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Updated: Feb 23, 2026

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
Published on: December 20, 2024
Gerardo Durán Ojeda1, Ismael Henríquez Gutiérrez1, Álvaro Guzmán Marusic1
1Health Sciences Faculty, Universidad Arturo Prat, Iquique, Chile.
This case report outlines a step-by-step protocol for restoring anterior teeth using CAD/CAM veneers. Lithium disilicate is used as the base material, and a layering technique with nanofluorapatite ceramic is applied to improve esthetics. The method involves conservative tooth preparation and bonding with resin cement. The results show that the veneers achieve natural color and translucency. The authors propose that this protocol is reliable and can be used in clinical practice for predictable esthetic outcomes.
Area of Science:
Background:
Current dental restoration methods aim to balance function and aesthetics. Lithium disilicate has emerged as a popular ceramic material for veneers. However, achieving natural esthetics remains a challenge with monolithic ceramics. Prior research has shown that layering techniques can enhance color and translucency. No prior work had resolved how to consistently apply these techniques with CAD-CAM systems. This gap motivated the development of a step-by-step protocol. That uncertainty drove the need for a predictable clinical approach. This paper addresses the need for a reliable method to characterize CAD-CAM veneers. The study focuses on improving esthetic outcomes in anterior tooth rehabilitation.
Purpose Of The Study:
The aim of this case report is to present a clinical protocol for anterior tooth rehabilitation. The focus is on using CAD/CAM technology with lithium disilicate. The specific problem is achieving natural esthetics with monolithic restorations. The motivation is to provide a predictable and efficient method for veneer characterization. This approach aims to reduce chair time and improve esthetic results. The protocol integrates layering techniques with CAD-CAM systems. The goal is to demonstrate a conservative preparation method. The study supports the use of nanofluorapatite ceramic for characterization.
Main Methods:
The clinical protocol involves the preparation of anterior teeth using conservative techniques. Lithium disilicate veneers are fabricated using CAD/CAM technology. The e.max CAD system is used for milling the monolithic restorations. A layering technique is applied to add esthetic detail. The nanofluorapatite ceramic is used for characterization. The e.max Ceram system is selected for its compatibility with e.max CAD. The veneers are bonded using a resin cement. The final restorations are evaluated for esthetic and functional outcomes.
Main Results:
The case report demonstrates successful esthetic outcomes with the proposed protocol. The lithium disilicate veneers showed good color and translucency. The layering technique improved the natural appearance of the restorations. The nanofluorapatite ceramic provided a smooth and lifelike surface. The bonding process was efficient and resulted in strong adhesion. The restorations exhibited no chipping or fracture after placement. The patients reported high satisfaction with the final results. The protocol proved to be a reliable method for anterior tooth rehabilitation.
Conclusions:
The authors suggest that the described protocol is a reliable method for veneer characterization. The use of nanofluorapatite ceramic enhances the esthetic outcome. The layering technique allows for natural color gradients in the restorations. The CAD-CAM system ensures precision and efficiency in fabrication. The conservative preparation method preserves tooth structure. The bonding procedure is compatible with the selected materials. The results may support the use of this protocol in clinical practice. The study proposes that this method can be applied to similar cases with predictable results.
The layering technique enhances the esthetic outcome by adding natural color and translucency.
Nanofluorapatite ceramic (e.max Ceram) is used for characterization.
It preserves more tooth structure and reduces the risk of pulp exposure.
It is used to mill the monolithic lithium disilicate veneers with precision.
The veneers are bonded using a resin cement to ensure strong adhesion.
The authors suggest it is a predictable method for anterior tooth rehabilitation.