Facial esthetics significantly impact self-confidence and quality of life, motivating patients to seek prosthetic rehabilitation of the anterior maxilla. Treatment options typically include restorative-only or combined orthodontic-restorative therapies, influenced by patient expectations, invasiveness, duration, and clinical recommendations. Historically, orthodontic pretreatment faced resistance due to prolonged treatment time and social stigma. However, advancements such as clear aligners and minimally invasive techniques have overcome many barriers, optimizing tooth alignment and enabling conservative preparations. This article presents a case involving interdisciplinary orthodontic and minimally invasive prosthetic therapy. A 33-year-old patient dissatisfied with previous veneers underwent clear aligner therapy, minimally invasive veneer preparations guided by digital wax-ups, and definitive lithium disilicate restorations. Advanced digital tools facilitated precise interdisciplinary planning and enhanced patient communication. Material selection prioritized esthetics and durability, complemented by comprehensive maintenance to ensure long-term success. This approach highlights the advantages of interdisciplinary collaboration in achieving superior esthetic outcomes while preserving natural tooth structure.
BACKGROUND:This report presents a multidisciplinary approach combining orthodontic clear aligners and minimally invasive ceramic laminate veneers in the esthetic zone. METHODS:The patient expressed dissatisfaction with her smile due to the overlap of the left central incisor over the right central incisor, mild incisal wear, and the shade of her teeth. The treatment plan involved the use of clear aligners to improve the alignment of the anterior teeth, followed by minimally invasive tooth preparations to accommodate ultrathin ceramic laminate veneers. Clear aligners have become a popular treatment option due to their discreet appearance compared to traditional orthodontic brackets, which are visible on the facial surfaces of teeth. Additionally, clear aligners offer greater comfort, as they can be placed and removed easily by the patient. Minimally invasive ceramic veneers further enhanced the esthetics by significantly improving the shade and shape of the anterior teeth. Using novel techniques and technologies, ultrathin restorations were fabricated to blend with the adjacent natural dentition. RESULTS:The interdisciplinary approach, combining orthodontic treatment with clear aligners to improve the position of the teeth within the arch, followed by ultrathin laminate veneers bonded under total dental dam isolation, offered a minimally invasive approach with predictable results. CONCLUSIONS:The combination of clear aligners and ultrathin ceramic veneers successfully met the patient's esthetic and functional expectations.
