Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors.

Guzman-Perez, Gerardo; Jurado, Carlos A; Azpiazu-Flores, Francisco; Afrashtehfar, Kelvin I; Tsujimoto, Akimasa (2023). Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors. Medicina, 59(3) MDPI 10.3390/medicina59030603

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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.

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