Abstract
Objective: multidisciplinary treatment has become increasingly common in dental offices and this treatment strategy is based on the achievement of a healthy, harmonious, and pleasant smile. In addition, the development of new ceramic systems and the possibility of making indirect restorations with a low thickness, such as laminates veneers, allowed combining highly satisfactory aesthetic properties, preserving the dental structure through minimal wear. Case report: this paper describes a multidisciplinary approach involving periodontics and restorative dentistry for the successful, functional, and aesthetic treatment in an adult patient. The digital smile design was performed as a guide to plan the clinical case considering factors such as tooth inclination and position, golden proportion, tooth size and shape. Discussion: based on these concepts, the present work reports, through a clinical case, the restoration of aesthetics and function with ceramic laminates veneers in lithium disilicate, in the case of anatomical correction and diastema closure. Conclusion: overall, the multidisciplinary treatment plan demonstrated to have greater advantages both for the aesthetics and function of the patient, as well as for the work team. During the 24-month follow-up, this case presented great functional and aesthetics results.KEYWORDSCeramic veneers; Aesthetic dentistry; Multidisciplinary treatment.
Highlights
The aesthetic principles have a fundamental role in Restorative Dentistry
A systematic aesthetic analysis that progresses from facial, dentofacial, dentogingival to dental analysis is mandatory for a successful aesthetic outcome of the case [1]
Digital techniques and dental materials evolution are capable of high success rates to achieve excellent aesthetic results, it is important that the tooth and gingival level be in accordance with the adjacent one
Summary
The aesthetic principles have a fundamental role in Restorative Dentistry. A systematic aesthetic analysis that progresses from facial, dentofacial, dentogingival to dental analysis is mandatory for a successful aesthetic outcome of the case [1]. The unsatisfactory composite resin restorations were removed from teeth #11, #12 and #22 For this purpose, a fluorescent light (FGM; Joinville; São Carlos, Brazil) was used, exposing the resinous material of the healthy dental tissue (Figure 10). A wet proof was performed using a glycerin-based test paste for final color selection of the final cement (AllCem Veneer - Try-in; FGM Products; Santa Catarina, Brazil). After this test, it was possible to observe that the Opaque White color cement would better mimic with the color of the substrate (Figure 14). The cementing agent used was a light-activated resin cement (AllCem Veneer; FGM Products; Santa Catarina, Brazil), Opaque White color. After 24-month follow-up, this case presented great functional and aesthetics results
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