Villalobos-Tinoco Jose, Floriani Franciele, Rojas-Rueda Silvia, Mekled Salwa, Conner Clint, Colvert Staley, Jurado Carlos A
Postgraduate Program in Periodontology and Implant Dentistry, National University of Rosario School of Dentistry, Rosario 3160, Argentina.
Independent Researcher and Clinician, Culiacan 80030, Sinaloa, Mexico.
Clin Pract. 2025 Mar 18;15(3):66. doi: 10.3390/clinpract15030066.
: Lithium disilicate ceramic veneers are considered the gold standard in aesthetic dentistry due to their translucency, strength, and adhesive bonding properties. This clinical case report details the aesthetic rehabilitation of a patient through the use of pressed lithium disilicate veneers, highlighting the treatment workflow, material selection rationale, and the long-term functional and aesthetic outcomes achieved. : A review was conducted to evaluate the long-term success of lithium disilicate. A case study is presented that involves a 32-year-old female patient with anterior tooth discoloration, minor morphological discrepancies, and a desire for smile enhancement. A conservative approach using pressed lithium disilicate was chosen to restore harmony and enhance natural aesthetics. The treatment involved minimally invasive tooth preparation, digital smile design, and adhesive cementation using a total-etch technique with light-cured resin cement. High-resolution intra-oral and extra-oral photographs documented the case, capturing the preoperative, preparation, and final restoration stages. These images highlight shade matching, margin adaptation, and smile transformation after veneering. : Postoperative evaluation showed excellent aesthetic outcomes, color integration, and marginal adaptation, with the patient expressing high satisfaction. The veneers exhibited optimal translucency and strength, ensuring long-term durability. A one-year follow-up revealed no debonding, marginal discoloration, or surface degradation, confirming the clinical reliability of lithium disilicate veneers. : Lithium disilicate provides predictability, durability, and high aesthetic results, making it an ideal choice for minimally invasive smile enhancement. The use of photographic documentation emphasizes the importance of case planning, precise preparation, and adhesive bonding for successful outcomes. Future research should focus on long-term survival rates and complication prevention to further refine material selection and bonding protocols.
二硅酸锂陶瓷贴面因其半透明性、强度和粘结性能，被视为美学牙科领域的金标准。本临床病例报告详细介绍了一名患者通过使用压制二硅酸锂贴面进行美学修复的过程，重点阐述了治疗流程、材料选择依据以及所取得的长期功能和美学效果。
进行了一项综述以评估二硅酸锂的长期成功率。本文呈现了一个病例研究，该病例涉及一名32岁女性患者，其前牙变色、存在轻微形态差异且希望改善笑容。选择了采用压制二硅酸锂的保守方法来恢复和谐并提升自然美感。治疗包括微创牙体预备、数字化微笑设计以及使用全酸蚀技术和光固化树脂粘结剂进行粘结。高分辨率口内和口外照片记录了该病例，拍摄了术前、预备和最终修复阶段。这些图像突出了贴面后的比色、边缘贴合度和笑容转变。
术后评估显示美学效果极佳、颜色匹配良好且边缘贴合，患者表示高度满意。贴面呈现出最佳的半透明性和强度，确保了长期耐用性。一年的随访显示没有出现脱粘、边缘变色或表面降解，证实了二硅酸锂贴面的临床可靠性。
二硅酸锂具有可预测性、耐用性和高美学效果，使其成为微创笑容改善的理想选择。使用照片记录强调了病例规划、精确预备和粘结对于成功治疗结果的重要性。未来的研究应聚焦于长期生存率和并发症预防，以进一步优化材料选择和粘结方案。
