Reis José Maurício Dos Santos Nunes, Pansani Taisa Nogueira, Del'Acqua Marcelo Antonialli, Abi-Rached Filipe de Oliveira
Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Araraquara School of Dentistry, Araraquara, Brazil.
Coordinator of the Advanced Training Course in Fixed Prosthetics, São Paulo Association of Dental Surgeons (APCD), Araraquara, Brazil.
J Esthet Restor Dent. 2025 Oct;37(10):2171-2179. doi: 10.1111/jerd.70001. Epub 2025 Jul 13.
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.
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.
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.
本病例报告描述了一种美学修复方法，重点是使用薄瓷贴面关闭牙间隙并改善牙齿形态，以恢复微笑的和谐。讨论了长石质陶瓷在贴面制作中的优点、局限性和特性，强调了它们在微创修复牙科中的重要性。
对具有出色美学效果的保守治疗的需求不断增加，导致不同材料和厚度的贴面使用增多。长石质瓷因其卓越的光学性能和产生出色美学效果的能力而备受重视。在为所有上颌前牙制作陶瓷贴面之前，进行了全面的临床评估，包括问诊、检查和模型设计。牙齿预备微创且局限于牙釉质，优化了玻璃陶瓷材料与牙齿基质之间的粘结。这种方法确保了可预测且持久的效果。
本病例报告强调了精心规划、合适的材料和技术选择以及精确执行在实现持久、功能良好且高度美观的修复中的重要性。经过12年以上的随访，患者显示出出色的临床效果并对治疗高度满意，强化了薄长石质贴面在保守牙科修复中的长期有效性。
