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What separates good veneer dentistry from truly exceptional aesthetic dentistry? In Part 2 of this in-depth conversation on Digital Dentist Digest, Dr. Melissa Seibert sits down with legendary prosthodontist and aesthetic dentistry educator Dr. Gerald Chiche to explore the clinical nuances, preparation strategies, and decision-making principles behind predictable porcelain veneer treatment.
Dr. Chiche, former president of the American Academy of Esthetic Dentistry and internationally recognized leader in aesthetic dentistry, shares decades of experience performing veneers with a strong emphasis on minimally invasive preparation design, enamel preservation, and long-term restorative success.
In this episode, Dr. Chiche walks through his additive veneer preparation workflow, including mock-up transfers, bisacryl matrices, depth-cut strategies, and techniques for staying predictably in enamel to maximize bond durability. He explains why preserving enamel remains one of the most important principles in adhesive dentistry and how thoughtful preparation design directly impacts the longevity of porcelain veneers.
The conversation also covers gingival management, cord packing techniques, impression accuracy, proximal preparation design, and margin placement in aesthetic cases. Dr. Chiche shares practical clinical pearls for managing difficult scenarios such as tetracycline staining, dark preparations, black triangles, and patients requesting highly translucent veneers despite significant discoloration challenges.
Beyond technique, this episode focuses heavily on clinical judgment and patient communication. Dr. Chiche discusses how to determine when veneers are the right treatment, when direct bonding may be a better option, and how informed consent and expectation management are essential in elective cosmetic dentistry. He also explains why collaboration with skilled ceramists and careful mock-up evaluation remain foundational to achieving natural, long-lasting aesthetic results.
This episode is ideal for general dentists, cosmetic dentists, prosthodontists, and clinicians interested in porcelain veneers, smile design, adhesive dentistry, and minimally invasive aesthetic treatment planning. Whether you are refining your veneer workflow or looking to strengthen your understanding of aesthetic case selection, this conversation offers practical insights grounded in decades of clinical excellence and evidence-based dentistry.