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Case Reports
. 2024 Aug 22;16(8):e67501.
doi: 10.7759/cureus.67501. eCollection 2024 Aug.

Restoration of Anterior Teeth Defect With Porcelain Laminate Veneer Using the Refractory Technique: A Case Report

Trang T Nguyen  1 , Anh Nguyen Viet  1 , Loan T Nguyen  2
Affiliations
Case Reports

Restoration of Anterior Teeth Defect With Porcelain Laminate Veneer Using the Refractory Technique: A Case Report

Trang T Nguyen et al. Cureus. .

Abstract

Anterior teeth play an important role in the aesthetic appearance of an individual. Hence, restoration of the anterior teeth has always been a significant concern for both dentists and patients worldwide. Indirect restoration using laminate veneers has revolutionized cosmetic dentistry by minimizing tooth preparation compared to full dental crowns. It also enhances vitality, color matching, and superior mechanical properties compared to direct composite restoration. The success of veneer restoration depends on case selection, material choice, and fabrication technique, tailored for every patient based on a thorough consideration of the existing lesion and the needs of the patient. This clinical report exemplifies the conservative treatment of a refractory defect on the labial surface of the maxillary central incisor using a minimal-thickness veneer fabricated from a refractory porcelain system.

Keywords: ceramic veneer; cosmetic dentistry; preservative approach; refractory die; ultrathin veneer.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Pre-operative intraoral photograph showing a defect in the labial surface of the left central incisor, confined to the enamel layer
Figure 2
Figure 2. The shade of the minimally prepared tooth was selected using a visual stump shade guide to ensure an accurate color match for the restoration
Figure 3
Figure 3. Ultra-thin veneer fabricated from feldspathic porcelain was refined and adjusted before being delivered to the dental office
Figure 4
Figure 4. Intraoral view during the try-in and cementation process of the veneer, ensuring proper fit and alignment
The cementation was performed under moisture-free condition with rubber dam isolation.
Figure 5
Figure 5. Post-operative intraoral photograph of the restored left central incisor taken immediately after veneer placement, illustrating the aesthetic integration with indiscernible tooth-restoration margin
Figure 6
Figure 6. Post-operative extraoral photograph showing the final appearance of the left central incisor after veneer restoration, highlighting the natural look and harmony with surrounding teeth
Figure 7
Figure 7. One-week after cementation
The follow-up examination showed no signs of veneer dislodgement or marginal gaps.
See this image and copyright information in PMC

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