INTERDISCIPLINARY ORTHODONTIC-RESTORATIVE MANAGEMENT OF MAXILLARY ANTERIOR AESTHETICS USING MINIMALLY INVASIVE CERAMIC VENEERS: CASE REPORT
DOI:
https://doi.org/10.55197/qjmhs.v5i3.214Keywords:
pre-prosthetic, orthodontic, lithium disilicate veneer, dental aesthetic, minimally invasive dentistry, enamel preservationAbstract
Optimizing anterior dental aesthetics in partially edentulous patients presents a complex interplay of biological, functional, and aesthetic considerations. This case report critically examines an interdisciplinary approach integrating limited pre-prosthetic orthodontic alignment with minimally invasive lithium disilicate veneer rehabilitation to address malpositioned, rotated, and diastema-affected maxillary anterior teeth. A 30-year-old patient with incisal edge defects and progressive midline diastema underwent sectional orthodontic alignment to correct rotations and optimize spatial distribution, minimizing enamel reduction and enhancing adhesive bonding for definitive restorations. Subsequent fabrication and placement of veneers, complemented by targeted composite resin build-ups, achieved harmonious aesthetic integration while preserving tooth structure. Post-treatment retention with an upper Essix retainer ensured stability and mitigated relapse risks. This approach demonstrates that judicious orthodontic intervention can expand restorative possibilities, allowing conservative management without compromising functional or aesthetic outcomes. The report underscores the critical importance of treatment sequencing, biological preservation, and interdisciplinary collaboration in contemporary anterior rehabilitation. By situating orthodontics as an enabling modality rather than a peripheral adjunct, the case illustrates how precision in pre-restorative alignment directly influences long-term predictability, structural integrity, and patient-centered outcomes. These findings advocate for broader adoption of integrative protocols, challenging conventional reliance on restorative compensation alone, and provide a model for evidence-informed, minimally invasive anterior aesthetic dentistry.
References
[1] Alazemi, B.M., Rayyan, M.R. (2025): Translucency and color stability of advanced lithium disilicate ceramic material: An in vitro study. – Journal of Conservative Dentistry and Endodontics 28(1): 33-38.
[2] Alfallaj, H. (2020): Pre-prosthetic orthodontics. – Saudi Dental Journal 32(1): 7-14.
[3] Alothman, Y., Bamasoud, M.S. (2018): The success of dental veneers according to preparation design and material type. – Open Access Macedonian Journal of Medical Sciences 6(12): 2402-2408.
[4] Al Taki, A. (2015): Orthodontic Considerations Prior to Ceramic Veneers Placement: An Updated Review. – EC Dental Science 3: 472-482.
[5] Chalala, C. (2012): How orthodontics can facilitate restorative dentistry. – International Arab Journal of Dentistry 3(2): 66-73.
[6] Hien, N.T.M., Lam, T.H., Viet, H., Thao, D.T., Hoang, V. (2025): Clinical Performance of Lithium Disilicate Ceramic Veneers Cemented With Light-Cured Resin Cements: An Observational Study. – Cureus 17(5): 8p.
[7] Karthi, M., Maria, R., Momin, Z. (2023): Post-orthodontic recontouring of anterior teeth using direct composite injection technique: a case report. – International Journal of Oral Health Dentistry 9: 74-77.
[8] Kuliš, A., Kuliš Rader, K., Kopač, I. (2024): Minimally invasive prosthodontics using the concept of prosthetically guided orthodontics. – Journal of Esthetic and Restorative Dentistry 36(10): 1370-1380.
[9] Magne, P., Belser, U.C. (2003): Porcelain versus composite inlays/onlays: Effects of mechanical loads on stress distribution, adhesion, and crown flexure. – The International Journal of Periodontics & Restorative Dentistry 23(6): 543-555.
[10] Pini, N.P., Aguiar, F.H., Lima, D.A., Lovadino, J.R., Terada, R.S., Pascotto, R.C. (2012): Advances in dental veneers: Materials, applications, and techniques. – Clinical, Cosmetic and Investigational Dentistry 4: 9-16.
[11] Shen, Y., Jiang, X., Yu, J. (2023): The combined orthodontic and restorative treatment for patients with malocclusion and dentition defects: A randomized controlled trial. – Medicine 102(35): 6p.
[12] Siaw, Y.K. (2018): Achieving the optimal esthetic outcome of anterior restorations: Traditional or digital approach? – Journal of Indian Prosthodontic Society 18(Suppl 1): S3-S4.
[13] Spear, F.M., Kokich, V.G., Mathews, D.P. (2006): Interdisciplinary management of anterior dental esthetics. – Journal of the American Dental Association 137(2): 160-169.
[14] Stappert, C.F., Ozden, U., Gerds, T., Strub, J. R. (2005): Longevity and failure load of ceramic veneers with different preparation designs after exposure to masticatory simulation. – The Journal of Prosthetic Dentistry 94(2): 132-139.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 MOHD KHAIRUL FIRDAUS MAZLAN, I’UDZURI MD JAZAM, WOEI LI KOAY, MUHAMMAD SYAFIQ ABDUL RAZAK
This work is licensed under a Creative Commons Attribution 4.0 International License.
