Providing a harmonious smile with laminate veneers for a patient with peg-shaped lateral incisors

Abstract

The most common discrepancy concerning tooth size is the presence of peg-shaped lateral incisors, which can cause teeth with reduced size, anterior diastema, and consequently an unpleasant smile. The development of the adhesive dentistry and ceramic veneers allowed all ceramic-bonded restorations to become an esthetic and functional approach to reestablish the smile harmony. The purpose of this clinical report is to describe a conservative treatment approach to recover an esthetic disharmony caused by bilateral peg-shaped lateral incisors. A 30-year-old female patient was seeking treatment to solve an esthetic disharmony of her smile. Lithium disilicate veneers were planned and build-up with the help of diagnostic models, wax-up, mock-up, and silicone guides, to restore the morphology, size, function, and esthetic of upper lateral incisors and smile. The lithium disilicate veneers were able to provide the harmonization of the patient's smile, recovering the teeth size, shape, and anatomic characteristics.

Rehabilitación estética y funcional en paciente con compromiso gastroesofágico y desorden temporomandibular: reporte de un caso

“…A partir de la correcta planificación para la realización del tratamiento, el encerado es la primera aproximación del paciente con el tratamiento a ser propuesto y a partir de la prueba del mock-up se puede realizar cambios, para que el aspecto final de las piezas presente características intrínsecas y extrínsecas de color, forma. y textura superficial de la dentición natural 18 . De esta manera, se tiene una mayor previsibilidad respecto a lo que será el caso finalizado.…”

Minimally invasive approach to diastema closure using lithium disilicate porcelain veneers: clinical report

“…We must ensure minimum dental structure reduction, preserve dental vitality, analyze aesthetic demand, ensure no invasion of the gingival complex, and take into account the age of the patient, the cost, and the time of each treatment. [1,[2][3][4] Indirect restorations have excellent biocompatibility and are most similar to the normal tooth appearance, in shape, color, and brightness, because they have excellent optical characteristics when compared to direct restorations. Color stability is not guaranteed in resins as much as in ceramics, and resins are more susceptible to fractures.…”

“…All clinicians, as well as the patient, were involved in the decision-making process and followed the steps correctly, which made it possible to achieve an aesthetic result by ensuring the minimum dental structure was removed. [1][2][3]16]…”

“…N owadays, people are increasingly concerned with aesthetic aspects, and, the smile has a very important role in achieving that ideal appearance. Therefore, the demand for aesthetic dental treatments has increased, as much for the reestablishment of function and health as for oral aesthetics [1,2]. The number of young patients seeking conservative procedures in dental offices with the use of adhesive materials to preserve dental structure is growing [1,[2][3][4].…”

“…When reaching anterior teeth, they are usually noticed by patients because they are in an aesthetical region. Correct diagnosis and a multidisciplinary approach are necessary to achieve a satisfactory final aesthetic outcome for diastema treatment [1,5].…”