No-Prep, Prep-Less, or Low Preparation Veneers

The demographics of smile makeovers is changing very quickly nationwide.  Smile makeovers are no longer solely the domain of 30 to 40 year olds.  Now we are finding more of our elective cosmetic cases are being requested by women over the age of 50.  This patient always wanted a beautiful smile and finally at age 77, asked for it!  Most of the upper teeth in this photograph are covered by thin sheaths of ceramic fashioned to create the contours that this very sophisticated client from Chicago's Gold Coast requested. See the before and after photos of this patient who was also a bruxer (had worn teeth due to nightime tooth grinding).

The demographics of smile makeovers is changing very quickly nationwide. Smile makeovers are no longer solely the domain of 30 to 40 year olds. Now we are finding more of our elective cosmetic cases are being requested by women over the age of 50. This patient always wanted a beautiful smile and finally at age 77, asked for it!
Most of the upper teeth in this photograph are covered by thin sheaths of ceramic fashioned to create the contours that this very sophisticated client from Chicago’s Gold Coast requested. See the before and after photos of this patient who was also a bruxer (had worn teeth due to nightime tooth grinding).

MINIMALLY INVASIVE DENTISTRY, CONSERVATIVE PORCELAIN VENEERS WITHOUT DRILLING

Teamed with world famous ceramist Matt Roberts CDT, our office is proud to announce the development of “No-Preparation” or “Minimum-Preparation Veneer” systems, the newest most advanced conservative dental restorative product in the world today. One of the newer innovations in cosmetic dentistry is the technological development of dental porcelains used for porcelain veneers or porcelain laminates that can be created ultra-thin (as thin as 0.2mm) and still be strong and durable. Low preparation means only a small amount of drilling or tooth reduction is performed. No or low-preparation veneer styles still allow Dr. Fondriest to restore smiles with natural contours (not thick or overcontoured) with zero or minimal tooth reduction! Most veneer porcelain types are extremely brittle and will easily break during the bonding process when made thinner than 0.5mm thickness. This new non-brittle porcelain can be made in especially thin sheets that will bond without cracking.  The healthy tooth enamel is maintained.  In many cases no anesthesia is required to create and deliver these beautiful restorations.

Unlike the similar highly marketed product, Lumineers™, our no or minimal reduction versions can be built with multiple artistic layers with varying colors and levels of translucency of porcelain as opposed to the single colored one-dimensional Lumineers. Much greater and natural esthetics can be achieved with no removal of enamel.

Many patients are uneasy and hesitant about having any enamel removed, especially when the teeth are in a healthy condition. No-preparation  or low-preparation laminates offer the conservatism of composite bonding while delivering the durability and beauty of regular porcelain veneers. These  paper-thin translucent ceramic sheets are basically show-through and manifest a contact lens effect, allowing the normal color of the natural enamel beneath to come through while fixing any imperfections or blemishes and improving the overall shape and symmetry.  This type of restoration is especially useful when the teeth are too small, due to wear or genes.

What determines how much tooth reduction or drilling is needed to do a porcelain veneer?

The amount of reduction is a factor that needs significant discussion when planning your treatment choices. The amount of tooth reduction should be matched to your goals and priorities.  There are positives and negatives with both heavy and light enamel removal which significantly affect the quality of outcome.  Veneers with minimal reduction are a good choice when modest improvement in symmetry and tooth alignment is desired as well as making a more uniform surface morphology. The best cases for the more conservative designs are those without diastemas (gaps or spaces between the teeth), no gingival recession, or loss of gum papillae (black triangles).  Conservatively prepared laminates are not a good choice when the goal is to change the brightness of the teeth.

If the case selection is not ideal, minimal-preparation laminates can be more technically challenging for the practitioner and the technician than with conventional designs.  The practitioner is responsible to control undercuts, create a line of draw, and to hide margins.  Significant improvements in outcome can be achieved with small amounts of tooth preparation to create a margin, to open buccal and incisal embrasures, to ensure a line of draw, and to round out sharp edges.

Minimally Invasive and Conservative Dentistry Definition

Minimally invasive dentistry is a philosophy of respecting the value of the original natural tissue.  Said another way, nothing artificial is as good as what Mother Nature has created.  Dr. Fondriest tries to do the minimum necessary to restore your teeth to their natural healthy condition.  When doing dental restorations, the doctor will do as little drilling as possible to fulfill the goals of the procedure.  This is especially important with elective cosmetic care.  Many dentists will drill teeth down to small stumps when it is not necessary.  Because nothing is permanent, the heavy loss of tooth structure precludes multiple replacements and it limits future restorative options.  Our goal is to limit the amount of drilling to the minimum, helping our patients keep their natural teeth in a healthy state throughout their lifetimes.

Ten conservative porcelain veneers were placed on the upper teeth of this Gurnee patient.  "Additive only veneers" were used to change the shapes and to remove the color blemishes of her teeth.

Ten conservative porcelain veneers were placed on the upper teeth of this Gurnee patient. “Additive only veneers” were used to change the shapes and to remove the color blemishes of her teeth.

 

 Seven veneers with only a small amount of enamel removal were done on the upper front teeth were done to lengthen them and to fill the gaps or spaces between his teeth and to broaden the smile.

Seven veneers with only a small amount of enamel removal were done on the upper front teeth were done to lengthen them and to fill the gaps or spaces between his teeth and to broaden the smile.

 

See before and after example of how prepless or minimally invasive veneers can be used.

We provide no or low preparation veneers or crowns to the greater Chicago area, including the North Shore suburbs of Highland Park, Northbrook, Deerfield, Glenview, Winnetka, Lincolnshire, Lake Bluff, Libertyville, Gurnee, Grayslake, and Vernon Hills.