Hey. I did a composite veneer on a lateral last week. The patient doesn't like color at the occlusal third.
What are the procedures to modify the color without removing all the veneer? Should i roughen the composite and add composite directly? Or bond then composite? Or what? The bond needs to be established either between enamel and dentin on one side and the resin composite on the other, or between the existing and the newly applied composite material. Check the bite and get the occlusion right (either relieve the composite or take away from the opposing tooth) Yes, you can add to existing composite.
Dovetail it into existing resto for added retention. Get the scoop on composite bonding dental treatment in this comprehensive guide. Learn its benefits and drawbacks to determine whether it's right for you.
The greatest reason to only "repair" an existing composite is to be "conservative", potentially not removing more tooth structure and adding insult to the pulp. Adding Bonding to an Emax Crown: What You Should Know Concerns include bonding durability and crown surface damage. Bonding to an Emax crown is possible but requires careful surface preparation to ensure adhesion.
The crown's ceramic surface must be etched and treated with a silane coupling agent before applying bonding resin. Usually its easier to remove the excess filling material than add back the removed composite material, that's why dentists might ask a hundred times if its good or not while checking for the occlusion, generally you can add composite on top of composite fillings. What are your opinions on repairing, or building up, an existing composite restoration by adding/bonding fresh new composite resin on top? I understand that bonding to an existing, completely cured composite restoration is weaker than replacing the entire composite restoration, but the former also prevents loss of additional tooth structure.
Ok have a q that i cant seem to find much info on at the minute. (ill checking me books). Been playing around with acrylic tempories for a while and one thing cleints need to do is add composite to them intra orally to sculpt soft tissue etc.
So the question is, can anyone recommend the best way of bonding composite to acrylic and will the bond be strong enough to last for long term implant. He could bond composite to them, but composite is more prone to staining and weaker than a lab processed veneer. To do this he would need to roughen up the lab composite veneer and then place bonding agent and then form and shape the composite.
A better alternative would be for your dentist to learn about EasySmile Veneers (soon to be ProVeneers).