Conservative Management of Uneven Anterior Teeth Spacing using Lingual Porcelain Laminate Veneers: Report of Two Cases with 2- and 6-year follow-up

Hamid  Kermanshah; Fariba  Motevasselian; Zahra  Amiri; Fateme  Baghbani

doi:10.18502/fid.v21i23.16041

Hamid Kermanshah Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Fariba Motevasselian Department of Restorative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Zahra Amiri Department of Restorative Dentistry, School of Dentistry, Semnan University of Medical Sciences, Semnan, Iran
Fateme Baghbani Private Practice, Tehran, Iran

DOI: https://doi.org/10.18502/fid.v21i23.16041

Keywords: Diastema; Dental Porcelain; Esthetics, Dental; IPS-Empress Ceramic

Abstract

Porcelain laminate veneers (PLV) offer a conservative aesthetic solution for interdental space closure. However, space is typically not distributed symmetrically, and the mesiodistal width of the restored teeth may increase unless multiple teeth are prepared for conventional PLV to maintain appropriate individual tooth proportion. Ceramic fragments can be suggested to close the space without modifying tooth size and dental proportion. This article presents two cases where interdental gaps were closed using lingually placed porcelain laminate (LPPL). All stages of the restorative procedures, including treatment planning, temporization, tooth preparation, and cementation of these delicate restorations, are detailed. Based on the results of these clinical reports, we regard the use of LPPL as a successful treatment option in selected cases, as evidenced by 2- and 6-year follow-ups. The Modified United State Public Health Criteria is reported.