Case Study | Dental Veneers for Worn Teeth with Dr David Tuffley

Case Study | Dental Veneers for Worn Teeth with Dr David Tuffley

In our newest case study, a young patient in her twenties presents with moderately shortened and worn upper canines (1) and incisors (2), as you can see in our case study photos below.

Our patient had recently completed Orthodontic treatment, and while she was happy with her beautifully aligned teeth, she was still dissatisfied with the appearance of her smile, with Dr Tuffley explaining,

“Our patient presented at the end of her Orthodontic treatment, and while she was happy with the way her teeth had been straightened – unfortunately, the outcome wasn’t satisfying her smile expectations. She had worn the incisal edges of her teeth from grinding, and she wanted to return her teeth to their former glory and protect them.”

Dental Veneers (Porcelain Veneers) for Worn Teeth Annotated Before Picture

Prior to treatment – Incisors (1) & Canines (2)
needed restoration to prevent further deterioration.

Restoration of these teeth was necessary as they were not only impacting self-confidence but also, leaving these teeth untreated would lead to further deterioration and breakdown of her dentition.

Treatment Plan

  • 4 x Ceramic Veneers on Upper Incisors (1)
    Veneers to rebuild worn incisor structure and increase their length.
  • 2 x Composite Resin Restorations on Upper Canines (2)
    To rebuild worn incisal edges & balance smile design.
    (1) & (2) shown on before and after treatment photos.

Treatment Process

Our dental laboratory, Studio 12 Dental Design, took photographs to document treatment – and to provide the patient with colour matching, so that the shade of the new restorations matched the patient’s dentition.

Dr Tuffley performed a 0.6 millimetre minimal intervention veneer preparation on the four incisors, and we provided temporary veneers for the interim. This meant our the patient left with her smile intact while we prepared her final restorations.

Composite restorations were placed on the canines to match the previously designed veneers.

Outcomes & Final Treatment

Dental Veneers (Porcelain Veneers) for Worn Teeth Annotated After Picture

Post-treatment – Incisors (1) & Canines (2)
restored to match natural dentition using a combination of
Porcelain & Composite Veneers.

Once the laboratory had completed the building of the porcelain veneers, the patient returned for final cementation and placement of her veneers.

The accepted treatment plan combined porcelain veneers and composite restorations across all six upper front teeth. Overall the treatment took three appointments –

  • Consultation & design
  • Preparation & temporary veneer placement
  • Final cementation

Porcelain dental veneers were made in-house, with Studio 12 Manager & Master Ceramist Lyndon Hays stating the lab team’s goal was ‘to provide a superior-grade restoration that the patient would be happy to consider a part of her natural smile’.

“E-Max is an ultrahard pressed ceramic material, and not only does this have amazing aesthetic properties, it is also very durable. Veneers made from this material form a tight bond with teeth, and provide a very natural look that can last many years,” says Lyndon.

“Our experienced team model, shape and colour each of our ceramic restorations by hand. The result is a high-grade veneer that has been created in partnership with the patient’s dentist to fit their smile.”

Finally, the canines were restored using composite resin, which was placed and shaped directly in the dentist’s chair. Dr Tuffley explains his main goals were preserving the natural tooth and matching the new dental veneers,

“The canine teeth were built up using some composite resin, shaped, and colour-matched to compliment the newly placed veneers. This composite material was chosen for two reasons – to minimize cost and minimize loss of tooth structure.”

“Composite resin restorations like these can be placed without tooth preparation, and at no biological cost to the tooth, and for these reasons this material was used to replace the missing tooth structure.”