Anterior Ceramic Veneers, Part 6: Provisionals
Фильм және анимация
When supplying adhesively held porcelain veneers, provisional restorations are often used as a bridge in the meantime. Provisional restorations shield the prepared surfaces from the oral environment's attack and reduce sensitivity in cases where the tooth surfaces have been altered. In this video, Dr. Richard Stevenson demonstrates about Anterior Ceramic Veneers - Provisionals.
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Anterior Ceramic Veneers - Provisionals | Part 6
#stevensondentalsolutions #anteriorveneers #provisionals
Thanks for watching!
Пікірлер: 137
Its absolutely generous of you for sharing such detailed knowledge for free and without endorsing any products. Alot of paid CE doesn't even go this deep into the topic. Keep up the good work Dr Stevenson!
@StevensonDentalSolutions
2 жыл бұрын
Thank you - more to come!
@venicefrasier5289
10 ай бұрын
absolute truth
i am loving this course in its entirety. i didnt necessarily need the education, but to my surprise i got one. it is refresshing to see a master at work. the explainations and techniques shown are excellent. Thank you Dr!
@StevensonDentalSolutions
Жыл бұрын
Very kind of you! Best, Richard
Thank you doctor for this 6 parts video presentations!
@StevensonDentalSolutions
4 жыл бұрын
My pleasure Doctor
One of the best and important details covered in these lectures. Thanku so much Dr. Stevenson.
@StevensonDentalSolutions
2 жыл бұрын
Thank you - I appreciate your support. Dr. S
Thank you, I am excited to try this technique. Veneer temporaries have always been very frustrating - take too long, come off when you don't want them to, etc.
My very best professor, Part 3 and Part 4 Reviews. Thank you, so inspiring.
@ligayaaquino-paguyo649
Жыл бұрын
How can I order your special burs?
@StevensonDentalSolutions
Жыл бұрын
Thank you!
I am super excited about trying this technique. Thanks!!
@StevensonDentalSolutions
3 жыл бұрын
Cool!
Thank you very much, I wish you a Merry Christmas and a happy new year :)
@StevensonDentalSolutions
5 жыл бұрын
Thank you and same to you! Best, Dr. S
Thank you so much for a very well made and informative video series on veneers! I’m most definitely subscribing!
@StevensonDentalSolutions
5 ай бұрын
Great! Thank you for your support.
Thank you for sharing your skill and knowledge.. I can’t wait for Oct to learn more from you
@StevensonDentalSolutions
11 ай бұрын
Thank you - See you then!
Dr you ‘re just fantastic ! 💐
@StevensonDentalSolutions
2 жыл бұрын
Thank you for your support!
Thank you very much for your gorgeous lecture and all the details
@StevensonDentalSolutions
2 жыл бұрын
Thank you.
For whatever reason, I've been intimidated by veneer cases. You're video's have given me the confidence to take on more of these cases. Thank you.
@StevensonDentalSolutions
2 жыл бұрын
The best dentists typically are cautious while the most troubled dentists dive in without much worry. In Beverly Hills, you'll find some of the worst veneer dentists on the planet, charging large fees. I completed my very first veneer case in 1986, and have been teaching, researching and performing veneers ever since, and, they are still the most nerve racking procedures I do!
@tsitnedance
2 жыл бұрын
@@StevensonDentalSolutions I couldn't agree more!!! It's my first anterior ceramic veneer case tomorrow. And I have been reviewing everything I have learned from dental school, combined with all the pre-op details of my case, in order to prepare. I will FOREVER remember 2022 and your great great amount of help Dr. Stevenson. 🙏 Thank you.
Thank you so much dr what a generous man you must be, i mean even paid courses don't teach us in that detail but you did it.. i rarely subscribe ytb channels...you earned my respect & subscription 😄. Love you, from Pakistan 🇵🇰🇵🇰
@StevensonDentalSolutions
7 ай бұрын
Thank you so much - I appreciate your words and kindness.
Amazing 6 series sir.. worth watching. Learnt a lot. Love from India Dr. Anija R
@StevensonDentalSolutions
3 жыл бұрын
That's great - thank you
Thank you dr Stevenson It is marvelous,very inspiring and intuitive I enjoyed 6parts and agitated for the next 😂😂🙏🙏❤ Dr Boutros from Egypt 🌷🌷
@StevensonDentalSolutions
Жыл бұрын
Great! Hope to meet you one day in a hands-on course in California! Dr. S
Such a great video
@StevensonDentalSolutions
4 жыл бұрын
Thank you Doctor!
Thank you very much for sharing your knowledge and experience, great videos, thanks, sir 🙏 Greetings fr Sweden ❄
@StevensonDentalSolutions
2 жыл бұрын
Great - thank you!
Dear Dr Stevenson, thank you for sharing knowledge and would be happy to follow your work and your recommendations, Brotherly Dr Nacer Ouazzani, Morocco
@StevensonDentalSolutions
4 жыл бұрын
Thank you, that's great!
Thank you very much doctor
@StevensonDentalSolutions
4 жыл бұрын
My pleasure doctor!
I cant believe there is a doctor sharing all this info on youtube i wast my money on courses i fall in love with your chanal and you🙊
@StevensonDentalSolutions
3 жыл бұрын
Thank you Doctor!
Hello Dr. Stevenson, thank you for a great video again. Do you have any videos/tips on making provisional crowns (Jet or Provisa) for posterior teeth?
@StevensonDentalSolutions
4 жыл бұрын
Not yet - planning on it!
Hello doctor can you make a video about removal of temporary restorations as this looks really difficult when the shade is so close to the tooth prepared without damaging our preparation or margins
@StevensonDentalSolutions
5 жыл бұрын
I will try! It’ll probably need to be a patient case
@hasansaleh6232
5 жыл бұрын
@@StevensonDentalSolutions thank you so much
Thank you for your educational content! It's great! Learning lots! Did you ever make the video on veneers and occlusion? I'm hungry for this knowledge...
@StevensonDentalSolutions
3 жыл бұрын
I am holding a veneer course in November and have ired a professional videographer, so yes, more content coming!
Thanks 😊 😍
@StevensonDentalSolutions
4 жыл бұрын
Thank you Doctor!
A fanstic video, thank you for sharing your knowlege, which bond are you using alongside the spot etch?
@StevensonDentalSolutions
4 ай бұрын
ScotchBond Universal
Once again, amazing videos. When will you make the cimentation and oclusion video? Thank you
@StevensonDentalSolutions
5 жыл бұрын
Coming soon - super busy these days with my new practice and the teaching center.
Doc plz make a video on occlusion n what types r occlusion can effect venners ...
@StevensonDentalSolutions
5 жыл бұрын
For sure! Thank you
hello great videos can u make a video about cementing the veneers which cement to use with colour or translucent etc..
@StevensonDentalSolutions
4 жыл бұрын
For sure - in the queue, thank you!
hello dr. could i ask you why this method of provisionals is better than the conventional way that the temporary crown material cover the whole preparation ?? why we make provisionals in two steps ??
@StevensonDentalSolutions
4 жыл бұрын
Great question. This technique allows the dentist to carefully control the placement of composite along the gingival margin area. This will keep the composite from overlapping into the tissue and making for a difficult clean up and potential damage to margins.
Great video Dr👍✌️❤️,,, But how you can removed the provisional and especially flowble composite with easy way from the teeth without damaged preparation or harm gingiva,,,
@StevensonDentalSolutions
4 жыл бұрын
Engage the margin and up fracture. This is only spot bonded and is easy to remove. Residual material left on the facial surface may be removed with a light sand blasting
Can we use a matrix band to prevent adhesion to adjacent tooth instead of using a scalpel
@StevensonDentalSolutions
5 жыл бұрын
Yes, you can. I usually don’t because I haven’t etched or applied adhesive to the adjacent tooth and nothing bonds in this area. Your method would work very well though! Thank you for your question!
Doc, what's your at home protocol for patients in veneer temps? I usually like to give them an endo syringe with a fuzzy tip and have them use peroxide around the gingiva for one week and then switch to chlorhexodrine in the same manner for 4 days prior to insert date. Also super floss everyday and a rubber tip stimulator on any areas that have been lasered. Just wondering what your post op instructions include. Thanks for the great videos and looking forward to seeing more!.
@StevensonDentalSolutions
5 жыл бұрын
8:59 Usually no CHX - staining issues...Thanks Doc.
@KhurramA
5 жыл бұрын
@@StevensonDentalSolutions Thanks for the reply doc.
hello Dr.Stevenson . i would ask you about an online veneers course, is it available ?
@StevensonDentalSolutions
4 жыл бұрын
Not at this time, but maybe in the future! Thank you.
Dr how to remove composite later on? Thank you inadvance
@StevensonDentalSolutions
3 жыл бұрын
Use a spoon and uplift from the gingival.
Is the RSVP technique, why cleave the bisacrul above the cervical area and then use flowable? Why not let bisacryl replace the whole thing?
@StevensonDentalSolutions
Жыл бұрын
The two-step approach allows you to control the location of the cervical segment - to keep it flush with the margins and out of the sulcus. If you make it in one piece, (since it cannot be removed without breaking to trim) the excess into the embrasures, sulcus, and tissue will leave uncleanable areas and tissue inflammation during the delivery appointment.
dr i want to know how you manage the tooth after removing the temps and you are doing final cementation on teeth. you put an adhesive how to you clean the tooth without causing anu issues on the fit thanks
@StevensonDentalSolutions
4 жыл бұрын
Oh - got it. I have not made a video of this yet. Essentially the spot etching allows for retention, and yet very easy clean up. I remove residual adhesive with a piezo on low energy or a sharp instrument. To verify fit, Bausch ArtiSpray blue or green to spray onto the preps before try in to uncover possible hang ups to seating. The areas will be obvious and easily removed - occasionally with a composite disk - never a diamond bur. The ArtiSpray left on the tooth may be cleaned off with a trophy brush/air abrasion.
@josephryanmabaquiao4825
4 жыл бұрын
Stevenson Dental Solutions thanks dr hope you can make video about this thank you
Thanks for a great video again. Just wondering how easy it is to take out a 6u RSVP temp? Does the composite part come out with the temp material? Thanks
@StevensonDentalSolutions
5 жыл бұрын
Great Question! Yes, the class V's easily pop off as they were not bonded extensively to tooth structure. I use a beefy spoon and uplift the gingival areas. Clean-up takes a few minutes. Do not use a bur to cut through the facials as you risk creating a groove on the facial of the prep - if they are stubborn to remove, slit the incisal edges (like a depth cut not entirely though the material) and use a twisting move with a spoon to create a fracture in the material.
@JC-yg9uh
5 жыл бұрын
@@StevensonDentalSolutions thanks for the reply! You've mentioned you are going to have a video on cementation. Will you show how to take off the temp in the same video? I would really appreciate if you could! I am looking into taking your courses in the future!
@StevensonDentalSolutions
5 жыл бұрын
I will indeed. Best, Dr. S
Hi Dr can u tell me please where the difference between all the 6 part of venner preparation and who from them I used to the patient
@StevensonDentalSolutions
3 жыл бұрын
The series was designed to teach fundamentals. Patient cases will be very similar with attention to existing enamel and structure, esthetic parameters, dynamic occlusal factors, and of course the periodontal health of the patient. We teach a three day course that covers most of this and includes live patient demos.
@DragoDent
3 жыл бұрын
@@StevensonDentalSolutions thank you Dr very much
thank you teacher
@dongdongdong8413
3 жыл бұрын
I try to follow next part of occlusion for porcelain veneer, but i can’t get it. Can you guide the link for that part. Thank you so much teacher.
@StevensonDentalSolutions
3 жыл бұрын
@@dongdongdong8413 It has not been produced yet - stay tuned.
@dongdongdong8413
3 жыл бұрын
@@StevensonDentalSolutions Do you have recommended paper must read for this issue? Thank you.
@StevensonDentalSolutions
3 жыл бұрын
@@dongdongdong8413 I will work on this soon - there is no really clear paper, unforntuately
@dongdongdong8413
3 жыл бұрын
@@StevensonDentalSolutions Thank you teacher
Hello Dr. Which material did you use for the impression?
@StevensonDentalSolutions
3 жыл бұрын
The putty is our own brand SDS Putty, available through our website, and the syringe material is Aqasil Ultra XLV. Thank you!
Hi Dr Stevenson thank you for a great video again can you please elaborate a easy method to remove the temporary veneer especially facial veneer
@StevensonDentalSolutions
Жыл бұрын
usually, I simply use a large spoon and grab a gingival margin and lift upwards. The temps are thin and typically break off. Sometimes, I'll use a piezo to vibrate off excess material. Rarely, I'll use a thin diamond very very carefully to section thick areas and use the spoon to pry the two halves apart.
@bsk4627
Жыл бұрын
@@StevensonDentalSolutions thank you sir if possible can you make a video for it sir it will be very useful for us sir
Hello Doctor, please could you explain to me how these provisionals are removed for the final restorations? would it be challenging since you used adhesive system technique? Can it be done with temporary cement? Please, I would appreciate a response from you. Thanks a lot for these videos! :)
@StevensonDentalSolutions
4 жыл бұрын
They come off very easy with a spoon since the middle of the facial is etched with a small etch pattern. After the bulk of the veneers are removed, the excess adhesive may be removed with either a disc or intramural air abrasion unit. Temporary cements simply don't work well - poor retention.
@chinonsonwachukwu6840
4 жыл бұрын
@@StevensonDentalSolutions Thank you so much for clarifying this for me, I am happy you replied me. God bless you!
@StevensonDentalSolutions
4 жыл бұрын
My pleasure doctor!
Can spot etching and bonding lead to pressure sensitivity in that area since the provisional is only connected in one tiny spot?
@StevensonDentalSolutions
2 жыл бұрын
Sometimes, but preps are typically in enamel for the most part, and even if not the sensitivity is fleeting and rarely an issue.
Slightly unrelated. What do you think about componeers ? For patients who cannot afford porcelain
@StevensonDentalSolutions
5 жыл бұрын
Very Good Question! I think these are often ideal solutions. Direct bonding veneers and diastema closures have been great conservative and more appropriate and affordable options that we've employed for decades. Take a 15 year old for example with a peg lateral - perfect case for a direct composite veneer or a componeer. Best, Dr. S
Hello sir, I’m a dentist from Thailand. Can I attend your class, or you accept only US dental licenced dentists? I have the Thai dental licence tho but not US licence. Thank you for the valuable lecture!
@StevensonDentalSolutions
2 жыл бұрын
Yes, we would enjoy having you attend. Our participants come from all corners of the globe. We are International!
How do we remove those temporary veneers? Kindly put up some videos. Thanks
@StevensonDentalSolutions
3 жыл бұрын
Usually with a spoon excavator at the gingival with an upward twist. When that doesn't free them, I make a slit through the incisal, careful not to hit the tooth, and use the spoon to once again twist the slit area and crack the temps into two pieces. The residual spot bond may be easily air abraded away. Will try to make a video during my Veneer Course later this year.
With the etch and the bonding, how is it when we have to remove it (making sure nothing is left prohibiting proper seating of the porcelain veneer)?
@StevensonDentalSolutions
2 жыл бұрын
I recommend NOT curing the adhesive prior to the cementation of the veneer - the bonding layer will not inhibit the full seating.
@mohammedalattar8418
2 жыл бұрын
@@StevensonDentalSolutions and doctor if we use etch and bond like you said , we are gonna to remove it by instrument or we remove it by hand piece?
@StevensonDentalSolutions
2 жыл бұрын
@@mohammedalattar8418 ALWAYS best to remove excess with a microbrush, then cure. The final step may involve smoothing and polishing the margin with care...
Hi Dr.Stevenson ! Just ordered a bunch of veneer prep stuff from your website and excited to use them on my patient this week . I have a question and appreciate your feedback . If I etch and bond like you showed in the video , can the composite attached be removed using the Kerr optidisks I got from your website ? Or is there anything else I should use ? If I can , would the coarse one be good enough ? Thank you !
@StevensonDentalSolutions
2 жыл бұрын
Yes, try the coarse dry with air spray to remove the spot binding - should be enough. Also, you can spray the tooth with Arti-Spray and try in the veener to fin any residual high spots if not seating. Best wishes!
@ramayelisetty3935
2 жыл бұрын
@@StevensonDentalSolutions Thank you Dr.Stevenson !! What burs /kit do you use to adjust veneers and polish them after adjustment ? I would love to order on your website If you can let me know the details . Thank you for all your help !
@StevensonDentalSolutions
2 жыл бұрын
@@ramayelisetty3935 I use fine red strip diamonds like the 8379-014 football for the lingual margin, but never use rotary instruments on the gingival and proximal margins. It's good to use the VisionFlex strips for the interproximal and Diacomp polishers for the margins - slipping the cup sub-gingival...
@ramayelisetty3935
2 жыл бұрын
@@StevensonDentalSolutions can’t thank you enough Dr.Stevenson ! Means a lot you taking your time to answer my questions . Truly appreciate it from the bottom of my heart !!
@StevensonDentalSolutions
2 жыл бұрын
@@ramayelisetty3935 My pleasure
Why would you remove about 1mm incisal to the gingival margin and put composite there instead? What's the point of doing this instead of just filling up with temp material? And do bisacryl stick to the spot etch/bonded area the same way the composites do?
@StevensonDentalSolutions
3 жыл бұрын
You can control the flash and avoid overfilling with bis-acryl. Yes - they bond perfectly
@JoonKimDMD
3 жыл бұрын
@@StevensonDentalSolutions Thank you. I am about to do my first veneer case. Do you know a program that goes over what to do regarding incisal wear, posterior wear cases and when it is indicated to change CR, deprogram for veneer cases? I don't want my veneers to chip off or pop off because of their grinding habits.
@StevensonDentalSolutions
3 жыл бұрын
@@JoonKimDMD Our course in August covers this an much more i detail. stevensondentalsolutions.com/product/anterior-ceramic-restorations-august-20-22-2021/
Thank you very much doctor ... i have one thing that confuses me and I appreciate it if u clarify it to me ... in so many clinics they do veneers to lengthen the tooth but without any prep of the incisal edge and no butt margin ... even when i asked my doctor in college he said that there is no need today to prep the incisal edge even if you are lengthening the tooth
@StevensonDentalSolutions
3 жыл бұрын
If you lengthen the tooth 2.0 mm, then it is possible to avoid a prep, but this will leave the lingual margin shape dependent on the contours of the linguioincisal line angle - this area is rounded typically and lacks a clean finish line. Thinning the ceramic to cover the curved transition from the incisal to the lingual presents numerous problems for the technician as well. You simply can not feather ceramic to a knife edge, that is why we insist on shoulder-like finish lines for butt joint margins with ceramics. If you wish to lengthen less than 2 mm, then prepping is necessary for the above reason AND additionally to allow for more incisal effects in the final case. I have seen many NO PREP cases as your professor recommends and none of them is excellent - they are all simply "acceptable." Excellence is a path that few chose to travel...
@rajasuliman6182
3 жыл бұрын
@@StevensonDentalSolutions thank you very much ❤️
@StevensonDentalSolutions
3 жыл бұрын
@@rajasuliman6182 Yes my pleasure.
@mohammedalattar8418
2 жыл бұрын
@@StevensonDentalSolutions in simple sentence, we make reduction for veneer to get enough room for ceramic to seat it and get great retention also . Is that right ??
@StevensonDentalSolutions
2 жыл бұрын
@@mohammedalattar8418 Sounds good to me!
sir do u have an online course now????
@StevensonDentalSolutions
3 жыл бұрын
We are meeting in person for the Veneer course in August. We may do an online course in the future if Covid does not settle down.
Thanks dear doctor you are GREAT hope to see you soon in Iraq 😅
@StevensonDentalSolutions
5 жыл бұрын
That would be awesome!
😍😍😍
@StevensonDentalSolutions
3 жыл бұрын
Thank you!