Replacement of existing ceramic veneers is a common procedure in a restorative practice. It not only involves removing old material and replacing it with new material, but also a thorough dentofacial assessment in which we must check:
- Color
- Contour
- Arrangement
- Position
This visual essay will walk the reader through the basic steps of replacing ceramic veneers:
![Facial pictures showing tooth display in repose and full smile.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-1.jpg)
![Facial pictures demonstrating using retractors to assess incisal /occlusal plane orientation.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-2.jpg)
![Frontal pictures in occlusion and separating the teeth to further show the incisal plane discrepancy.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-3.jpg)
![Lateral views of old ceramic veneers.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-4.jpg)
![Mounted casts and wax-up.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-5.jpg)
![The old veneers are removed without damage to the tooth structure and the teeth are lightly re-prepared.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-6.jpg)
![Retraction cord is placed before impressions are made.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-7.jpg)
![Utilizing reduction guides to verify adequate tooth reduction based on the wax-up.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-8.jpg)
![Frontal view of provisional restorations.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-9.jpg)
![Provisional restorations in place.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-10.jpg)
![Extraoral evaluation of the provisional restorations.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-11.jpg)
![Feldspathic ceramic layering.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-12.jpg)
![Finalized ceramic veneers on master cast.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-13.jpg)
![Finalized feldspathic ceramic veneers.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-14.jpg)
![Try on of the ceramic veneers.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-15.jpg)
![Ceramic veneers after cementation.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-16.jpg)
![Full smile with ceramic restorations.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-17.jpg)
![Two-week post-bonding evaluation.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-18.jpg)
![Smile assessment.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-19.jpg)
![Facial integration of the definitive restorations.](https://assets.speareducation.com/digest/2020/01/replacement-of-old-veneers/Digest-Mitrani-Veneers-Figure-20.jpg)
A step-by-step technique for replacing old veneers utilizing a laser unit to remove pre-existing restorations allows for a fast, clean removal with minimal tooth reduction. The replacement with feldspathic veneers is a very common procedure in practice, in which a careful dentofacial assessment of the orientation of the incisal/ occlusal plane is essential to ensure optimal esthetics of the new restorations.
Ricardo Mitrani, D.D.S., M.S.D., is a member of Spear Resident Faculty.
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December 8th, 2020