Presenting Clinical Problem
- Anterior teeth appearing reduced in vertical dimension
- Tooth proportions not meeting patient’s aesthetic preferences
- Variation in tooth size creating perceived imbalance
- Patient reported concerns regarding tooth appearance affecting social confidence
- Clinical assessment indicated scope for enhancement of tooth dimensions
- Primary objective: Improve anterior tooth length and proportion
Treatment Plan & Clinical Process
Phase 1: Assessment and Treatment Planning
- Comprehensive aesthetic assessment and smile analysis
- Evaluation of existing tooth structure and enamel thickness
- Assessment of desired final tooth dimensions and proportions
- Discussion of composite veneer option versus alternative treatments
- Shade selection and treatment planning
Phase 2: Composite Veneer Placement
- Minimal tooth preparation to accommodate composite material where required
- Layered composite resin applied to multiple anterior teeth
- Shade matching to achieve harmonious appearance
- Building of tooth length and adjustment of proportions
- Shaping and contouring to create desired form
Phase 3: Finishing and Maintenance Planning
- Surface finishing and polishing to create smooth texture
- Occlusal adjustment to ensure appropriate bite relationship
- Post-placement care instructions
- Discussion of maintenance requirements and longevity expectations
Clinical Outcome
Direct composite veneers were placed on multiple anterior teeth to modify tooth proportions and enhance perceived length. The procedure was completed over one to two appointments depending on number of teeth treated.
Individual responses to composite veneer treatments vary significantly. Treatment outcomes cannot be guaranteed, with results depending on original tooth structure, composite material properties and individual habits. Composite veneers typically require replacement every 5-10 years due to staining, chipping or wear, though longevity varies considerably. Regular maintenance appointments and appropriate oral hygiene are essential to maximise treatment longevity.
Frequently Asked Questions for Gisborne and New Gisborne Patients
What maintenance do composite veneers require?
Composite veneers require careful oral hygiene to prevent staining and decay at margins. Avoiding highly pigmented foods and beverages (coffee, tea, red wine) helps minimise discolouration. Hard foods and habits like nail-biting should be avoided to prevent chipping. Regular professional polishing and maintenance appointments are recommended. Colour-matching new composites to aged surrounding teeth may become challenging over time.
Can composite veneers be repaired if damaged?
Minor chips or surface wear can often be repaired by adding new composite material and refinishing. However, extensive damage may require complete veneer replacement. Repaired areas may not match perfectly with surrounding material that has aged or stained. Repair success depends on extent of damage and condition of existing composite material.
