1. Direct veneers: . A direct veneer is built up over the tooth surface by hand with composite material. Indirect veneers: An indirect veneer is made in a dental laboratory and is generally constructed from porcelain. Both types of veneer usually involve some reduction being made in the enamel surface of the tooth in order to create room for them 2. Indirect Composite Veneers 90% Ultimately, ceramic is always going to deliver a more cosmetic result BUT how much more cosmetic? The new resins have a higher degree of polishability, excellent stain resistance and are tough. Direct Composite Veneers 74% the direct resin veneers will start to look tired in 8-12 years. In this time frame, there will be surface deterioration of the resin but the bond to tooth structure should still be good 3. 1-Esthetically compromised anterior teeth 2 Desire for younger smile 3-Stained teeth (intrinsic/extrinsic) 4-Closure of diastemas 5-Fractured teeth 6-Anatomically malformed teeth 4. Acceptable Occlusion Presence of Perio Problems Enamel Irregularities or Deficiencies Very Dark Staining Mandibular Teeth Multiple Large Defective Restorations 5. 1-One-visit procedure 2-Chair-side control of anatomy 3-Repair potential 4-Minimal irreversible loss of tooth Minimal irreversible loss of tooth structure. 6. The teeth and gingival tissues shown when smiling Variables: mouth size, smile width, tooth length, lip size and tightness, self image, gender, and age The Frame= Lips and Gingiva 7. . Face Shape Facial Proportions Midline Symmetry Harmony 8. 1-lips should be symmetrical 2-A pleasing smile should ideally show canine to canine or premolar to premolar 3-symmetrical gingiva 4- 75 % to 80 % of max. incisors showing 9. Problems Excessive gingival display Uneven gingival contours Loss of papillae 10. Minimal tooth reduction was initiated using a finishing diamond to roughen the facial surfaces of the anterior teeth. Tooth reduction was used to correct the proper arch form and, as possible, confined to enamel. This would ensure a uniform, even facial plane and a surface conducive to predictable resin bonding 11. Minimal tooth reduction 12. Each tooth was isolated with dead soft aluminum foil, etched with 34% phosphoric acid for 15 seconds, and dried according to the total-etch technique. A fifth-generation bonding agent (Prime & Bond) was then generously applied over the preparation and allowed to sit for 20 seconds before it was air-thinned and cured with a halogen light 13. This approach was repeated on each tooth individually in order to prevent collapse of the collagen fibrils that may have been exposed at the hybrid layer and other undesired sequellae (e.g., over drying, over etching) that could have minimized the desired bond strength of the restoration to the etched tooth structures. 14. Using a freehand bonding approach, a body shade (A1) of composite resin was applied to the facial surface of the tooth 15. shade (A1) of composite resin was applied 16. . The resin was delivered via compule, as the material was more pliable when dispensed accordingly for application and shaping. The body material was sculpted to full contour at the cervical third and tapered incisally to provide space for the application of enamel- shaded composite resin. 17. Dentin mammelons were formed to provide esthetic incisal edge effects and to retain the patients youthful appearance. When the dentin body material was contoured the material did not need to be smoothed facially; the mammelons were sculpted freehand to achieve a natural appearance in the direct resin veneers postoperatively. The dentin body layer was then light- cured for 10 seconds. 18. Dentin mammelons were formed to provide esthetic incisal edge effects and to retain the patients youthful appearance 19. An incisal halo was also created through the minimal application of body shade 20. gross contouring was accomplished with a series of medium and fine diamonds, 21. Care was taken to prevent excess heat buildup by frequently raising the finishing cup from the restoration surface 22. Silicon impression technique