Correcting Tooth Proportions

A digital smile design was performed to decide the correct anterior tooth proportions, which included tooth Nos. 12 to. 22. Once the wax-up was complete, a silicone matrix was fabricated for the mock-up technique. The mock-up was done with bisacrylic material.   Once the patient approved the mock-up, the preparations were performed, followed by double silicone impression and cementations. This was done according to BISCO instructions, which call for using rubber dam isolation to avoid contamination, allow for a clean restorative environment, correct visualization of the gingival margin during adjustment of the veneer restorations, and to facilitate the removal of excess cement. 

 

After the veneers were cemented, the final result was a beautiful and more youthful smile. The patient confirmed her satisfaction with the smile enhancement after the procedure and during the six-month follow-up consultation.

 

Figure 1: Gingival inflammation caused by the prosthetic restoration violating the space of the supracrestal gingival tissue. 

 

Figure 2: Healthy gingival tissue after the crown lengthening procedure and proper reestablish-ment of supracrestal tissue components. 

 

Figure 3: Minimally invasive lithium disilicate (Mt A1) restorations with surface stain technique. 

 

Figure 4: The restoration was etched using BISCO Hydrofluoric Acid Etchant. 

 

Figure 5: The dentin and enamel were etched using Select HV Etch. 

 

Figure 6: Two separate coats of All-Bond Universal were applied to the preparation.

 

Figure 7: Excess cement was removed after each light-cure to lock them in place. 

 

Figure 8: Final restoration. Six-month control image after the veneers were cemented.