5 appointments – 15 days – No anesthesia

Female patient presented with incongruous prosthetic restorations on her upper teeth.
She requested replacement of her prostheses (composite veneers) with state-of-the-art porcelain veneers (E-max by Ivoclar).

FINDINGS

Carries around her failed composites. Discoloured restorations. Under-sized restorations

TREATMENT

Digital Smile Design launched the aesthetic analysis on before&after photos. Transfer trays were fabricated and mock up initiated treatment by test-drive of the projected shape and colour

TEMPORARY RESTORATIONS

After composites were removed, mock up trays were filled with flowable resin and seated in the mouth. Resin was hardened and trays removed

FINAL RESTORATIONS

10 porcelain veneers (E-max by Ivoclar) were fabricated and glued on the teeth

Due to clenching and grinding, her teeth had significantly abraded and shortened, causing serious aesthetic problems.

Patient requested to improve the appearance of her mouth.

Case was assessed as high-risk and of high-demands as there was peril of porcelain fractures and potential issues with the temporomandibular joints.

Careful raise of vertical dimension  was initially performed using bonded resins (mock-up) to help gain prosthetic space without drilling teeth.

At second phase long-term temporary restorations replaced bonded mock up.

Partial coverage restorations as well as full coverage veneers were chosen as treatment plan dictated.

Teeth were not drilled and state-of-the-art porcelain restorations were bonded using a strict protocol (use of dental isolation).

Monolithic emax restorations were used with micro-layering to provide both strength and aesthetics.

Shade was Bleach1

Challenge has been his young age along with preservation of healthy tissues.

Advanced hybrid veneers without preparation/drilling has been treatment of choice

In one appointment, new aesthetics and occlusion were analyzed and designed.

In the next appointment, Enamic veneers were bonded to intact teeth using state-of-the-art cleaning and bonding protocol.

Finishing and polishing were performed in the very last appointment.

Entire process lasted 10 days, in only 3 appointments.

No tooth preparation or anesthesia was required.