Page 32 - Dental Practice August 2022

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cosmetic dentistry section

MINIMALLY INVASIVE DENTISTRY

IN A TIME BOUND PATIENT

SANAH SAYED

FIG 2

FIG 1 FIG 1 & 2 Baseline situation

FIG 3 Facial analysis FIG 4 Full face non retracted views

INTRODUCTION Enamel hypoplasia
In this article we are presenting a case of a 35 year old time bound It is a developmental enamel defect characterized by thin or
patient. Time bound patients present a challenge when it comes to absent enamel. In some cases, the defect occurs on only part of a
treating multiple teeth in fewer appointments. In such a case sce- tooth’s surface, resulting in pits or grooves in the tooth’s
nario, standard protocols and steps provide predictability and effi- enamel. In other cases, an entire tooth may have an overly thin layer
ciency to treat them non-invasively and painlessly. of dental enamel or may have no enamel at all. While there are
Here my patient came with enamel hypoplasia and had already many ways to reach an ideal outcome when considering time
undergone invisalign. She had her teeth in appropriate positions bound patients and patient expectations, many factors play an
when considering the vermillion border to treat the case non-inva- important role.
sively as observed in the 12 clock position.
TREATMENT PLAN
After much discussion and deliberations we decided to treat the case
Sayed S. (2022). Minimally invasive dentistry in a time bound with Composite veneers from canine to canine and premolars and
patient. Dental Practice 18(4), 32-35
molars were treated with Icon resin infiltration. She was concerned
about keeping most of the enamel intact.

32 Dental Practice // July-August 2022 // Vol 18 No 4