Aesthetic Management of the Anterior Sector with Minimally Invasive Ceramic Restorations

Abstract

Introduction: Dyschromia, morphological alterations, and interdental spaces are some of the factors that compromise the aesthetics of the smile. Patients go to the dental clinic to solve these types of problems and obtain the desired smile. Objective: To present a minimally invasive work protocol of the anterior sector with dental veneers. Clinical case report: A 22-year-old female patient. Her reason for consultation: “I want resins in my teeth”. Dental fluorosis grade TF5, diastema at the level of teeth 11 and 21, dental disproportion and altered passive eruption in the maxillary premolar area were diagnosed. Prosthodontic and surgical procedure was chosen. The treatment plan was structured in two phases. In the first, pre-prosthetic phase, crown lengthening was carried out at the level of the maxillary first and second premolars. The second, prosthetic phase, consisted of dental reduction for the restoration, preparation and cementation of 10 bonded restorations of LT lithium disilicate in BL1 shade, in the anterior sector. After treatment, an improvement in the shape and colour of the anterior sector was achieved, as well as an immediate disocclusion provided by the new canine guidance and anterior guide. Conclusions: The bonded ceramic restorations and periodontal surgery allowed us to meet the stated objectives, with a gentle execution of the treatment but achieving an aesthetic and functional smile.