Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 03 Jul 2023

Ultrathin Partial Ceramic Veneers in the Esthetic Zone with Tooth Whitening: A 5-year Case Report

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Page Range: 358 – 363
DOI: 10.2341/22-081-S
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SUMMARY

Objective:

This case report describes a minimally invasive approach with tooth whitening and partial ceramic veneers in the esthetic zone with a 5-year follow-up.

Clinical considerations:

The patient was initially concerned about the tooth color and previous direct resin composite restorations that chipped on the incisal edges of both maxillary central incisors. Tooth whitening and partial veneers for both central incisors were recommended after clinical evaluation. Two sessions of in-office tooth whitening, first with 35% hydrogen peroxide and later with 10% carbamide peroxide from first premolar to first premolar, were provided. Minimal tooth preparation that only removed the fractured composite restorations was performed followed by placement of feldspathic porcelain ultrathin partial ceramic veneers for both central incisors. We emphasize the benefits of minimal tooth preparation paired with partial ceramic veneers and the importance of masking discolored tooth structure with such thin veneers, including potential tooth whitening.

Conclusions:

Overall, we demonstrate a well-planned and executed restorative procedure combining tooth whitening and ultrathin partial ceramic veneers to achieve desired results in the esthetic zone that remained successful for five years.

Copyright: 2023
Figure 1.
Figure 1.

Initial case presentation.


Figure 2.
Figure 2.

Before (left) and after (right) bleaching treatment.


Figure 3.
Figure 3.

Removal of composite and tooth preparation.


Figure 4.
Figure 4.

Thickness of ultrathin partial ceramic veneer.


Figure 5.
Figure 5.

Try-in of restorations.


Figure 6.
Figure 6.

Final bonded restorations.


Figure 7.
Figure 7.

Lateral view of the final bonded restorations.


Figure 8.
Figure 8.

Extraoral view of final smile.


Figure 9.
Figure 9.

Five-year follow-up extraoral smile.


Contributor Notes

*Corresponding author: Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota, 515 Delaware Street SE, Minneapolis, MN, 55455, USA; email: fisc0456@umn.edu
Accepted: 21 Nov 2022
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