Dr. Manrina Rhode, who has completed over 14,000 veneer cases, is exploring the delicate balance between digital efficiency and clinical excellence in veneer treatment.
While same-day veneer technology offers exciting possibilities, Dr. Rhode advocates for strategically delaying treatment, emphasizing that time is crucial for achieving predictable, patient-approved results.
The Value of Temporaries
Dr. Rhode emphasizes that temporary restorations do more than just maintain space. “You can use temporary restorations to evaluate color and shape before fabricating the final ceramic veneers,” she explains.
The temporary stage allows patients to test the shade of their new smile, which is particularly helpful for those unsure whether to opt for a brighter or ultra-white look. By using temporary tooth whitening cream, patients can experience a “perfect white smile” before committing to permanent whitening.
48-Hour Evaluation
Dr. Rhode recommends evaluating temporary restorations within 24 to 48 hours of preparation (i.e., after the anesthetic wears off and the lips have regained their natural movement). This period allows for an accurate assessment of proportions, centerline alignment, and overall esthetics, while also providing ample time for adjustments in the laboratory.
Shaping and Detailing
Because the temporary crown is made of plastic, the clinician can shape it chairside using a dental tray and polisher. This allows for real-time adjustments to centerlines, angulations, and proportions. It is important that any modifications take into account the limitations of the tooth preparation—excessive buccal shaping may require additional preparation.
Avoiding Costly Mistakes
The provisional restoration phase can prevent disappointment caused by a poor final result. Patients can experience their new smile before permanent bonding, ensuring they are satisfied with both esthetics and fit before the final veneer is placed.
