Smile makeovers can be achieved through various dental techniques, both direct and indirect. Direct resin composites have gained popularity due to their minimally invasive nature, durability, and natural aesthetic results. These restorations offer a chairside solution that preserves tooth structure, saves time, and is cost-effective.
However, the technique sensitivity and aesthetic predictability of direct composite restorations have posed challenges for clinicians in the past. In such cases, clinicians often opt for indirect approaches like porcelain restorations. But for patients who cannot afford or don’t have the time for indirect restorations, advancements in resin composite materials and adhesive techniques have provided an alternative solution.
Direct composite veneers have emerged as a common treatment option for patients seeking to correct defects in the anterior arch. These veneers are functional, aesthetically pleasing, and long-lasting, closely resembling natural dental tissues.
In a recent case report, a 32-year-old male patient expressed his dissatisfaction with the shape of his asymmetric teeth and lack of tooth display when smiling. He desired a new smile for his upcoming wedding while prioritizing the preservation of natural tooth structure and his limited finances.
The initial examination revealed a constricted bite, wear on certain teeth, chipping, and a diastema. To address these issues, clear aligner therapy was prescribed to correct the anterior relationship, close the diastema, and intrude the lower anterior teeth. After 15 weeks of aligner therapy, the diastema closed significantly, and the anterior relationship was corrected.
The goal of the final treatment was to achieve a smile closer to golden proportions by lengthening the central incisors, creating a step from the centrals to the laterals, and permanently closing the diastema.
To begin the restorative treatment, anesthetic was administered, and the correct tooth shade was selected. A highly versatile composite material was chosen for its multiple shade options and ease of use. A putty matrix was fabricated and used as a lingual guide for tooth lengthening during the composite application.
The layering technique was employed, starting with the central incisors to establish the desired shape and contour. Different shades were applied, and a cutback window technique was used to create space for tints and chromatic enamel shades. The remaining teeth were then veneered following the same procedure.
After shaping and contouring the veneered teeth, secondary and tertiary anatomies were added. The final polishing was performed, and occlusion, protrusive, and lateral excursions were checked to ensure proper functioning.
The patient was pleased with the final outcome, achieving the desired aesthetic result and regaining his self-confidence.
In conclusion, direct composite veneers offer a minimally invasive, aesthetically pleasing, and durable solution for smile makeovers. With advancements in materials and techniques, clinicians can achieve optimal results while preserving natural tooth structure and meeting patient preferences and financial considerations.