Feldspathic Veneers Research Articles

Rebonding strengths of lithium disilicate and feldspathic veneers debonded by Er,Cr:YSGG laser

Rebonding strengths of lithium disilicate and feldspathic veneers debonded by Er,Cr:YSGG laser

Survival of Partial Laminate Veneers and Categorical Covariates Affecting the Survival: A Systematic Review

Background: Partial laminate veneers (PLV) have been accepted widely among both clinicians and patients with their favorable specifications, such as conservativeness, superior esthetics, bond strength and durability, for three decades. Various esthetic and functional impairments spreading in a wide range may be restored with veneers instead of full contour crowns. Objective: Although advantages, partial laminate veneers are not free from complications and various factors can influence the service duration of these restorations. Methods: An electronic Pubmed/Medline and Google Academic search was conducted without time restriction, providing information on porcelain laminate veneer’s failure rate and survival. Assessment of the identified studies was performed by two independent reviewers. Clinical service durations and various types of failures were evaluated. Results: Debonding, fracture, discoloration of the porcelain; staining or disintegration of tooth-porcelain margin; hypersensitivity, secondary caries, pulp necrosis and the periodontal responses were the more frequently studied failures. The mean CFR was found as 8,22% per study. Enamel substrate, incisal overlapping and lithium disilicate veneers presented lower failure rates in comparison with dentine substrate, non-overlapping and feldspathic veneers. Conclusion: PLV’s have high survival rates. The overall survival of PLV restorations can be affected by several prognostic variables.

Injectable Flowable Resin-based Composite Veneers Prior to Ceramic Veneers.

This case report describes the clinical protocols for using injectable flowable resin-based composite veneers without tooth reduction as long-term prototype restorations, followed by conservative feldspathic veneer restorations. The patient's primary concern was to improve her smile. After clinical evaluation, injectable flowable resin composite veneers were recommended as long-term prototypes followed by conservative tooth preparation and ceramic veneers. Flowable composite veneers were created with a transparent silicone index fabricated from a diagnostic wax-up approved by the patient. No tooth reduction was required to place this type of composite veneer. Later, a printed reduction guide was used to provide conservative tooth preparation followed by the cementation of thin feldspathic porcelain veneers under full isolation with a rubber dam. Injectable flowable resin-based composite veneers can successfully act as long-term esthetic prototypes before ceramic veneers. The outcome of these restorations is very predictable because the diagnostic wax-up anatomy is transferred to the mouth through the transparent silicone index, and they can be placed without tooth reduction. Conservative tooth preparation can be performed on the composite veneers so that minimal tooth structure is removed to maximize the bonding performance of ceramic veneers.

Color match of ultra-translucency multilayer zirconia restorations with different designs and backgrounds.

The purpose of this in vitro study was to assess the color match of ultra-translucency multilayer zirconia restorations with different designs and backgrounds. Thirty ultra-translucency multilayer zirconia crown specimens were made in VITA classical shade B2 for a prepared maxillary central incisor. The specimens were divided into three groups based on the restoration design: veneered zirconia with a trestle design (VZT), veneered zirconia with a dentin core design (VZD), and full-contour zirconia (FCZ). In the groups VZT and VZD, the zirconia specimens were layered with a feldspathic veneering ceramic. The specimens were seated on five different backgrounds: shade B2 composite resin, shade B2 zirconia, copper-colored metal alloy, silver-colored metal alloy, and the prepared central incisor. CIELab values of the labial middle sections of the crown specimens were measured with a spectrophotometer. Color differences between the specimens and a shade B2 VITA classical tab (as a control) were calculated from the ΔE* ab formula and compared with an acceptability threshold (ΔE* ab=3.7) to be clinically explicated. Mean ΔE* ab values ranged between 1.17 and 8.48. The restoration design, the background type, and their interaction affected the ΔE* ab (p<0.001). The mean ΔE* ab values for VZT with all backgrounds and for VZD with the silver-colored metal background were greater than the threshold (p<0.001), whereas the mean ΔE* ab values for VZD with the other backgrounds and FCZ with all backgrounds were less than the threshold (p=1). Restoration design and background type affected the color match of ultra-translucency multilayer zirconia restorations. VZT restorations on all backgrounds and VZD restorations on a silver-colored metal background showed color mismatches. However, VZD restorations on the other backgrounds and FCZ restorations on all backgrounds demonstrated color matches.

Minimally Invasive Laminate Veneer Therapy for Maxillary Central Incisors

Minimally invasive dentistry is a considered process that requires the clinician to be prepared with the ideal sequence and the tools needed. This report describes a well-planned ultraconservative approach using only two ceramic laminate veneers for the maxillary central incisors to significantly improve the patient's overall smile. A 30-year-old female presented with the chief complaints of having diastemas between the central and lateral incisors as well as incisal wear. Diagnostic wax-up and mock-up were performed, and the patient approved the minimally invasive treatment with veneers only for central incisors. A reduction guide aided the conservative tooth preparations, and hand-crafted feldspathic veneers were bonded under total isolation with a rubber dam. The two final conservative veneers significantly improved the smile and fulfilled the patient's expectations. Following proper planning and sequencing, predictable outcomes were obtained and fulfilled the patient's esthetic demands. Minimally invasive restorative dentistry with only two single veneers can impact the entire smile frame. Overtreatment in the esthetic zone is unnecessary to meet a patient's esthetic expectations.

The Effect of Feldspathic Thickness on Fluorescence of a Variety of Resin Cements and Flowable Composites

(1) Background: The shade of resin-based materials and ceramic thickness influence the optical color of laminate restorations. The purpose of this study is to evaluate—in vitro—the effect of resin-based cement shade and ceramic thickness on fluorescence of feldspathic laminate veneers; (2) Methods: 180 samples of feldspathic ceramic A2 shade with two different thicknesses (0.5 and 0.8 mm) were obtained. The samples were cemented to composite resin substrates with one of the following materials in different shades (n = 10): resin cement (Variolink Esthetic in Light, Neutral and Warm shades; or RelyX Veneer in B0.5 /white, Translucent and A3 Opaque/yellow opaque shades); flowable composite resin (G-aenial Flo in A2 and A3 shades) or a pre-heated composite resin (Filtek Supreme XTE, A3 body shade). The fluorescence spectra were obtained by means of a spectrofluorometer. Two-way ANOVA, Tukey, and Student’s t-tests were performed (α = 0.05); (3) Results: Fluorescence values were significantly influenced by the resin-based agent tested (p &lt; 0.001), the thickness of ceramic (p &lt; 0.001), and their interaction (p &lt; 0.001). The lowest fluorescence values were achieved by RelyX Veneer resin cement regardless its shade and the ceramic thickness; (4) Conclusions: both the shade of resin-based agent and the feldspathic ceramic thickness influenced the fluorescence of laminate restorations.

Effect of Helium Plasma Exposure on Wettability and Shear Bond Strength between the Zirconia Core and Feldspathic Veneering Ceramic: An In Vitro Study

Introduction The present study aimed to evaluate the effect of helium plasma treatment on the wettability of zirconia surface and on the shear bond strength between the dental zirconia core and feldspathic veneering ceramic. Methods 128 zirconia specimens were prepared, polished, and then divided into four groups: control, Zr, FC, and Zr/FC. In Zr and Zr/FC groups, the zirconia blocks were treated by helium plasma for 60 s. In FC and Zr/FC, the feldspathic ceramic powder received 60 s of plasma treatment. Then, the feldspathic powder was applied on the zirconia blocks. Half of the specimens in each group were sintered in a tube furnace, and the contact angle between the zirconia core and feldspathic ceramic was measured at different time intervals. The other half were sintered in a ceramic furnace and then subjected to thermocycling. The shear bond strength was measured using a universal testing machine. The failure mode was assessed using a stereomicroscope. Data were analyzed by one-way ANOVA test, and the statistical significance was considered less than 0.05. Results There was no significant difference in the mean contact angle and the shear bond strength values of the experimental groups (P > 0.05). The mean contact angle decreased significantly in all groups over time (P < 0.001). The modes of failure were predominantly mixed in all groups. Conclusion The helium plasma applied on either dental zirconia core or feldspathic ceramic powder could not improve the zirconia surface wettability and the shear bond strength between the two ceramics.

Feldspathic veneers after intraoral scanning: why not?

Digital dentistry is no more just a myth but has become a reality today. From intraoral scanning to computerized design, to perfect natural tooth libraries, increasingly high-performance milling machines, 3D printers, and more. The felspathic veneers on the refractory table or the ones on the platinum foil cannot be made by these digital technologies, but for us, they are the most aesthetic restorations from the point of view of the special translucency that gives them a special naturalness. We decided to make these veneers after intraoral scanning to see the adaptation and achieve a new way of working much easier and faster. The purpose of the method is to make the Geller working model in a very short time (2-3 hours) and to succeed in carrying out this type of restoration in a few days. As a protocol, we scanned with the help of the intraoral scanner and then we printed the model and duplicated the mobilizable abutments from the refractory mass on which the technician made the restorations. The results were remarkable, the adaptation of the veneers was extremely precise both marginally and at the level of contact points. In conclusion, intraoral scanning and digital dentistry are a benchmark in daily practice, offering precise and fast solutions.

Retrospective Long-Term Clinical Outcome of Feldspathic Ceramic Veneers.

The purpose of this study was to evaluate the clinical outcome of feldspathic ceramic laminate veneers over a 7-year period using minimally invasive techniques, such as vertical preparation (without prosthetic finish line), or no preparation (no-prep). A total of 170 feldspathic ceramic veneers were cemented in the anterior region, including 70 maxillary and 100 mandibular veneers, after special conditioning of the teeth and restorations. The veneers were evaluated using the FDI World Dental Federation criteria evaluation kit after recalling all the patients between February and June 2021. In total, 14 feldspathic veneers failed and were replaced with lithium disilicate because of core fracture, and 10 cases of chipping occurred on the ceramic surface and were polished. The overall survival rate was 91.77% for up to 7 years of function, with a failure rate of 8.23%. In this retrospective survival analysis, the failures, including the fracture of veneers and dental hard tissue, occurred both in prep and no-prep teeth. No failures were observed in veneers with a maximum thickness of 0.5 mm compared to those with a maximum thickness of 1 mm, 1.5 mm, 2 mm, and 2.5 mm.

Comparison of feldspathic veneer surface treatments on ceramic bracket SBS, ARI and surface roughness after different debonding/polishing methods: An in vitro study

To analyse, in vitro, surface properties and the shear bond strength after debonding and polishing procedures of ceramic brackets directly bonded to 0.3-0.5-mm thick feldspathic veneers. Fifty six feldspathic ceramic veneers samples (0.3 to 0.5-mm thick) were allocated into groups according to veneers surface treatment procedures: (S) glaze layer was retained; (SHF) hydrofluoric (HF) acid etch; (SOXA) Al2O3 sandblasting; and (SB) diamond burs roughening. Specimens were treated with silane Monobond N® and ceramic brackets bonded with Transbond XT®. Shear bonding strength (SBS) was assessed with a universal testing machine and ARI evaluated under a stereomicroscopic coupled to a digital camera. Remaining bonding composite was removed using a porcelain polishing kit and surface roughness assessed with a stylus profilometer. No statistically significant differences were identified for SBS among the study groups (S, SHF, SOXA and SB) (P>0.05). The majority of the specimens presented ARI scores 3 and 2 (P>0.05). All of the study groups presented increased surface roughness after debonding and polishing procedures (P<0.05), with significant greater values observed in SB group (RaF: 1.27±0.41; RzF: 6.23±1.82), (P<0.05). Surface treatment with hydrofluoric acid etch, Al2O3 sandblasting and diamond bur did not enhance SBS of orthodontic brackets bonded to ceramic veneers. Ceramic surfaces treated with diamond burs presented significantly increased roughness after adhesive removal.

Stepwise stress testing of different CAD-CAM lithium disilicate veneer application methods applied to lithium disilicate substructures

Statement of problemWhether a computer-aided design and computer-aided manufacture (CAD-CAM) fabricated high-translucency lithium disilicate veneer on a lithium disilicate substructure would increase the strength of the restoration compared with a traditional feldspathic porcelain veneer is unclear. PurposeThe purpose of this in vitro study was to evaluate the effect of different lithium disilicate veneer application methods on a lithium disilicate substructure on their biaxial flexural stress (BFS). Material and methodsLithium disilicate disks were fabricated so that when combined with the veneering disks, they had a dimension of 12×1.2 mm. Experimental groups were as follows (n=15): resin-bonded lithium disilicate veneer, lithium disilicate veneer adhesively cemented to lithium disilicate; sintered lithium disilicate veneer, lithium disilicate veneer sintered to lithium disilicate; sintered feldspathic veneer, feldspathic porcelain applied to lithium disilicate; and monolithic lithium disilicate, the control group. Weibull distribution survival analysis was used to compare the differences in the resistance to fracture after fatigue. The total number of cycles was analyzed by using 1-way ANOVA (α=.05). A finite element analysis (FEA) was also performed. The maximum principal stress (MPS) was used as the failure criterion. ResultsThe sintered feldspathic veneer group had significantly lower fatigue resistance than sintered lithium disilicate veneer or resin-bonded lithium disilicate veneer (P<.05). The resin-bonded lithium disilicate veneer group showed significantly more fractured fragments than the other groups. No statistical difference was observed in the number of cycles. The lithium disilicate veneered groups presented similar resistance to fatigue as the monolithic specimens of the same overall dimensions. Higher peaks of MPS were observed for groups monolithic lithium disilicate, sintered lithium disilicate veneer, and sintered feldspathic veneer than for resin-bonded lithium disilicate veneer. ConclusionsVeneering a lithium disilicate substructure with a lithium disilicate veneer, bonded or sintered, increased resistance to fatigue compared with a feldspathic porcelain veneer. The lithium disilicate veneer groups had similar fatigue resistance to that of the monolithic group.

Effect of ceramic materials on the optical properties of porcelain veneers for tetracycline-stained teeth.

To analyze the chromatic properties and translucency of porcelain veneers made from different ceramic materials against the background of tetracycline-stained teeth. Porcelain specimens (A1, A3, B2, B4) measuring 0.50 mm in thickness were prepared by heat-press casting and layering. The L*, a*, and b* values of the specimens against simulated tetracycline tooth and black-and-white backgrounds were measured by a spectrophotometer, and color differences ΔE001 between specimens on simulated tetracycline backgrounds and the backgrounds themselves and ΔE002 between specimens on simulated tetracycline backgrounds and the white background were calculated. The translucent parameter (TP) was also evaluated. The ΔE001 of feldspathic specimens (IPS d.SIGN) with the opaque layer was significantly greater than that of glass ceramic specimens (IPS e.max Press LT), and the ΔE001 of group B4 was consistently greater than those of the other color groups (P<0.05). The ΔE002 values of all feldspathic specimens with the opaque layer were less than 1.25, and the ΔE002 values of the glass ceramic specimens were greater than 2.23. However, no significant difference was observed among the different color groups (P>0.05). The TP values of feldspathic specimens with the opaque layer were significantly lower than those of glass ceramic specimens(P<0.05), but no significant difference was observed among different color groups (P>0.05). When changing the color of tetracycline-stained teeth, 0.50 mm-thick IPS d.SIGN feldspathic veneers with an opaque layer provide better chromatic properties than IPS e.max Press LT glass ceramic veneers. However, the translucency of feldspathic veneers is generally poorer than that of glass ceramic veneers.

Clinical outcomes of veneered zirconia anterior partial fixed dental prostheses: A 12-year prospective clinical trial

Statement of problemAnterior veneered zirconia partial fixed dental prostheses (FDPs) have substituted for metal-ceramic to improve esthetics and biocompatibility. However, the material is susceptible to aging or hydrothermal degradation and to chipping of the feldspathic veneer. Whether these susceptibilities limit the clinical performance of anterior veneered zirconia FPDs is unclear. PurposeThe purpose of this prospective clinical study was to analyze the mechanical and biologic behavior of zirconia partial FDPs in the anterior region over a 12-year follow-up period. Material and methodsTwenty-seven 3- to 6-unit FDPs fabricated from zirconia veneered with feldspathic porcelain were placed in the anterior region and examined clinically at 1 month, 6 months, and then annually for 12 years, recording mechanical and biologic outcomes. Raw complication rates and time-to-event Kaplan-Meier analysis was conducted and compared as per the partial fixed dental prosthesis type. ResultsFive FDPs had biologic complications (3 with secondary caries, 1 with periapical pathology, 1 with periodontal disease) and 9 had mechanical complications (7 with chipping and 2 with decementation). Chipping was the most prevalent complication and increasingly found with longer-span fixed partial prostheses (P=.007). Five FDPs had to be replaced because of complete failure, the most frequent cause of failure being secondary caries (P=.003). The mean survival rate (no failures) was 11 years 4 months (95% confidence interval, 10.3-12.7). ConclusionsZirconia FDPs had an 81.5% survival rate over 12 years. A higher incidence of complications took place during the first 3 years, the most common being chipping.

Effect of different surface treatments of presintered or sintered zirconia on bond strength to dentine.

Aim:To compare the effect of different zirconia surface treatments on cement bond strength to dentine.Materials and Methods:Stick-shaped pre-sintered zirconia (N = 128) were prepared and divided into eight groups (n = 16). Three surface treatments (sandblasting, neodymium-doped yttrium aluminum garnet [Nd:YAG] or carbon dioxide laser irradiation) were applied, either before (later to be sintered) or after sintering. The last test group was sintered zirconia coated with feldspathic veneering ceramic. Sintered zirconia without surface treatment was tested as the control group. Zirconia samples were cemented to dentine using Panavia F2 cement. The micro-shear bond strength was measured after 24 h (n = 8) or 10,000 thermocycling (n = 8).Statistical Analysis:Data were analyzed using one-way analysis of variances and Student's t-tests.Results:Zirconia coated with feldspathic ceramic revealed the highest bond strength (P < 0.001). Presintered zirconia treated with Nd: YAG laser showed a significantly improved bond strength compared to the control group before and after thermocycling. The bond strength after thermocycling was significantly reduced in presintered zirconia treated with Nd: YAG or sandblasting. Adhesive failure at the zirconia-cement interface was the dominant failure type.Conclusions:Surface treatment of presintered zirconia by Nd:YAG laser or coating of the sintered specimens with feldspathic veneering ceramic increased the zirconia-cement bond strength.

Full-mouth reconstruction with Implant and Tooth-supported Zirconia Restorations in a Digital Workflow

Zirconia has become a popular restorative material regarding the mechanical and biocompatibility advantages. Monolithic and translucent forms of zirconia advanced the aesthetics of this material, making it the material of choice for both tooth- and implant- supported restorations. Also, digital fabrication of zirconia not only enables accurate restorations but also provides time efficiency. The present case report demonstrates the rehabilitation of a patient who has generalized tooth wear with implant- and tooth supported monolithic zirconia restorations with buccal veneers in a newly established occlusal vertical dimension. The treatment process was completed in a digital workflow as the impressions were taken with a powder-free intraoral scanner and the digital data were send to the dental laboratory to fabricate the restorations. Monolithic zirconia restorations with buccal feldspathic veneers were completed without any adjustments in only two appointments. The patient was satisfied and the restorations have been in service for two years.

Fatigue behavior and colorimetric differences of a porcelain-veneered zirconia: effect of quantity and position of specimens during firing

To evaluate the influence of quantity and positioning of veneered zirconia specimens during firing of porcelain on their fatigue performance and colorimetric differences. Bilayer discs (Ø=15 mm) were made, following ISO 6872 guidelines, using a Y-TZP core (yttria-stabilized tetragonal zirconia polycrystal ceramic; VITA In-Ceram YZ) and a feldspathic veneering material (VITA VM9), being both layers with 0.7 mm thickness. Y-TZP discs were sintered, the veneering material was applied over it, and the bilayer specimens were fired according to two factors (n=20): 'quantity' (1 or 5 samples per firing cycle; G1 and G5 groups respectively) and 'positioning' of the specimens inside the furnace (center or periphery of the refractory tray; G5C and G5P groups, respectively). The CIEL*a*b* parameters were recorded with a spectrophotometer and the color difference (ΔE 00 ) and translucency (TP 00 ) were calculated using CIEDE2000 equations. The step-stress fatigue test was performed with the veneer facing down (region of tensile stress concentration), 10 Hz frequency, initial tension of 20 MPa for 5,000 cycles, followed by steps of 10,000 cycles using a step size of 10 MPa, up to 100 MPa; data from strength and number of cycles for failure were recorded for statistical analysis. Unacceptable color differences (ΔE 00 >1.8) were observed comparing G5C vs. G1 (quantity) and G5C vs. G5P (positioning), meanwhile translucency parameters were not affected. Besides, only the 'quantity' factor influenced the fatigue performance (G1>G5C). None of the tested specimens survived beyond 90N and/or 75000 cycles. The quantity and position of the specimens during firing influence the final color of porcelain-veneered zirconia, and firing one specimen per cycle improved the fatigue performance of the bilayer system.

Prognosis evaluation in dental aesthetic rehabilitations using 2 types of ceramic veneers in a Romanian study group

Aims and Objectives. The objectives of this study are the comparaison of survival rate of feldspathic and pressed lithium-disilicate ceramics veneers, survival analysis, failure types, clinical factors that may influence their lifespan in a Romanian study group. Materials and methods The materials used were VITA VM7 (VITA Zahnfabrik, Germany) and E.max (Ivoclar Vivadent AG, Liechtenstein). Patient demographics, treatment and any subsequent failure dates were recorded. 170 patients with 507 veneer-treated teeth were divided into 2 groups: patients with and without therapeutic failures. Results 48 veneers failed. Most failures were fractures (35.36%), followed by debonding and chipping. The most affected veneers in general were the feldspathics (19.9%) compared to lithium disilicate (8.8%) at 10 years. Conclusion Regardless of their superior aesthetics, feldspathic veneers are less mechanically resistant than pressables, but other clinical parameters must also be considered such as the age of the prosthetic rehabilitation or the number of teeth involved. Since study results are consistent with current literature data, Romanian patients can be considered in the international context of veneer treatments.

An 8-year prospective clinical investigation on the survival rate of feldspathic veneers: Influence of occlusal splint in patients with bruxism

ObjectivesThe aim of this study was to perform a 8-year prospective clinical investigation on the survival rate of feldspathic ceramic veneers, as well as analyse the influence of the occlusal splint in patients with parafunctional bruxism. MethodsThree hundred and sixty-four veneers fabricated using conventional feldspathic ceramic were provided in 64 patients. The patient sample included 40 individuals with bruxism. During the follow-up period, the effect of wearing the occlusal splint on the incidence of failure (fracture and/or debonding) in patients with bruxism was also assessed. The survival rate of veneers was determined using the Kaplan-Meier estimator. Statistical significance was set at p < 0.05 with a confidence interval of 95%. ResultsThe occurrence of fracture for the feldspathic veneers tested in this study was 7.7%, while only 1.9% of the total number of veneers debonded. The overall survival rate was 93.7% after 3 years, 91% after 5 years, and 87.1% after 8 years. Patients with bruxism using an occlusal splint showed a survival rate of 89.1% after 7 years, while the survival rate in patients with bruxism using no occlusal splint was 63.9% (p < 0.05). ConclusionThis study confirmed that feldspathic veneers may represent a suitable clinical solution for indirect aesthetic restorations. Such a treatment may be an option also for those patients affected by bruxism, as long as they regularly wear an occlusal splint. However, patients with bruxism using no occlusal splint may still present a potential high-risk of failure and/or debonding.

Obtaining optimal esthetics with veneered zirconia and lithium disilicate frameworks on substrates of different colors

This study sought to describe the clinical and laboratory procedures and to discuss aspects involved in obtaining satisfactory esthetics on substrates presenting different colors. This case report describes the clinical and laboratory procedures for obtaining an optimal esthetic result using different ceramic framework materials veneered with feldspathic ceramic over substrates of different colors. Zirconia frameworks were used for darkened substrates and were reinforced with lithium disilicate for substrates with minimal discoloration. The same feldspathic veneering ceramic was applied to provide similar translucency and color for favorable esthetics. The materials explored in the present case report presented favorable aesthetic results in masking darkened substrates. Clinicians should consider the condition and color of the substrate when selecting the restorative material for masking such a condition.

Conservative Ultrathin Veneer Restorations with Minimal Reduction: A 5-year Follow-up Report

This case report shows how a feldspathic veneer with diagnostic wax-ups, subsequent mock-up, and reduction guides can lead to good patient esthetics and reports a 5-year follow-up. Conservative tooth preparation is important for the long-term success of adhesive dentistry as it has been shown that bonding to enamel is more predictable in obtaining better long-term success than dentin. To preserve enamel for optimal bonding, diagnostic wax-ups and the subsequent mock-up are the first tools in a restorative dentist's arsenal to find and address differences between current and ideal tooth proportions and also help toward an overall conservative approach. Reduction guides are recommended in order to provide adequate tooth reduction and prevent over-reduction. This case report shows a 5-year follow-up of feldspathic veneer restorations for a patient with excessive space among teeth, defective composite restorations on facial and incisal surfaces, and worn teeth. Veneers were delivered with conservative tooth preparation combining different tooth reduction guides. This case report highlights the added benefits of tooth reduction guides and diagnostic wax-ups and the subsequent mock-up for long-term patient satisfaction. Conservative tooth preparation, reduction guides, and wax-ups may increase the life span of veneer restorations and demonstrate good esthetics at 5 years.