CEMRO Periodontics Department, Morelia 58880, Mexico.
Department of Prosthodontics, University of Iowa College of Dentistry, Iowa City, IA 52242, USA.
Medicina (Kaunas). 2023 Mar 18;59(3):603. doi: 10.3390/medicina59030603.
Minimally invasive dentistry is a considered process that requires the clinician to be prepared with the ideal sequence and the tools needed. This report describes a well-planned ultraconservative approach using only two ceramic laminate veneers for the maxillary central incisors to significantly improve the patient's overall smile. A 30-year-old female presented with the chief complaints of having diastemas between the central and lateral incisors as well as incisal wear. Diagnostic wax-up and mock-up were performed, and the patient approved the minimally invasive treatment with veneers only for central incisors. A reduction guide aided the conservative tooth preparations, and hand-crafted feldspathic veneers were bonded under total isolation with a rubber dam. The two final conservative veneers significantly improved the smile and fulfilled the patient's expectations. Following proper planning and sequencing, predictable outcomes were obtained and fulfilled the patient's esthetic demands. Minimally invasive restorative dentistry with only two single veneers can impact the entire smile frame. Overtreatment in the esthetic zone is unnecessary to meet a patient's esthetic expectations.
微创牙科是一个需要临床医生精心准备的过程，需要准备理想的顺序和所需的工具。本报告描述了一种经过精心计划的超保守方法，仅使用两个陶瓷层压贴面修复上颌中切牙，以显著改善患者的整体笑容。一位 30 岁的女性因中央切牙和侧切牙之间有间隙以及切端磨损前来就诊。进行了诊断性蜡型和模型制作，患者同意仅对中切牙进行贴面微创治疗。使用减少量引导器辅助进行保守的牙齿预备，并在橡皮障的完全隔离下，手工制作长石质贴面进行粘结。最终的两个保守贴面显著改善了笑容，满足了患者的期望。经过适当的规划和序列，可获得可预测的结果，并满足患者的审美需求。仅使用两个单贴面的微创修复牙科可以影响整个微笑框架。在美学区域过度治疗是不必要的，无法满足患者的审美期望。
