SILMET ProVeneer User manual

Step by Step Manual Guide
The Ultimate Resin Based Foundation System
for Creating Life Like Veneers

Index
About Us 2
ProVeneer System 4
Kit Contents 6
Top Reasons to Consider Using the ProVeneer System 7
Smile Preview Veneer Preparation 8
Patient Smile Preview 13
Cementation Technique 15
Frequently Asked Questions 20
More from Silmet 22

About Us
Silmet Ltd. was established in 1967 specializing in
Dental Amalgam manufacture. Throughout the years
the company positioned itself as a preferred source for
Private Label and OEM amalgam products by many
dental manufacturers.
From the onset, the Silmet production site was designed
for mass production using cutting edge technology,
advanced automatic machinery and monitoring systems
to guarantee supply of high quality products.
Today Silmet is among the only dental manufacturers
that produce in house a full range of restorative materials:
Amalgam, Composites, Dental Adhesives, Glass Ionomer
restoratives and luting cements. The ProLine range of
affordable products provides advanced solutions for
virtually every restoration indication, and enhances the
dentists’ practice.
Nearly ten years ago, leading branded dental companies
started differentiating the products by creating too many
sub-categories in an attempt to maximize profit.
Although some of the new categories were true
milestones, numerous products were introduced into the
market prior to having sufficient clinical trial evidence.
As an OEM specialist, Silmet was able to observe this
new market trend and identify the negative effect it might
have on dentists, who were confronted with a daily
dilemma about which products to choose. Silmet’s
ProLine, a complete line of restorative products focuses
on presenting optimal balance between the average
dentists’ true daily needs, and affordable value.
The company’s new Glass Ionomer line of capsules
positions Silmet among the very few worldwide prestigious
companies possessing the knowledge for production and
manufacture of this type of advanced presentation. The
use of this advanced capsule with a paste/paste system
as replacement for dual syringe is being investigated.
Health
Canada

ProVeneer's Patent Pending Smile Preview Technique
Silmet, the developer and manufacturer of ProVeneer joined forces with the Silverman Institute of Cosmetic Dentistry
to bring to the dental industry a new approach for preparing in office veneers. Thanks to ProVeneer, dentists can now
create a single veneer in 15 minutes or less in one visit, with natural looking results at an affordable price. In just 2
minutes, ProVeneers’ patent pending Smile Preview Veneer System pre-qualifies patients, without preformed
veneers, and assures gorgeous results.
With the ProVeneer System we provide all of the necessary tools that seamlessly expand your cosmetic dentistry
program no matter where you practice.
What are the three main concerns patients have about cosmetic dentistry?
Patients have said they don’t want to have their healthy teeth “filed down just to have a nicer looking smile”. If you
think like a patient, wouldn’t you be hesitant to have your enamel irreversibly removed just to enhance the
appearance of your teeth?
Patients don’t want to have artificial looking teeth
Patients want to be able to afford the service
Many dentists have a tendency to think we need to place 6, 8 or 10 porcelain veneers to do a smile makeover. That
becomes very expensive to our patients. As a result, very few smile makeovers are being done today. That does not
benefit your patient. With ProVeneer, think like a patient.
4 I ProVeneer System

In the past it has taken a lot of time and skill to match 1-2 veneers to the adjacent teeth. However with the new
ProVeneer System that will no longer be the case. ProVeneer allows you to create single veneers or even 2-3 veneers
with ease. With ProVeneer you will customize a gorgeous in-office veneer in minutes without using preformed veneers,
CADCAM or porcelain veneers. And it is not conventional direct bonding. Conventional bonding can take from 30-45
minutes per tooth and is technique sensitive.
The breakthrough ProVeneer System allows you to create a Smile Preview Veneer in just minutes and does not
require a lab bill, multiple visits or tooth reduction.
The ProVeneer System is affordable to every patient. Sounds like what your patients have always wanted and what
we hoped for as well, and since this is totally reversible and not bonded to the tooth until the patient approves the
procedure, patients love having a Smile Preview done.
Surveys done by the Silverman Institute of Cosmetic Dentistry consistently show that 8 out of 10 patients in every
dental office have at least one tooth that the patient wants to change in size, shape or appearance. That’s a lot of
cosmetic dentistry that is being left undone.
Practice more cosmetic dentistry with the ProVeneer System. It starts by creating a Smile Preview Veneer on every
patient in your practice.
Transform your patients’ smiles using ProVeneer System.
ProVeneer System I 5

6 I Kit Contents
ProVeneer System Kit Contents
ProVeneer System Kit features a complete solution for achieving the desired results while creating Life Like Veneers. All the
necessary materials and tools can be found inside. For achieving best results, please avoid using alternative materials.
For your convenience, we included a Quick Reference illustrated instruction card for creating ProVeneer Life Like
Veneers.
ProVeneer System Kit includes:
10 x Single use blister pack
ProVeneer Bonding Agent
ProFil Flow Cement
ProEtch
Accessories
In the event of excess ProVeneer material, use the aluminum zip lock bag included for safe storage of the material.
Since the material is sensitive to ambient light, it is recommended to wrap the material in the blister wrap and then store
in the zip lock bag.
Ordering Information:
18PVA1 ProVeneer System Kit, A1
18PVA2 ProVeneer Systeme Kit, A2
18PVB1 ProVeneer System Kit, B1
18PVBW ProVeneer System Kit, BW
18PVINTRO ProVeneer Intro Kit (A1, A2, B1, 2*BW + ProVeneer Bond)
18PVAST ProVeneer System Kit, Mixed Shades (3*A1, 2* A2, 2*B1, 3*BW)

Top Reasons to Consider Using the ProVeneer System I 7
Before After
Top Reasons to Consider Using the ProVeneer System:
Why Dentists choose ProVeneer:
• Greater acceptance by patient
• Place 4 veneers in 1 hour, 1 visit
• No Cad Cam
• No preformed veneers
• No lab bill
• “No Selling” marketing program
• Fun, stress free, impactful
Why patients choose ProVeneer:
• Non-invasive, no filing down of teeth
• Creating beautiful, smiles in one visit
• Affordable, veneers
•
Smile Preview Veneer guarantees final result
• Looks natural (Life Like Veneers)
• Long lasting permanent results
• Wear and stain resistant
• Same day dentistry
• Faster (1 short visit), easier, better
• Micro thin

8 I Smile Preview Veneer Preparation
Smile Preview Veneer Preparation
Before you start your ProVeneer case find out what your patient wants to change about their smile. Cosmetic dentistry
is want based and not need based.
Prior to creating a Smile Preview Veneer for your patient, always check for bruxism and look for protrusive / lateral
excursion interferences that may affect the outcome. Select shade using a Vitapan®Classic Shade Guide.
The Smile Preview Veneer process starts by peeling the blister pack and exposing the material. Gently place a very
small amount of the material as an incisal button at the biting edge of the tooth. The rule to follow is less material is
better. You do not want bulk of material that will increase the thickness of the veneer and increase the finishing and
polishing time required to create a natural looking tooth.
Prior to placing ProVeneer use your gloved index and thumb to compress it.
Next visualize and control the placement of the material in halves. Start at the incisal half and press the
material against
the facial surface of the tooth. Use a gloved pinky finger to do this. Make certain that the glove is very tight fitting on
the pinky finger and no creases exist on the gloved pinky finger.
If creases exist you will not be able to create a smooth surface as you compress the material against the tooth. To
prevent this pull your gloved pinky finger tight.
Apply a small amount of ProVeneer resin based foundation material to a
gloved finger that is tightly pulled on your finger. Make certain the glove
has no ridges on the tip of the pinky finger.

Smile Preview Veneer Preparation I 9
Squeeze the material between your fingers prior to placing on the tooth.
Now you are ready to create your Smile Preview Veneer. With a little
practice this will take about 2 minutes per tooth to create.
Move ProVeneer to the middle third of the tooth. Do not drag toward the
cervical quite yet. Notice how the material goes exactly where you want it.
Creating the incisal half of the veneer takes about 20 seconds. Do not attempt to bring the veneer material all the way
down to the gum line. Maintain control of the veneer esthetics by doing it in halves.
Turn off your overhead light. Place the material on the incisal half of the tooth. Leave some material on the incisal edge
to create a positive rest stop (necessary when cementing the veneer) but not on the lingual.
Tip: If any material is placed on the lingual of the tooth or in undercuts (such as the mesial or distal surfaces of the teeth)
remove it before light curing. If you do not, the veneer will fracture upon removal from the tooth. This is easy to avoid.
After you are pleased with the shape, contour and positioning of ProVeneer on the incised half of the facial surface of
the tooth, use your gloved finger to gently move and sculpt the veneer material to the gum line of the tooth. With
practice this will take another 20 seconds.

10 I Smile Preview Veneer Preparation
Tip: For best results use your pinky. Avoid using your index nger or other ngers. Condense and shape the interproximals
and nalize the appearance of the incisal edge.
Tip: Use a thin bladed plastic instrument to facilitate shaping the line angles and to create illusions. Remove any bulk material
in the interproximal area with a thin bladed plastic instrument to prevent inadvertent splinting of the veneer to the adjacent
tooth. Avoid bulk of material at all costs.
Tip: While standing, determine if the Smile Preview Veneer harmonizes with the adjacent teeth. If not, use your gloved pinky
nger and/or plastic instrument to move the material so that it creates the desired illusion and natural appearance. Practice
this. It is easy.
Next, using your gloved pinky finger move the material to the cervical.
Avoid bulk material at the gum line (see below). Use your pinky to shape
the facial surface. ProVeneer will shape beautifully as you do this and will
not stick to your glove. After removing your finger note how glistening the
material surface appears.
You can place a mylar strip between the teeth but that will significantly
increase your F&P time. Remove any excess material with your plastic
instrument to create a seamless emergence profile & reduce finishing /
polishing procedures.

Smile Preview Veneer Preparation I 11
Removing RBFM from the lingual is very important because if any RBFM has gone onto the lingual of the tooth (it
typically does) and if you do not remove it prior to curing with the light it will create a labial-lingual lock. If a labial-lingual
lock occurs the veneer will fracture when you remove it from the tooth. This is avoidable if you do not place any material
on the lingual of the tooth.
Also avoid placing the material in undercut areas such as interproximal segments of the tooth that interfere with the
path of withdrawal when removing the veneer from the tooth or it will fracture, similar to doing a wax up.
Now create subtle illusion affects using light reflections and contouring. Using your gloved pinky finger and / or thin
bladed sculpturing instruments you can easily make the tooth look longer or shorter, wider or narrower - in only
seconds by compressing ProVeneer against the tooth's surface (40 seconds). This is the time to remove any excess
material at the gum line so you will have a seamless emergence profile requiring minimal finishing and polishing if the
patient proceeds with work (30 seconds). Do this prior to curing ProVeneer with your light.
Finally, using your curing light, harden ProVeneer in five segments, each segment being exposed to the light according
to the manufacturer's specifications to ensure optimum curing. The segments to be cured are the incisal, middle of the
facial, gingival, mesial and distal.
Tip: Do not undercure. Make certain to fully cure at the gingival and incisal areas.
Cure per the light manufacturer’s recommendation for the gingival,
middle, incisal, mesial and distal of the tooth.

12 I Smile Preview Veneer Preparation
Use a separating saw if inadvertent splinting occurred (floss should pass through the contact).
While the Smile Preview Veneer may seem simple to do, it requires practice. Once you do a Smile Preview Veneer you
can determine if your patient will be a good candidate for non-invasive ProVeneers where you control the size, shape
and color of the veneer.
A note of caution: If a patient has existing composite restorations place a thin layer of petroleum jelly over the existing
filling prior to performing the Smile Preview Veneer to prevent inadvertent adhesion. Additionally, if a patient has
overlapped teeth or requires crown lengthening, the Smile Preview Veneer can only approximate what you might
achieve.
The Silverman Institute of Cosmetic Dentistry has an entire program dedicated to that goal where you will do from
25-35 veneers or more per month.

Patient Smile Preview I 13
Patient Smile Preview
Tip: Take an “after” picture of the Smile Preview Veneer on the tooth. After you remove the Smile Preview Veneer from the
tooth take a “before” photo. Share these photos with your patient. Most patients are absolutely thrilled.
Best of all, with ProVeneer’s Smile Preview Veneer System the best cosmetic dentistry can be the most natural
looking, affordable, non-invasive dentistry.
Tip: When removing the Smile Preview Veneer from the tooth, place a scaler at the cervical margin (MG or DG) and gently lift
up and off the tooth. If the Smile Preview Veneer fractures it is because you left material in an undercut or lingual of the tooth.
Avoid that by simply removing any material prior to curing with the light.
Hand the patient a mirror and have the patient rate the Smile
Preview Veneer on a scale of 1 - 10. If the patient’s rating is
below 7, do NOT take on the case since you did not meet
that patient’s expectation. It is far better to know that now.
Discuss other treatment options with your patient.

14 I Patient Smile Preview
Tip: While holding the cervical of the Smile Preview Veneer show the patient how the veneer does not break (bend it with
reasonable pressure on the incisal half). ProVeneer combines incredible beauty with strength and stain resistance.
Once the patient has decided to have the veneer bonded to the tooth, often saying “Can you
cement that today?” the Smile Preview Veneer is now ready to be cemented as the nal ProVeneer.
Show your patient the micro-thin, strong veneer. Describe how this
custom made veneer combines the best of both worlds:
Opacity to help block out underlying stains along with translucency to
create a natural appearance (note the translucency in the veneer).

Cementation Technique I 15
Dry the veneer and place etchant (recommended use with ProEtch™,
included in kit) on the inner surface of the ProVeneer for 30-60 seconds.
Place the Preview Veneer in a microwave safe cup. Fill the cup with
distilled water from ½ to ¾. of the cup. Place the cup in a microwave
oven and heat for 3 minutes under high power. Carefully remove the
ProVeneer after 3 minutes.
Cementation Technique
At this point you can use the Direct / Indirect Technique where you lab process and cement the veneer. Another option
some dentists like is to use the Direct Technique, without removing the veneer since it will be directly bonded to the
tooth.
When using the Direct / Indirect Technique perform the following steps prior to cementation:
Tip: Prior to applying the etchant you may choose to use a micro-etcher or sand blast the inner surface of the veneer for 2-3
seconds – gently. Rinse and then apply the etchant.

16 I Cementation Technique
Remove the etchant using copious amounts of water.
Dry the inner surface of the ProVeneer with a gentle stream of air and
apply a thin layer of ProVeneer™ Bonding Agent (Included in kit) to the
inner surface of the ProVeneer. DO NOT cure the bonding agent.
Apply a thin layer of cement of your choice (best performance achieved
using ProFil™ Flow cement, included in kit) using the same shade as
ProVeneer (or adjacent shade).
Tip: Since the ProVeneer is custom made and is form tting to the tooth, you only need to use a small amount of cement.

Cementation Technique I 17
Apply etchant to the tooth for 15 - 60 seconds & rinse with copious
amounts of water
Apply an ample amount of ProVeneer Bonding Agent, leave undisturbed
for 15 secs. Gently blow off excess with an air syringe so only a thin layer
of bonding agent remains on the tooth.
DO NOT cure the bonding agent.
Place the ProVeneer filled with ProFil Flow Cement on the tooth and very,
very gently press the veneer on the tooth. Remove any excess cement.
Cure as follows:
Curing Unit Curing time (sec) Light Intensity
Conventional halogen 20 Light intensity of 300 - 550mW/cm²
Plasma arc 6 Light intensity >2000mW/cm²
LED 20 Light intensity >300mW/cm²

18 I Cementation Technique
Polishing discs can be used lightly over the surface. Finish and polish
with light, gentle polishing. This should take 2 - 3 minutes to achieve a
beautiful luster. If you applied ProVeneer correctly you should have no
bulk material to trim.
Finishing & polishing is done on lingual surface and to optimize the
occlusion.
Check to assure you have a seamless emergence profile with an explorer.
Important Tip: Since the ProVeneer can be made as thin as .1 mm it is essential that you apply very gentle force when
seating and cementing the ProVeneer. Otherwise you will fracture it. Once bonded to the tooth the ProVeneer is very strong.

Cementation Technique I 19
The emergence profile should be seamless. If it is not, use light polishing
with a finishing diamond or carbide nishing bur to ensure a ledge free
emergence profile. (note no gum tissue bleeding since excess material
was removed prior to curing with light).
If necessary use a separating saw to assure flossing ability (included).
Take your nal after photographs. Show your patient the transformation (directly on your digital camera) that has
been achieved. Bring in your hygienist and ofce manager and share the success with these key team members
as well. ProVeneer makes your life easier by offering better, more affordable dentistry.

20 I Frequently Asked Questions
Frequently Asked Questions
Q: How is ProVeneer different from any other composite?
A: ProVeneer has a unique balance between Bis-GMA-TEGDMA-UDMA that provides a none sticky formulation with
unique polishabilty that allows non-porcelain veneers to be created as thin as 1 mm compared to the conventional
composites that are indeed much thicker.
Adding a percentage of Non-silanated nanofill particles & high-density spheres without altering the resin-to-filler ratio
allows the resin matrix to flow around them and react without constraint. Nanoclusters of silane treated zirconia/silica
are homogeneously distributed to provide cross-linkage to surrounding resin and allow for high volume-wise filler
concentration.
With ProVeneer we eliminate time consuming layering and the entire procedure, including any in-office laboratory
processing and cementation takes only 15 minutes per tooth.
When placing conventional composites dentists are often aggravated by the tendency of the material to stick to the
glove or to the plastic placement instruments. That is eliminated with ProVeneer.
ProVeneer also masks out many tooth discolorations without requiring the use of an opaque agent. Simultaneously
ProVeneer’s chameleon ability maintains translucency to create a natural appearance.
Q: How is ProVeneer different form EasySmile Veneers?
A: They are the same. EasySmile Veneers were produced from the same material. Silmet and Silverman joined forces
realizing that ProVeneer has a bigger opportunity leveraging from Silmet’s reputation as a high end manufacturer of
dental materials with Pro-line sales in USA growing every year.