Lithium disilicate (IPS” e.Max computer-aided design) veneers for the esthetic rehabilitation in a young adolescent

Abstract

Dental fluorosis is a developmental disturbance of enamel wherein the patients often present with esthetic concerns. Previously available approaches for the management of dental fluorosis included composite restoration, microabrasion, bleaching, resin infiltration and/or use of full crowns. For young permanent teeth, it is desirable to follow a treatment plan that efficiently addresses both anatomic and esthetic concerns. Keeping in mind, a minimally invasive approach, lithium disilicate in its modern formulations (IPSTM e.Max CAD) fabricates thin veneers with 0.1–0.7 mm thickness with greater fracture toughness and biaxial strength. Lithium disilicate has high esthetic properties, and the material requires minimal tooth preparation. The advent of newer technology has led to a period of evolution with esthetic dentistry leading the forefront. The present report elucidates a novel approach depicting the use of maximal esthetics (E-Max) lithium disilicate veneers in a young adolescent with moderate fluorosis to provide a minimally invasive esthetic outcome with 6 months' follow-up.