concept by Dr. Andi Dragus
I have invented the Condilographiated Veneers concept in 2018. The concept combines the stomatognathic system functionality with the dental esthetics.
The Condilographiated Veneers concept is based on the mandibular dynamics and the masticatory reflex combined with the visual perception of the vestibular facets of the dental facets made by the dental technician team dental technician.
The Condilographiated Veneers concept is widely presented in the Webinar I recorded exclusively for ConectDentistry.
The condilographiated veneers are microprostheses that are part of a treatment plan that uses the condilography as a measurement of the mandibular dynamics.
The condilography is performed with the condylograph and is a digital method of recording the movements of the mandibular dynamics and diagnosing the status of the two ATMs.
By realizing the condylography we obtain the settings for the fully programmable articulator and exact data about the status of their ATM.
For the condylographiated veneers we need four SCI / Benett / ISS / SA parameters (obtained with the condilography) and the facial bow transfer of the correct position of the maxillary bone in the mathematical coordinate system that is the arcon type articulator.
In fact, the anatomy of the two ATMs is the one that, together with the neuro-muscular system, guide aesthetic dentistry.
When it comes to dentistry in general, we refer only to the vestibular facets of the teeth on the dental arches.
The vestibular facet of the tooth represents only 20-25% of the total surface of the tooth. The rest is represented by the other facets.
The veneers reconstruct the vestibular facets of the teeth, finally cementing themselves on the vestibular facets of the preparations and on the incisal plane of the teeth.
To achieve a predictable, functional and aesthetic treatment plan with veneers, it is mandatory that the artificial volumes represented by the veneers to be in exact balance with the 2 ATMs, the neuro-muscular system and the occlusion plane.
The volume and implantation of the dental organ (the tooth) in the maxillary and mandibular bone are not accidental. They are directly related to the ATM anatomy and to the vectorial direction of the muscles of the mandibular skull system, genetic loading and skeletal development.
When realizing the preparation of a tooth for veneers we actually intervene or reintervene on its volume, we apply the thread, we take an analog or digital print model, the dental technician realizes a base on which we lay various ceramic masses, we make samples of shape, color, volume, vestibular texture, balance color and, finally, when the patient is aesthetically satisfied, these veneers are cemented.
The aesthetic satisfaction is an individual and subjective dimension because it depends on the anatomy of the eye and the level of competence of the one judging the situation.
The professional aesthetic satisfaction of the group is one that considers standardization and, in some cases, even ambition.
The question is whether we can standardize the treatment plans of the billions of unique cases of patients.
If we read the definition of aesthetics we will see that it is a discipline of philosophy that has been around for a long time, trying to standardize the beautiful and the natural.
This philosophy has not yet reached a consensus in its continuous transformation and improvement, which is absolutely normal because it is not an exact science.
If we look at dental aesthetics only as a whole of the vestibular facets and as their static ratio with the lips and indirectly with the facial aesthetics, then we will be following only a static, incomplete and dysfunctional approach.
When we look at the aesthetics as a result of the convex concave views of the palatal facets of the upper teeth and of the incisional plane of transition between the vestibular and the palatal facets, we will understand that anatomy is the first factor that dictates the aesthetics and the limiting interval in which we can lengthen, widen or tilt the volumes of the future dental veneers.
In this functional range the team can perform aesthetic functional restorations with dental veneers.
Unfortunately, not all the cases qualify for dental treatment due to the specific mandibular dynamics of each case.
ANATOMY IS THE GOLDEN RULE IN AESTHETICS AND NOT A RATIO BETWEEN THE HEIGHT AND THE WIDTH OF THE VESTIBULAR FACETS.
- We can’t move the midline randomly.
- We can’t lengthen the teeth randomly.
- We cannot vestibularize the incisal third upon request.
- We cannot shorten the teeth randomly.
- An experienced dental technician can achieve optical illusions of the ratio between height and width as a golden rule.
- Any software or model can do anything but that does not mean that the veneers are also functional when cemented on the teeth.
- We have an interval within which we can draw a balance between function and stasis and this interval belongs to the homeostasis of the body.
- We can make veneers at the highest aesthetic and functional level at this time due to the materials and technologies available in the dental industry.