Expanding the limits: Successful anterior rehabilitation with feldspathic veneers beyond conventional guidelines

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A. Jantea
D. Lolos
S. Dinu
L. Porojan
L. Mitariu
M. Mitariu
D. C. Bratu
D. Popa
C. A. Dehelean
D. R. Chioibaș
B. A. Lolos
R. Oancea
S. G. Mihali

Abstract

This case report aims to detail our experience in regards to the management of the options for anterior dental rehabilitation using feldspathic ceramic veneers when preparation extends beyond guideline recommendations. Porcelain laminates are translucent, shade-matched to resemble enamel more than any other dental material, but there has always been equivocation about their mechanical integrity, particularly when applied over a severely reduced dentin. This work presents a clinical case where feldspathic veneers have been applied on all the anterior teeth, both centrals, laterals and canines, with veneer being made 0.5m thick, more than the recommended guidelines for such veneers. Despite the invasive preparation which extended beyond the 2mm of unsupported dental hard tissue infiltration the veneers showed that they were long term physiological stable. Some of the reasons that have put into practice are very rigid bonding procedures and good understanding of the properties of feldspathic ceramics. The case also debunks the concept that feldspathic veneers are not suitable in cases which require massive amounts of tooth reduction and indicates that this material will also do well especially if the technique that is implemented does not call for ideal conditions. Consistent with the latter statement, the present study emphasizes the effectiveness of feldspathic ceramics for remaining dental thickness and call for further investigation into more challenging clinical applications.

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