Serving all of Central and Western Montana ~ Located in Missoula

Dr. Vince Meng

Case Study 29: Esthetic Prototype Bonding Veneers

This case has severe enamel breakdown fromm a combination of acid wear, bruxism, and a bicycle wreck, fracturing the weaken enamel.  As in all complex cases I fabricate a wax design, test it in bonding, then convert to porcelain. The bonded functional prototype is used to so that the posterior teeth and lower anterior teeth are temporized in the prototype material then remaining treatment is segmented over time.

Case Study 28: Veneers

This case demonstrates conservative veneer treatment to address significant wear issues and tooth malpositions.  Applying veneers to the bicuspid teeth allows for rounding and symmetry to the smile. The tooth malpositions had accelerated the wear pattern so that the incisors were translucent.

Case Study 27: Esthetic Protype Bonding, Veneers

This case is the result of significant wear from acidic reflux problems (GERD) resulting in significant wear in this young lady. Esthetic proto type bonding is first applied to test the design of my wax design.  Following approval, veneers are applied to the anterior teeth that wrap around both sides. This preserves valuable enamel and tooth structure enhancing strength and longevity of the restorations.

Case Study 26: Esthetic Prototype Bonding

This case utilizes this temporary bonding technique so this young lady could be ready for family photos,  the final veneers were placed a year later. Significant wear had resulted from retro-clined incisors against lower porcelain crowns.  Utilizing the bonding determined only 2 teeth required treatment instead of four.

Case Study 25: Esthetic Prototype Bonding

This case demonstrates the use of a new bonding procedure that allows for an economical solution to treat teeth in phases when significant procedures are planned. This material can last 3-5 years or is sometimes bonded for a few weeks to test the planned design prior to committing to treatment. It is very useful when bite opening is required; hence, allowing treatment to be accomplished in phases.

Case Study 24: Miniveeners - Bonding

This case also demonstrates conservative boding of a shortened incisor with a miniveneer of the left central incisor. Minor bonding is also applied to the very small chip of the right central. Using porcelain rather than bonded composite on the shorter incisor provides a more durable and stable solution to the problem compared to direct bonding with the benefit of greater longevity.

Case Study 23: Miniveneers

This case demonstrates a new technique that is the ultimate in conservative. Undersized lateral incisors result in spaces following orthodontics. Closing the space is treated with porcelain bonding of the defect only retaining all the natural tooth structure. This could have also been accomplished with direct bonding but would not have near the longevity and stability.

Case Study 21: Bonding

Bonding can be utilized as an economical and conservative approach to close spaces and reshape teeth. In this case bonding of 4 teeth is performed to close space and reshape lateral incisors, to maintain proper proportion.

Case Study 22: Esthetic, Comprehensive Reconstruction

This case demonstrates maxillary excess with significant wear resulting in disproportionate gingival display.  Orthodontics, utilizing orthodontic miniscrews (TADS) prevented the need for more invasive orthognathic surgery.  Porcelain laminate veneers are designed and placed to restore original tooth proportions and yield a pleasing esthetic result.