Esthetic Rehabilitation of the Smile with No-Prep Porcelain Laminates and Partial Veneers

Abstract

Rehabilitation of patients with anterior conoid teeth may present a challenge for the clinician, especially when trying to mimic the nature with composite resins. This clinical report exemplifies how a patient with conoid upper lateral incisors was rehabilitated with minimally invasive adhesive restorations. Following diagnostic wax-up and cosmetic mock-up, no-prep veneers and ceramic fragments (partial veneers) were constructed with feldspathic porcelain. This restorative material presents excellent reproduction of the optical properties of the dental structure, especially at minimal thicknesses. In this paper, the details about the treatment are described. A very pleasing outcome was achieved, confirming that minimally invasive adhesive restorations are an excellent option for situations in which the dental elements are healthy, and can be modified exclusively by adding material and the patient does not want to suffer any wear on the teeth.

Minimally Invasive Diastema Restoration with Prefabricated Sectional Veneers

“…This paper presents an alternative technique for minimally invasive diastema restoration with sectional veneers. The sectional veneer technique was introduced as a variation on the traditional ceramic veneer technique for highly esthetic veneer restoration with no need for tooth preparation [34,35]. However, despite the combination of excellent esthetics and no sacrifice of the tooth structure, ceramic sectional veneers have failed to enter the mainstream of general dentistry because of the technically demanding clinical procedure and the delicate laboratory fabrication process.…”

Porcelain sectional veneers, an ultra-conservative technique for diastema closure (three-dimensional finite element stress analysis)

“…One of the novel approaches suggested for diastema closure is using porcelain sectional veneers (also called partial veneers), [18][19][20][21][22][23][24] which provide ceramic esthetics and do not require dental tissue preparation.…”

“…The porcelain sectional veneer has been suggested as an innovative ultra-conservative technique that covers only part of the tooth surface without any preparation to be made and has the esthetic appearance of the ceramic laminate veneer. [18][19][20][21][22][23][24] This paper aimed to study the mechanical aspects of porcelain sectional veneers by means of a three-dimensional (3D) finite element analysis and by comparing the maximum von Mises stress with porcelain flexural strength in order to predict the prognosis of such restorations.…”

Rehabilitación mínimamente invasiva con carillas de porcelana: reporte de caso

“…El uso clínico del sistema (IPS e.max) asegura la estabilidad clínica de las restauraciones ejecutadas (11) ofreciendo seguridad al clínico y al paciente (12) . Sin embargo, exige ciertos cuidados relacionados a su preparación y manejo (13) que requieren ser considerados siempre (14) proceso de adhesión (15) , constituyéndose de vital importancia el respeto estricto a los mismos (16) y el empleo de materiales de cementación adecuados (17) (15) siguiendo los protocolos establecidos y las instrucciones del fabricante (18) , lo cual lleva a un tratamiento exitoso a largo plazo (19) .…”