made in our dental laboratory

The complementarity of the doctor and the dental technician is the key to the quality of a veneer application, which is why we produce veneers in our own laboratory.

The real key to the quality of a veneer lies in its natural transparency and the study of all the functions that will define the longevity of the veneers.

The fitting of veneers is entirely linked to the knowledge and experience of the dentist, who will limit the polishing of living teeth as much as possible, and that of our ceramists, who are capable of creating extremely fine surfaces (0.4 mm) with all the subtlety of the gradations of translucency of the natural shine. This complementarity, a true team effort, guarantees the patient the success of the effective treatment plan.

Rhone Dental Clinic Facets Dental 02

Protocole de pose des facettes dentaires

1. Classification of types of indications

Our therapeutic approach is gradual and consists of responding to an aesthetic request by always proposing the least invasive treatment first.

The classification of the types of indications is linked to their etiology (study of the causes and factors of a disease). The most commonly used classification is that of the Magne brothers and Urs Belser, which defines the following 4 main types of treatment :

 

Type 1 : Color correction

Types 1a : Tetracycline staining of grades 3 and 4.

This discolouration, which appears as diffuse bands of variable width, may be related to antibiotics taken during pregnancy, mineralisation of the temporary incisors or may occur in children up to the age of 8 (mineralisation of the crown of the 2nd permanent molar).

Type 1b : Teeth refractory to external bleaching.

When less invasive treatments, based on micro-abrasion or lightening, do not lead to a satisfactory result, veneers are indicated. Fluorosis type 3 (with porosity) As with tetracyclines, an overdose of fluoride between the 4th month of pregnancy and in children up to 8 years of age leads to an alteration in the metabolism of the ameloblasts (cells used to manufacture enamel) which can cause the appearance of whitish veils and stains as well as brown discolouration.

Type 1a
Rhone Dental Clinic Facets Dental Type 1a
Type 1b
Rhone Dental Clinic Facets Dental Type 1b

Type 2 : Form correction

Type 2a : Conoidal teeth

Conoidal (or riziform, rice-shaped) teeth are genetically based shape anomalies that most often affect the upper lateral incisors.

Type 2b : Closure of interdental spaces

Veneers may be recommended to close central diastemas and gingival black triangles. Direct composite restorations are then considered as a first step. However, it is more difficult to control the shape, emergence profile and cervical adaptation with direct than with indirect methods.

Type 2c : Short free edge lengthening

Direct composite restorations, extended along the entire incisal edge, can quickly show signs of mechanical fatigue and even complications ranging from chipping to fracture.

The permanent rehabilitation of wear, taking into account a consequent change in the height and shape of the tooth, represents a real technical challenge in the direct method.
The use of veneers makes it possible to obtain a more satisfactory result with fewer risks. In this indication, the prior analysis of the occlusal function is essential.

A distinction must be made between clinical contexts where the chemical component due to exogenous acidity (food) or endogenous acidity (gastro-oesophageal reflux, anorexia, bulimia) is the cause of dental tissue loss. In these cases, the conservative approach – of which veneers are a part – is to be preferred. But the solutions must be determined within the framework of a global and medical management. In particular, consideration must be given to the whole of the arches, and not only to the aesthetic aspect of the teeth.

Type 2a
Rhone Dental Clinic Facets Dental Type 2a
Type 2b
Rhone Dental Clinic Facets Dental Type 2b
Type 2c
Rhone Dental Clinic Facets Dental Type 2c

Type 3 : Structural anomaly

In these cases, the conservative approach, of which the veneer is a part, is a solution to be favoured but which must be part of a global and medical management. Moreover, the reflection must be focused on the whole of the arches and not only on the aesthetic sector.

An alternative to root canal treatment followed by a prosthetic crown is the creation of a veneer. When these traumas concern the young patient, a reasonable attitude consists in carrying out in the first instance a direct restoration in composite which will be resumed at the end of the adolescence if the aesthetic request is motivated.

Type 3a : Extensive enamel loss by erosion and/or wear

The rehabilitation of the smile in these clinical situations is complex. An alternative to peripheral crowns is to exploit the available enamel to make veneers.
Finally, such wear is often associated with bad habits that need to be identified and treated. This is often the case with abrasions due to traumatic brushing or acid attack erosions due to a diet rich in acidic foods and/or drinks.

Type 3b : Fluorosis type 3 (with porosity)

As with tetracyclines, an overdose of fluoride between the 4th month of pregnancy and in children up to 8 years of age leads to an alteration in the metabolism of the ameloblasts (cells used to make enamel), which can cause the appearance of whitish veils and stains as well as brown discolouration.

Type 3c : Congenital and acquired enamel defects

Amelogenesis imperfecta. This is a group of enamel developmental anomalies that is linked to a mutation in the gene coding for amelogenesis proteins or proteases.
In young children, the aesthetic management of permanent teeth must be done with a temporary solution in order to allow time for facial growth to position all the aesthetic determinants of the face.
During this transitional period, composite resin veneers can be a very interesting therapeutic option as they are not very invasive. As the bonding protocol is modified, the composition of this pathological enamel is different, and the risk of detachment must be considered increased in these patients, and they must be informed of this in order to put forward the obvious precautionary measures.

Type 3d : Porosity of enamel, stains on teeth, several colours on the same tooth

HMI (hypo mineralisation) is a qualitative enamel anomaly of systemic origin, preferentially affecting molars and permanent incisors.
The number of cases is increasing and may be caused by various environmental factors affecting enamel formation during the first three years of life. In the permanent incisors, they appear as whitish or yellow spots with variable aesthetic consequences depending on their size and location. Only the most severe forms can be treated with veneers.

Type 3a
Rhone Dental Clinic Facets Dental Type 3a
Type 3b
Rhone Dental Clinic Dental Facets Type 3b
Type 3c
Rhone Dental Clinic Dental Facets Type 3c
Type 3d
Rhone Dental Clinic Facets Dental Type 3d (1)

Type 4 : Perfect alignment, save time on orthodontics

The treatment of dental malpositions with veneers is certainly the most difficult and controversial indication! In particular, it requires comprehensive information on the possible orthodontic alternatives.
Consultation with one of our qualified specialists in dentofacial orthopaedics (ODF) must be systematic in order to respect the patient’s legal duty to inform. However, if the patient refuses the ortho treatment and/or if other anomalies (structure, shape, colour) coexist, it is possible to propose an alternative correcting slight malpositions with veneers.

While this treatment is more invasive, it has the advantage of correcting minor misalignments more quickly than ortho treatment. In just two weeks your smile can be perfectly aligned, the shape and colour will be that of your youth… This is called a dental lift. Veneers are a fast and effective alternative for those who want to regain a solid colour, more radiance and a harmonious arch in only 2 appointments. In short, an orthodontic programme can correct smiles with perfectly healthy and bright teeth within 6 to 9 months. When faced with a problem of tooth colour and volume, veneers offer an immediate aesthetic result.

2. Contraindications to treatment with dental veneers

Maloclussion

A situation in which a malocclusion is associated with high occlusal pressure contraindicates veneer treatment.
The same applies to an incisal or inverted butt joint, which may generate unfavourable occlusal forces, but this is not a formal contraindication.

Rhone Dental Clinic Facets Dental Maloclussion

Bruxism

Bruxism is a para-functional situation in which the progressive wear of the posterior and anterior teeth requires therapeutic management. The patient is exposed to a risk of detachment or fracture (failure rate seven times higher).

When the occlusal constraints are judged reasonable or controlled, it is however imperative to complete the global rehabilitation with a night protection splint.

Rhone Dental Clinic Facets Dental Bruxism

3. What is the price of dental veneers ?

Our prices depend on the method used. Make an appointment with one of our specialists for a free quote.

Make an appointment now in our clinic