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A Minimally Invasive Approach for Correction of Anterior Spacing and Proclination With Lithium Disilicate
Vidhi Mall1, Ashwini Gaikwad1, Sanpreet S Sachdev2
1Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, IND.
Abstract:
Achieving a balance between function and aesthetics is a critical aspect of restorative dentistry, particularly in the anterior maxillary region. This case report presents the use of lithium disilicate glass-ceramic laminate veneers as a minimally invasive solution for a 37-year-old female patient with spacing and proclination of upper anterior teeth. The patient sought an aesthetic enhancement but declined orthodontic treatment. A comprehensive treatment plan, incorporating digital mock-ups and mathematical indices for smile design, was formulated. IPS e-max veneers were fabricated and bonded using an adhesive protocol to enhance durability and aesthetics while preserving natural tooth structure. The final restorations achieved significant improvement in smile harmony, proportion, and function. At a six-month follow-up, the veneers demonstrated excellent stability, with no signs of debonding, discoloration, or gingival inflammation. This case highlights the effectiveness of lithium disilicate glass-ceramic veneers in addressing aesthetic concerns while maintaining minimally invasive principles, ensuring long-term success and patient satisfaction.
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