Veneers - a valuable addition to any practice

08.11.2018 18:54:08

Adhesively cemented ceramic anterior veneers, as we know them today, have existed for nearly four decades. Nevertheless, it can be observed that this form of therapy has still not attained the status that it holds in the offer spectrum of many practices in this country. This is certainly a number of reasons responsible. Among other things, a possible insufficient education in the local higher education system or a wrongly suspected complexity of the method, but also the lack of knowledge of the indication spectrum and relatively broad field of application as well as the lack of own know-how or corresponding competences of the dental partner can be considered. Finally, there are also everyday proven alternatives with direct composite or full crowns.

The range of variation of what is commonly referred to as a "veneer" is quite large in the anterior region. Beginning with small proximal, incisal or cervical partial veins ("Additionals", "ceramic chips"), over super-thin (0.2-0.4 mm) labial shells ("superthin veneers", "Contact lens veneers"), further over the classical ones "Laminate Veneers" with layer thicknesses of 0.4-1.2 mm and incisal shortening to adhesive all-ceramic three-quarter crowns ("360 ° Veneers"), the transitions are infinitely variable. Common to all is the indirect production of ceramics in the laboratory and the adhesive attachment. The purpose of this paper is to clarify the true value of this method of treatment for the practice and the patients.

First of all, the meaning of the term "value" should be illuminated. For a true value or utility is not necessarily the same as a mere "benefit," even if it is often difficult to tell apart. So a car may be an advantage over another vehicle if it has a stronger engine and drives faster. But a value for the driver (or others) it has only if it is also possible to use this advantage, for. For example, being at home faster without speed limit or having more fun driving. But only if this advantage is not nullified or even reversed by other disadvantages (eg higher costs, less comfort, or a more dangerous journey). Actual benefits do not exist in too many forms. In particular, this is:

Time savings, financial savings, more profit, a possibility (offer, condition, performance, quality) that is very important to you personally, that otherwise did not exist.

Many products, procedures, services and remedies are touted to dentists with a pure benefit argumentation. Therefore, the consideration of the actual individual benefit should be taken very carefully with each planned acquisition. It is similar when weighing up dental treatment decisions. The various advantages and disadvantages of a form of therapy must be considered together with the patient's own abilities and individual requirements and wishes.

The three main criteria, which should play a central role in every restorative treatment decision, are excluding the costs:

  1. the durability
  2. the substance conservation
  3. the aesthetics

Of course, there are other factors such. Material incompatibility, treatment cost or method of preparation, but the three above are in most cases absolutely in the foreground and should be discussed with each patient. Surveys have shown that these three areas also have the greatest importance for the patients.

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