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10 cosmetic section DENTAL TECHNOLOGY, JULY-SEPTEMBER 2023

NO - PREP FELDSPATHIC CERAMIC VENEERS

Odt. Gabriele Amos Mainetti and Dr. Diego Spreafico show the restoration of a
patient with no-prep veneers in the aesthetic zone.

dditional veneers were chosen because only discoloration tions in the upper anterior. In view of these considerations and the
and a slight malocclusion were to be concealed. Classical desire for the most conservative solution possible], a restoration
layering was performed on a Geller model. Great impor- with feldspathic ceramic no-prep veneers from 14 to 24 was sug-
Atance was placed on the correct shade determination. gested. We took alginate impressions and took intra-oral and extra-
A 47-year-old female patient presented to the practice. She was oral photos (Figures 1 to 3) of her initial presentation.
unhappy with her smile. Her dissatisfaction was due in particular to In order to complete the information on the status, a preliminary
the color of her teeth and the slight malocclusion of her upper cen- color determination using the Vita color scale and a customer spe-
tral incisors in the vestibular, palatal direction. cific scale (Figure 4). In the second session an emotionally evoca-
The patient informed us that her teeth had been whitened, both tive mock-up is used to determine the final shape of the restorations,
[2]
professionally and also at home. However, the hoped - for result the volume of the teeth and the smile line . In this case, we pre-
had not been achieved so far. On examination, she showed a good ferred to use an “indirect mock-up” (Figure 5), which was creat-
level of oral hygiene and a healthy dentition without any restora- ed in the laboratory on the basis of a diagnostic wax-up. We contin-

FIG 1 FIG 2 FIG 3
FIG 1-3: Extra-oral photos were taken

FIG 4: Preliminary color determination with the Vita color FIG 5: “Indirect mock-up” produced in the laboratory on the FIG 6: Customized individual color key
scale basis of a diagnostic wax-up

FIG 7 FIG 8 FIG 9: Digitally fabricated custom trays.
FIG 7-8: Sample of the planned ceramic layering