Minimally Invasive Management of Anterior Esthetic Deficiencies Using Lithium Disilicate Laminate Veneer Fixed Partial Dentures: A Case Series

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Okkaoğlu Z. L., Sancılı M. U., Türkkot K., Şanıvar Abbasgholızadeh Z., Özel H. B., Kahramanoğlu E.

the 48th Annual Conference of the European Prosthodontic Association, Nevşehir, Türkiye, 11 - 13 Eylül 2025, ss.144, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Nevşehir
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.144
  • Marmara Üniversitesi Adresli: Evet

Özet

such as diastema or single-tooth loss requires a balance between conservation of dental tissues and optimal esthetic outcomes. In situations where adjacent teeth are intact and invasive interventions are contraindicated or declined, lithium

disilicate laminate veneer fixed partial dentures (FPDs) offer a minimally invasive, esthetically driven solution.

Case Series: Three patients presenting with esthetic concerns in the anterior region were treated conservatively at Marmara University.

• Case 1: A 48-year-old female with mandibular midline diastema was treated using a veneer-supported pontic design without altering adjacent teeth.

• Case 2: A 19-year-old female experienced the traumatic avulsion of tooth 11. Due to midline asymmetry and limited mesiodistal space, orthodontic intervention was performed to reposition tooth 12 into the 11 position. A laminate veneer bridge was then fabricated between teeth 12 and 13, and full-coverage ceramic crowns were placed on teeth 21 and 22 to restore midline harmony and address extensive structural loss.

• Case 3: A 25-year-old female with congenital absence of tooth 12 received orthodontic preparation followed by a laminate veneer bridge (11–13) and veneers on 21–23. Minimal enamel preparation was performed after mockup

trials. Digital impressions (Trios 3) guided the CAD/ CAM fabrication of lithium disilicate restorations (IPS e.max). Surface conditioning involved hydrofluoric acid etching and silane application. Restorations were bonded using light-cured resin cement (G-Cem Veneer).

DISCUSSION: Compared to conventional full-coverage crowns, laminate veneer FPDs preserve enamel, support pulpal health, and offer superior esthetics—particularly when fabricated with lithium disilicate, known for its translucency

and mechanical strength. The integration of digital workflows further enhances treatment efficiency and accuracy. This case series demonstrates that with proper case selection, such conservative approaches yield high patient satisfaction and

biologically favorable results.

Keywords: Digital Impression, Anterior Esthetic Rehabilitation, Laminate Veneer, Fixed Partial Dentures