Porcelain Veneer Bonding Procedure Instructions
These instructions detail the exact
procedure for bonding or luting porcelain veneers. The instructions are written
to help the dental assistant follow the proper procedure, and also to help
the dentist. Porcelain veneer luting is a complex procedure, and
instructions need to be followed very carefully or the bond may fail.
If you are luting porcelain veneers
with any other bonding materials than those specified here, be sure to
consult the manufacturer's instructions.
Pre-appointment preparation by the dental
assistant:
1. Place Rely-x porcelain
primer on the etched surface of the porcelain veneers and let it dry prior to the
appointment.
2. Lay out the porcelain veneers on the tray paper.
Draw a circle in pencil for each veneer, with the tooth number in the
circle, and then place each one in its circle.
3. Cut thin retraction cord (purple) enough to go
completely across the front of each tooth that will be veneered. Also lay
each cord in its circle according to which tooth it’s for.
4. Place the porcelain veneer curing tip on the
curing light.
5. Get out the Insure porcelain bonding kit.
6. Get out the etchant and All-Bond materials, the
Superoxol, and brushes. (We will use a red brush for the Superoxol and a
green or yellow brush for the All-Bond.)
7. Get out a 3x3 paper pad and plastic mixing spatula
for the porcelain veneer luting composite.
Seat the patient:
1. Place topical anesthetic.
2. Pumice the teeth to receive
porcelain veneers while you are
waiting for the doctor.
Porcelain veneer bonding procedure by the doctor:
1. Local anesthetic
2. Try on the porcelain veneers again.
3. Get out the luting composite – probably
Insure clear.
4. Place cord.
5. Brush on
Superoxol to prevent gingival bleeding.
6. Etch the central incisors first. Assistant mixes
the A+B primer while doctor begins etching.
7. Swab on 5 coats of mixed A+B primer.
8. Dry the primer.
9. Place UNMIXED All Bond D/E bonding resin on the
tooth and on the veneers.
10. Place luting composite on the
porcelain veneers.
11. Place the porcelain veneers on the teeth. Wipe off the
gross excess.
12. Cure just the central part of the
porcelain veneer using
the porcelain veneer curing tip.
13. Using waxed floss, clean off all the excess
luting composite.
14. Cure the porcelain veneers more thoroughly.
15. Repeat steps 5-14 for each group of
veneers until
they’re all done.
16. Adjust occlusion, shape, and polish.
17. Final cure – 1 minute on the facial of each
porcelain veneer with the large curing tip. BE ABSOLUTELY SURE THE WHOLE VENEER IS CURED. This is absolutely
critical for the long-term life of the veneer.
18. Assistant can polish between the
teeth using
the Epitex polishing strips.
For books about cosmetic dentistry
bonding technology, click here.
Click here for more information about
porcelain veneers.
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