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    PREPARATION AND INPUT DATA2026~3 MIN

    Veneer and Onlay Preparation — When Less Means More

    A veneer is not a small crown. An onlay is not an intermediate solution between a filling and a crown. Each of these restorations requires a different approach to preparation — less invasiveness, but greater precision. Errors in tooth preparation lead to material fractures and restarting the problem.

    A veneer is not a small crown. An onlay is not an intermediate solution between a filling and a crown. Each of these restorations requires a different approach to preparation — less invasiveness, but greater precision. Errors in tooth preparation lead to material fractures and restarting the problem.

    Why Veneer Preparation Differs from Crown Preparation

    A veneer covers only the labial aspect of the tooth (and part of the incisal surface). It does not encircle the entire structure. This means one thing: you don't reduce as much. Facial reduction: 0.5–0.7 mm — significantly less than for crowns (1–1.5 mm). Incisal margin: Do NOT create a "shoulder" or "window prep." The margin can be:

    • On enamel (ideally) — with no visible line under the microscope
    • At the cemental border (acceptable) — but clearly defined

    Gingival margin: A gradual, distinct margin for the technician, but gentle for the periodontium. The patient should not feel the edge with their tongue. Why this difference matters: Less reduction = a more conservative approach. A veneer saves tooth structure, so aggressive milling is not required.

    Reduction and Margin — Minimalist Principles

    Parameter Veneer Crown
    Facial Reduction 0.5–0.7 mm 1.0–1.5 mm
    Incisal Margin On enamel (or cement) Always clearly defined
    Gingival Margin Chamfer Chamfer or Chamfer with a wall
    Angle Rounding Mandatory Recommended

    Incisal Margin: If you must extend into dentin, do so subtly and always inform the laboratory: "Margin partially on dentin, be mindful of sensitivity." Rounding: Sharp internal angles guarantee fracture. All transitions must be rounded (R ≥ 0.5 mm).

    Onlay — Rounded Angles and Wings

    An onlay is a hybrid between a filling and a crown. It covers working cusps (usually at least one) and can extend onto mesial and distal surfaces. Preparation geometry:

    • No vertical walls — rather gentle transitions at an angle of 6–10°.
    • Rounded internal angles (very important — these are stress concentration points).
    • Depth: 1.5–2.0 mm in the cusp zone, 0.5–1.0 mm at transitions.

    Wings: Wings are extensions of the onlay onto the cusp ridges, where the onlay "embraces" the functional surface. This should not be a wide slab — it should be a delicate, rounded connection. Wings reduce the risk of chipping and improve retention. Not all onlays require them — it depends on the height of the cusps and the tooth's geometry. Geometry errors:

    • Sharp internal angles = ceramic fractures
    • Too much reduction = unnecessarily invasive and less retentive
    • Enamel margin in unprepared areas = leakage

    Most Common Errors and How to Avoid Them

    Error Consequence How to Avoid
    Treating a veneer like a small crown — excessive reduction Unnecessary destruction of tooth structure, risk of pulp exposure Remember: 0.5–0.7 mm is sufficient
    Sharp internal angles (especially in onlays) Guaranteed ceramic fracture under occlusal load Round all transitions (R ≥ 0.5 mm)
    Lack of clear margin definition Technician does not know where the preparation ends Use a marker and describe clearly in the prescription
    Gingival margin in dentin without prior notification Post-preparation sensitivity, aesthetic issues If extending into dentin, write: "Margin on dentin"
    Window prep for veneers Risk of wall fractures, unaesthetic You don't need a step — the margin can be on enamel

    Communication with the laboratory — what to write in the Rx

    Clear communication reduces the risk of misunderstandings: For veneers:

    • "Ceramic veneer, enamel margin"
    • "Bruxism patient — consider increased thickness"
    • "Margin extends into dentin — be mindful of sensitivity"

    For onlays:

    • "Onlay, wings on unmodified cusps (e.g., 1, 2, 3)"
    • "Patient has bruxism — increased thickness"
    • "High cusps — wings mandatory"

    Universal:

    • Always specify: "Veneer" or "Onlay" — not "small crown"
    • If the patient is a bruxer — always mention it

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