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This case report outlines a comprehensive pre-operative assessment followed by clear aligner orthodontic treatment and the placement of porcelain veneer restorations at the maxillary arch. The patient sought the replacement of existing direct and indirect restorations. Clear aligner treatment, using the Invisalign system (Align Technology, AZ, USA), was administered over 21 weeks to address moderate contact point displacement in the anterior sextants. Subsequently, minimally invasive porcelain veneers were provided anteriorly, alongside posterior cuspal coverage restorations.
CPD/Clinical Relevance:
To highlight the significance of pre-restorative orthodontic treatment in optimizing aesthetics and enabling the delivery of minimally invasive restorative procedures.
Article
A 56-year-old female patient employed as a school assistant, presented with the desire to improve the aesthetics of her smile and to receive long-term restorations aimed at preventing further tooth fractures. Her teeth were previously restored with large direct restorations that had undergone multiple repairs. The patient's primary aesthetic concern pertained to the malposition of her teeth. Additionally, she was highly self-conscious about the appearance of the porcelain veneer placed on her upper right central incisor (UR1), which had been fitted over 20 years previously. Furthermore, she expressed a desire to replace her existing full-coverage gold crowns. After conducting preliminary research via friends, family, and online social media platforms, the patient felt that orthodontic treatment, followed by more aesthetic post-orthodontic restorations could provide a pleasing smile enhancement.
The patient had an uneventful medical history. In relation to their dental history, their home-care oral hygiene practice included toothbrushing twice daily using an electric, oscillating toothbrush with a fluoride-containing toothpaste (1400ppm NaF) and the occasional use of interproximal brushes. She was a nonsmoker and consumed fewer than 14 units alcohol per week. A summary of the primary clinical findings can be found in Table 1.
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