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

微创陶瓷贴面修复上颌前牙美学修复:12年以上的随访研究

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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.

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