Ultrathin Partial Ceramic Veneers in the Esthetic Zone with Tooth Whitening: A 5-year Case Report

Author:

Villalobos-Tinoco JV1,Fischer NG2,Jurado CA3,Flores-Reyes J4,Karimi K5,Tsujimoto A6

Affiliation:

1. Jose Villalobos-Tinoco, DDS, MS, assistant professor, Oral Rehabilitation, Universidad Autonoma de Queretaro School of Dentistry. Queretaro, Mexico

2. *Nicholas G. Fischer, PhD, fellow, Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota, Minneapolis, MN, USA

3. Carlos Alberto Jurado, DDS, MS, associate professor, Department of Prosthodontics, University of Iowa College of Dentistry, IA, USA

4. Julio Flores-Reyes, CDT, dental technician, Morelia, Mexico

5. Kiarash Karimi, DMD, DDS, adjunct faculty, Department of Restorative Sciences, University of California Los Angeles School of Dentistry, Los Angeles, CA, USA

6. Akimasa Tsujimoto, DDS, PhD, associate professor, Department of Operative Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA and visiting associate professor, Department of General Dentistry, Creighton University School of Dentistry, Omaha, NE, USA

Abstract

SUMMARY Objective: This case report describes a minimally invasive approach with tooth whitening and partial ceramic veneers in the esthetic zone with a 5-year follow-up. Clinical considerations: The patient was initially concerned about the tooth color and previous direct resin composite restorations that chipped on the incisal edges of both maxillary central incisors. Tooth whitening and partial veneers for both central incisors were recommended after clinical evaluation. Two sessions of in-office tooth whitening, first with 35% hydrogen peroxide and later with 10% carbamide peroxide from first premolar to first premolar, were provided. Minimal tooth preparation that only removed the fractured composite restorations was performed followed by placement of feldspathic porcelain ultrathin partial ceramic veneers for both central incisors. We emphasize the benefits of minimal tooth preparation paired with partial ceramic veneers and the importance of masking discolored tooth structure with such thin veneers, including potential tooth whitening. Conclusions: Overall, we demonstrate a well-planned and executed restorative procedure combining tooth whitening and ultrathin partial ceramic veneers to achieve desired results in the esthetic zone that remained successful for five years.

Publisher

Operative Dentistry

Subject

General Dentistry

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