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Case Reports
. 2025 Oct;37(10):2171-2179.
doi: 10.1111/jerd.70001. Epub 2025 Jul 13.

Minimally Invasive Ceramic Laminate Veneers for Maxillary Anterior Esthetic Rehabilitation: A 12+ Years Follow-Up

José Maurício Dos Santos Nunes Reis  1 , Taisa Nogueira Pansani  1 , Marcelo Antonialli Del'Acqua  2 , Filipe de Oliveira Abi-Rached  1
Affiliations
Case Reports

Minimally Invasive Ceramic Laminate Veneers for Maxillary Anterior Esthetic Rehabilitation: A 12+ Years Follow-Up

José Maurício Dos Santos Nunes Reis et al. J Esthet Restor Dent. 2025 Oct.

Abstract

Objective: This case report describes an esthetic rehabilitation focused on closing diastemas and improving tooth morphology to restore smile harmony using thin porcelain laminates. The advantages, limitations, and characteristics of feldspathic ceramics in laminate fabrication are discussed, highlighting their importance in minimally invasive restorative dentistry.

Clinical considerations: The growing demand for conservative treatments with excellent esthetics has led to an increased use of laminates in different materials and thicknesses. Feldspathic porcelain is highly valued for its exceptional optical properties and ability to produce outstanding esthetic outcomes. A comprehensive clinical assessment, including anamnesis, examination, and mock-up planning, was conducted before fabricating ceramic laminates for all the maxillary anterior teeth. Tooth preparations were minimally invasive and enamel-limited, optimizing the adhesive bonding between glass-ceramic material and tooth substrate. This approach ensured a predictable and long-lasting outcome.

Conclusions: This case report highlights the significance of meticulous planning, appropriate material and technique selection, and precise execution in achieving a durable, functional, and highly esthetic rehabilitation. After 12+ years of follow-up, the patient demonstrated excellent clinical outcomes and high satisfaction with the treatment, reinforcing the long-term effectiveness of thin feldspathic laminates in conservative dental restorations.

Keywords: ceramic veneers; long‐term follow‐up; minimally invasive dentistry; tooth preparation.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Initial condition showing the youthful appearance of the smile. (A) Frontal view of the smile. (B) Intraoral frontal view.
FIGURE 2
FIGURE 2
Additive diagnostic waxing.
FIGURE 3
FIGURE 3
PVS silicone index guide.
FIGURE 4
FIGURE 4
Views of the bis‐acrylic mock‐up. (A) Intraoral view with the patient in occlusion. (B) Frontal view of the new smile design.
FIGURE 5
FIGURE 5
Dental preparations and adjustments with Sof‐Lex medium‐grit abrasive disc.
FIGURE 6
FIGURE 6
Interproximal adjustments. (A) With metallic strip. (B) With polyester strip.
FIGURE 7
FIGURE 7
Teeth after preparation restricted to enamel surface.
FIGURE 8
FIGURE 8
Feldspathic laminate veneers. Note the central region with a thin thickness and high translucency, allowing clear visualization of the black background used for contrast.
FIGURE 9
FIGURE 9
Etching the inner surface of veneers with hydrofluoric acid. The laminates were alternately positioned in the matrix to prevent the etching of undesired adjacent and glazed areas.
FIGURE 10
FIGURE 10
Silane application followed by unpolymerized adhesive.
FIGURE 11
FIGURE 11
Cementation procedure and removal of the excesses. (A) With a flat brush. (B) With a disposable microbrush. (C) With dental floss. (D) Light‐curing.
FIGURE 12
FIGURE 12
Verification of occlusal contacts.
FIGURE 13
FIGURE 13
Final aspect of rehabilitation. (A) Intraoral frontal view. (B) Frontal view of the new smile.
FIGURE 14
FIGURE 14
Analysis of optical properties. (A) Fluorescence. (B) Lightness.
FIGURE 15
FIGURE 15
Rehabilitation at the last follow‐up visit. (A) Intraoral frontal aspect. (B) Frontal view of the smile. (C) Left lateral view of the smile. (D) Right lateral view of the smile.
FIGURE 16
FIGURE 16
Follow‐up intraoral images. (A) Frontal view at baseline. (B) Frontal view at 3‐years follow‐up. (C) Frontal view at 12+ years follow‐up. (D) Palatal view at 12+ years follow‐up. (E) End to end teeth at 12+ years follow‐up.
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