Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2025 Mar 5;17(3):e80070.
doi: 10.7759/cureus.80070. eCollection 2025 Mar.

A Minimally Invasive Approach for Correction of Anterior Spacing and Proclination With Lithium Disilicate Glass-Ceramic Veneers: A Case Report

Vidhi Mall  1 , Ashwini Gaikwad  1 , Sanpreet S Sachdev  2 , Aishwarya Handa  1 , Shivani Chavan  1 , Mineet Kaul  1
Affiliations
Case Reports

A Minimally Invasive Approach for Correction of Anterior Spacing and Proclination With Lithium Disilicate Glass-Ceramic Veneers: A Case Report

Vidhi Mall et al. Cureus. .

Abstract

Achieving a balance between function and aesthetics is a critical aspect of restorative dentistry, particularly in the anterior maxillary region. This case report presents the use of lithium disilicate glass-ceramic laminate veneers as a minimally invasive solution for a 37-year-old female patient with spacing and proclination of upper anterior teeth. The patient sought an aesthetic enhancement but declined orthodontic treatment. A comprehensive treatment plan, incorporating digital mock-ups and mathematical indices for smile design, was formulated. IPS e-max veneers were fabricated and bonded using an adhesive protocol to enhance durability and aesthetics while preserving natural tooth structure. The final restorations achieved significant improvement in smile harmony, proportion, and function. At a six-month follow-up, the veneers demonstrated excellent stability, with no signs of debonding, discoloration, or gingival inflammation. This case highlights the effectiveness of lithium disilicate glass-ceramic veneers in addressing aesthetic concerns while maintaining minimally invasive principles, ensuring long-term success and patient satisfaction.

Keywords: aesthetic dentistry; ips e-max; minimally invasive restoration; porcelain laminate veneer; smile design.

PubMed Disclaimer

Conflict of interest statement

Human subjects: Consent for treatment and open access publication 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. (A) Diagnostic impressions. (B) Digital mock-up planning. (C) Glazed veneer after fabrication.
Figure 2
Figure 2. Tooth preparation steps depicting (A) depth cut, (B) labial preparation, (C) incisal reduction, and (D) palatal chamfer preparation.
Figure 3
Figure 3. (A) Preoperative image. (B) Acid etching of the maxillary incisors. (C) Cementation of the final veneers. (D) Post-treatment smile.
Figure 4
Figure 4. Sixth-month follow-up image of (A) teeth in occlusion and (B) smile.
See this image and copyright information in PMC

References

    1. Minimally invasive dentistry and its impact on esthetic restorative dentistry. Okuda WH. https://pubmed.ncbi.nlm.nih.gov/23928433/ Gen Dent. 2013;61:24–26. - PubMed
    1. Veneers in prosthodontics: a comprehensive review on evolution, techniques, and advancements. Reddy S, Bekkem D. Int J Dent Mater. 2024;6:45–49.
    1. Comparative analysis of shear bond strength of lithium disilicate samples cemented using different resin cement systems: an in vitro study. Upadhyaya V, Arora A, Singhal J, Kapur S, Sehgal M. J Indian Prosthodont Soc. 2019;19:240–247. - PMC - PubMed
    1. Determining mathematical standards for smile designing using Berry’s Biometric Index and the Golden Proportion. Mall VR, Gaikwad A, Jadhav MA, Patil R, Chavan S, Ingale V. J Int Clin Dent Res Org. 2023;15:79–84.
    1. Porcelain laminate veneers: a conservative approach for pleasing esthetics-an overview. Sajjad A, Bakar WZ, Mohamad D, Kannan TP. https://www.joadms.org/home/article_abstract/237 J Appl Dent Med Sci. 2017;3:7–14.

Publication types