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Fig 13: Maxillary anterior tooth preparation Fig 14: Mandibular anterior tooth preparation

Fig 15: Maxillary occlusal view of tooth preparation showing vonlays in Fig 16: Mandibular occlusal view of tooth preparation showing vonlays
premolars and onlays in molars in premolars and onlays in molars

Anterior segment: Chairside provisional restorations were fabricated using 3M Espe
Ultra-conservative veneer preparations were performed using the Protemp 4, a bisacryl temporary using the index of the printed digital
mock-up-guided APT technique. Preparations were confined to the mock-up design. This phase allowed the assessment of:
enamel. Incisal edges were left unprepared, as the length was added • Functional comfort
restoratively. Minimal mesial margin opening was performed on teeth • Speech adaptation
11 and 12 to correct the midline deviation. (Figures 12 to 14) • Esthetic acceptance
• Occlusal stability
Posterior segment: The patient reported immediate improvement in function and
Adhesive onlays were planned to integrate posterior occlusion with appearance, with no muscular discomfort or phonetic issues.
the new anterior scheme. Second molars were excluded and served as
stable posterior stops, allowing efficient preparation without the loss DEFINITIVE RESTORATIONS AND ADHESIVE PROTOCOL
of occlusal reference. (Figures 15 and 16) Definitive restorations were fabricated in IPS e.max, Lithium disilicate
(Figure 18) due to its favourable esthetic and adhesive properties. Lab
Exception: work was done by Precision Dental Studio Ltd (Mumbai).
Teeth 32 and 33 required full-coverage restorations due to functional A standard adhesive protocol was followed:
demands. • Veneer: Veneer was etched using Ivoclar Monobond Etch and
All preparations were completed in a single appointment, supported Prime (60 seconds). It is a single component ceramic primer that
by a stable posterior occlusion and mock-up-guided planning. etches and silanates the glass-ceramic surfaces in one step.
The soft tissue was managed using the retraction paste by 3M. The • Teeth: Teeth isolation was done with a split dam and temporaries
preparation was scanned using Dentsply Sirona’s Omnicam scanner. were carefully removed. Teeth were etched using 38% phosphoric
And it was sent to the lab where final designing was done based on the acid (Pulp dent, USA) followed by Bond application (Tetric N bond
provisionals. (Figure 17) universal, Ivoclar Vivadent). Restorations were bonded using a resin
cement (Variolink Esthetic LC, neutral shade). After bonding, the
PROVISIONALIZATION AND PATIENT ADAPTATION excess cement was immediately removed using a micro brush before

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