Format of Original
The Journal of Prosthetic Dentistry
Original Item ID
DOI: 10.1016/j.prosdent.2015.02.019, PubMed Central: PMID: 25979445
This article describes a method of fabricating a labial reduction guide for laminate veneer preparations by using a digital tire tread depth gauge and orthodontic wire. The labial reduction guide can help clinicians to achieve accurate reduction of the labial surface. Minimally invasive porcelain laminate veneers have become a popular option in esthetic dentistry. Porcelain laminate veneers require only 25% to 50% of the amount of tooth reduction required for complete coverage restorations.Nevertheless, adequate labial reduction is important in creating optimal esthetics. However, excessive reduction can lead to compromised bond strength due to penetration of the enamel surface. Typically, the appropriate reduction is determined from a diagnostic waxing, and then a silicone index or thermoplastic matrix is made to guide preparation. Verifying the amount of reduction during tooth preparation from the guide can be problematic because the range of labial reduction for laminate veneers is small (0.3 to 0.9 mm). Freehand labial reduction can result in insufficient tooth removal.The purpose of this article was to describe the fabrication and use of a labial reduction guide (LRG) for laminate veneers.