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Composite laminate veneers: a clinical study.

A W Walls1, J J Murray, J F McCabe

  • 1Department of Operative Dentistry, Newcastle University Dental School, U.K.

Journal of Oral Rehabilitation
|September 1, 1988
PubMed
Summary
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Composite laminate veneers offer aesthetic improvements for anterior teeth but show significant chipping and marginal staining after two years. These dental restorations also negatively impacted gingival health in patients.

Area of Science:

  • Restorative Dentistry
  • Dental Materials Science

Background:

  • Composite laminate veneers are utilized for aesthetic enhancement of anterior teeth.
  • Discoloration and hypoplasia are common aesthetic concerns addressed by veneers.

Purpose of the Study:

  • To evaluate the clinical performance of a composite laminate veneer system over a 2-year period.
  • To assess the efficacy of composite veneers in masking dental discolorations and hypoplasia.
  • To determine the durability and potential adverse effects of composite veneers.

Main Methods:

  • A 2-year clinical trial involving 79 patients and 320 composite laminate veneer restorations.
  • Follow-up assessments of 273 restorations in 68 patients over the 2-year period.
  • Evaluation of aesthetic outcomes, material integrity (chipping, staining), and gingival health.

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Main Results:

  • Composite laminate veneers provided acceptable aesthetic improvements for patients.
  • Significant material loss due to chipping was observed: 52% of lateral incisor veneers and 79% of central incisor and canine veneers.
  • Marginal staining affected 75% of veneers after 2 years of function.
  • Veneer placement had a detrimental effect on the gingival health of the treated teeth.

Conclusions:

  • While composite laminate veneers can improve aesthetics, their long-term durability is limited by chipping and staining.
  • The use of composite laminate veneers may compromise the gingival health of the underlying teeth.
  • Further research is needed to improve the longevity and biocompatibility of composite veneer systems.