Survival Rates for Porcelain Laminate Veneers with Special Reference to the Effect of Preparation in Dentin: A Literature Review

The porcelain laminate veneer is an elective restoration, often placed in the absence of disease for purely esthetic reasons. As such, it would appear desirable that the success rate of the technique was 100%. It is therefore the purpose of this paper to review the literature on porcelain laminate veneer survival by searching dental databases containing clinical trials of porcelain veneer restorations. References of selected trials were also screened to identify relevant studies. Each paper that was included was examined to ascertain if preparation into dentin affected survival. A total of 24 papers were included in the review. It was concluded that survival rates of porcelain laminate veneers are rarely 100%, and there is reasonable evidence indicating that a veneer preparation into dentin adversely affects survival. CLINICAL RELEVANCE A review of the literature has indicated that porcelain laminate veneer survival is rarely 100%. Accordingly, patients should be made aware of this before embarking on this elective restorative technique. Clinicians should also be aware that the ideal preparation for porcelain veneers remains within enamel. (J Esthet Restor Dent 24:257265, 2012)