Dentaltown June 2023 - 48

FIG. 20
FIG. 21
FIG. 22
When considering
cosmetic treatment for
patients who have retained
most of their natural teeth,
especially young adults,
it is of utmost importance
to preserve as much tooth
structure as possible.
Th e patient was extremely pleased
with the case outcome (Figs. 20-22)
and wears a provided nightguard at
night for an added level of insurance
against damaging the restorations
during sleep.
Conclusion
With careful case selection and
knowledge of proper tooth preparation,
material selection and adhesive
protocols, patients can successfully
be restored using minimally invasive
veneers. Th is case demonstrates
that highly aesthetic outcomes can
be achieved to restore natural tooth
form and shape to broaden a patient's
smile line and correct moderate
overcrowding.
Author credit
Special thanks to Oral Design member
and master ceramist Peter Kouvaris,
of Peter Kouvaris Dental Studio in New
York, for fabrication of the beautiful
porcelain veneers seen in this case. DT
References
1. Smielak B, Armata O, Bojar W. " A Prospective Comparative
Analysis of the Survival Rates of Conventional Vs. No-Prep/
Minimally Invasive Veneers Over a Mean Period of
9 Years. " Clin Oral Invest 26, 3049-3059 (2022).
2. Calamia JR, Calamia CS. " Porcelain Laminate Veneers:
Reasons for 26 Years of Success. " Dent Clin North Am 2007;
51(2):399-417.
3. Vanlıoğlu BA, Kulak-Özkan Y. (2014). " Minimally Invasive
Veneers: Current State of the Art. " Clinical, Cosmetic and
Investigational Dentistry, 6, 101-107.
4. Morita RK, Hayashida MF, Pupo YM, Berger G, Reggiani
RD, Betiol EA. " Minimally Invasive Laminate Veneers:
Clinical Aspects in Treatment Planning and Cementation
Procedures. " Case Rep Dent. 2016; 2016:1839793.
5. Rambabu T, Gayatri C, Sajjan GS, Karteek Varma PV,
Srikanth V. " Correlation Between Dentofacial Esthetics and
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Using Visagism. " Contemp Clin Dent. 2018 Jan-Mar;
9(1):83-87.
6. Bhuvaneswaran M. " Principles of Smile Design. " J Conserv
Dent. 2010 Oct; 13(4):22-32.
7.
LeSage B. " Establishing a Classification System and Criteria
for Veneer Preparations. " Compend Contin Educ Dent. 2013;
34(2):104-112. 114-115; quiz 116-117.
8. Gurel G, Morimoto S, Calamita MA, Coachman C, Sesma
N. " Clinical Performance of Porcelain Laminate Veneers:
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32(6):625-35.
9. Jing Gao, Jinxiu He, Lin Fan, Jiayi Lu, Haiyang Yu. " Accuracy
of Reduction Depths of Tooth Preparation for Porcelain
Laminate Veneers Assisted by Diff erent Tooth Preparation
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10. Sisler ZS. " Preparation Guides: 10 Steps to Maximize
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Dr. John Heimke, who has more than 30 years of experience in cosmetic and implant
dentistry, now practices in Cleveland. Heimke earned his DMD at Case Western
Reserve University School of Dental Medicine in Cleveland and an MPH from Emory
University in Atlanta, and completed an advanced education program in general
dentistry at Fort Benning, Georgia, while serving as a captain in the U.S. Army
medical department.
Heimke is a fellow of the Academy of General Dentistry and the Pierre Fauchard
Academy, and a member of the Oral Design International Foundation. A digital
smile design master instructor, he also lectures on cosmetic dentistry, digital/analog
dentistry workflows, full-arch implants, marketing, and consults and case acceptance.
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