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A Full Digital Workflow for Masking Stained Teeth Using Ceramic Cores and Veneers
Francisco Garcia-Torres1, Enrico Steger2, Alexander Lichtmannegger2
1Department of Prosthodontics University of La Salle Bajio School of Dentistry Leon Mexico.
Abstract:
This clinical case report describes a fully digital workflow for managing intrinsic tooth discoloration in the maxillary right central incisor. The approach involved masking the dark underlying substrate with a ceramic core, followed by a veneer restoration. To enhance symmetry and gingival contour, a gingivectomy was performed, and a veneer was also placed on the maxillary left central incisor. The treatment began with an intraoral scan, digital wax-up, and fabrication of interim restorations, which guided the gingivectomy procedure. After healing, new intraoral and facial scans were performed to digitally design and mill a ceramic core for the right central incisor. Once the core was cemented, final scans were obtained to design and fabricate the definitive veneers. All restorations were bonded under rubber dam isolation to prevent contamination and optimize adhesion. This clinical report demonstrates that using a ceramic core effectively masks dark internal discoloration, allowing the fabrication of highly esthetic veneers with natural contours. The integration of intraoral and facial scanning technologies enables an accurate, reproducible, and efficient digital workflow that enhances both precision and esthetic outcomes in anterior restorations.
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