Abstract

Introduction: Ceramic veneers represent a treatment approach in aesthetic dentistry. They are indicated in cases of alterations in size, contour, form and color of the teeth. The clinical and radiographic examinations may not allow the correct identification of failures in the treatment with ceramic veneers. Objective: To report the use of Optical Coherence Tomography (OCT) for the evaluation and repair of an aesthetic oral rehabilitation involving ceramic veneers. Case report: A 24-year-old female patient complained of unsatisfied color change in the ceramic veneer placed on the right maxillary central incisor. The clinical examination showed color changes between the middle and incisal thirds of mesial surface of the tooth crown. The OCT sagittal images evidenced the presence of bubbles or gaps in the adhesive interface. The treatment consisted of repair of the restoration by infiltration of a composite resin. Conclusion: The OCT was found to be valid tool to evaluate the adaptation of the ceramic veneer placed on the maxillary central incisor. Keywords Esthetics, Dental; Dental Veneers; Tomography, Optical Coherence.

Highlights

  • Ceramic veneers represent a treatment approach in aesthetic dentistry

  • A 24-year-old female patient complained of unsatisfied color change in the ceramic veneer placed on the right maxillary central incisor

  • The clinical success of the treatment of teeth with ceramic veneers depends on its accurate indication, the techniques and materials used [8] as the cementation of the ceramic veneers is a crucial procedure in this aesthetic treatment approach [2,6,41,43]

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Summary

Introduction

Ceramic veneers represent a treatment approach in aesthetic dentistry. They are indicated in cases of alterations in size, contour, form and color of the teeth. Contemporary dentistry experiences an increase in the use of ceramic veneers due to their esthetic appeal, biocompatibility and adherence to the principles of minimal-invasive dentistry [1,3,4,5,6] They have become a restoration of choice to correct tooth forms, tooth position, close diastemas, restore tooth fracture or mask tooth discolorations [1,2,3,4,6,7]. Ceramics veneers have high compressive strength, surface smoothness, gloss and presents low plaque accumulation [2,3,4,6,8] They foster greater preservation of tooth structure, produce predictable results, having low failure rates compared with other available options [3,8,9,10,11,12,13,14]. The most frequent failures reported in ceramic veneers are marginal discoloration, debonding, fracture/chipping and secondary caries [15]

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