Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors

Author:

Guzman-Perez Gerardo1,Jurado Carlos A.2ORCID,Azpiazu-Flores Francisco3ORCID,Afrashtehfar Kelvin I.45ORCID,Tsujimoto Akimasa67ORCID

Affiliation:

1. CEMRO Periodontics Department, Morelia 58880, Mexico

2. Department of Prosthodontics, University of Iowa College of Dentistry, Iowa City, IA 52242, USA

3. Department of Restorative Dentistry, University of Manitoba Dr. Gerald Niznick College of Dentistry, Winnipeg, MB R3E 0W2, Canada

4. Division of Restorative Dental Sciences, Clinical Sciences Department, Ajman College of Dentistry, Ajman City P.O. Box 346, United Arab Emirates

5. Department of Reconstructive Dentistry and Gerodontology, University of Bern School of Dental Medicine, 3010 Bern, Switzerland

6. Department of Operative Dentistry, University of Iowa College of Dentistry, Iowa City, IA 52242, USA

7. Department of General Dentistry, Creighton University School of Dentistry, Omaha, NE 68102, USA

Abstract

Minimally invasive dentistry is a considered process that requires the clinician to be prepared with the ideal sequence and the tools needed. This report describes a well-planned ultraconservative approach using only two ceramic laminate veneers for the maxillary central incisors to significantly improve the patient’s overall smile. A 30-year-old female presented with the chief complaints of having diastemas between the central and lateral incisors as well as incisal wear. Diagnostic wax-up and mock-up were performed, and the patient approved the minimally invasive treatment with veneers only for central incisors. A reduction guide aided the conservative tooth preparations, and hand-crafted feldspathic veneers were bonded under total isolation with a rubber dam. The two final conservative veneers significantly improved the smile and fulfilled the patient’s expectations. Following proper planning and sequencing, predictable outcomes were obtained and fulfilled the patient’s esthetic demands. Minimally invasive restorative dentistry with only two single veneers can impact the entire smile frame. Overtreatment in the esthetic zone is unnecessary to meet a patient’s esthetic expectations.

Publisher

MDPI AG

Subject

General Medicine

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