A Case Study of Resolving Chipped and Worn Front Teeth with Laminate Veneers

| A case of resolving chipped and worn front teeth with laminate veneers |

Hello, this is Seoul Centum Dental Clinic.

This time, we would like to introduce a treatment case related to front tooth fracture and wear.

Because many people undergo laminate veneer treatment for aesthetic reasons, it is one of the more satisfying treatments.

Especially when there is damage to the teeth,

because the aesthetic improvement is visible right away,

it is also a treatment many people seek these days.

Today, I will explain laminate veneer treatment in an easy-to-understand way through a case of tooth damage caused by teeth grinding.

1. Laminate consultation

💙Brief consultation summary💙
Front tooth damage caused by teeth grinding ▶ Crown treatment and a night guard recommended
Patient’s need ▶ Wants improvement with laminate veneers

Because the cause of the front tooth damage was teeth grinding,

we recommended crowns and an anti-grinding appliance during the initial consultation.

The patient said they had tried wearing a night guard before,

but it was uncomfortable and difficult to get used to.

Because they could not continue using the appliance consistently,

the tooth damage kept progressing.

We explained that crown restoration would be better,

but since the patient wanted laminate veneers,

and it was a possible case, we proceeded with that treatment.

2. Preparation before treatment

Before performing any dental treatment,

the overall oral environment must be carefully assessed.

We conduct an oral examination because we need to analyze multiple factors,

such as whether there is decay in the area and whether periodontal disease is severe.

In this patient’s case,

although they had previously received resin treatment and root canal treatment,

it was confirmed through the panoramic X-ray

that there was no current tooth decay.

Fortunately, there was no need for cavity treatment,

so we decided to focus only on the teeth grinding and laminate veneer treatment.

3. Precautions for laminate veneer treatment

Looking at the intraoral photos,

you can see that several teeth were chipped or worn down,

and the height of the front teeth on the left and right did not match.

The concern here is

that the cause of the tooth damage is the teeth-grinding habit.

Since the grinding habit had not been improved,

placing crowns would have been the more efficient option,

but because the patient’s determination to proceed with laminate veneers was firm,

I decided to pay extra attention and carry out the treatment.

In particular, to prevent the laminate veneers from coming off,

we completed the treatment with as much care and technical skill as possible.

4. Laminate veneer procedure

① First, tooth polishing and scaling were performed.

The teeth need to be properly cleaned and arranged

so that the shade guide comparison can also be done accurately.

Scaling was also performed at this stage to keep everything generally clean and tidy.

② We then began selecting the color in earnest.

For the color, you can look at the shade guide chart

and choose the shade you want.

Usually, it is common to make the color about 1.5 to 2 shades brighter than the current teeth.

If the brightness is increased excessively,

it may feel mismatched with the surrounding teeth,

so it is better to choose a natural-looking brightness.

This is a photo comparing the shade guide.

Because it was a tone that was brighter than the patient’s tooth color at the time

but did not feel unnatural,

we decided on it together with the patient while looking at it directly.

③ Laminate fabrication and bonding

After carefully making them with attention to translucency and shape,

we bonded them in place.

Looking at the finished intraoral photo,

the damaged front teeth have been neatly transformed.

It was completed in a natural tone,

and the patient was very satisfied.

However, since there is teeth grinding,

we finished by giving several precautions and reminding the patient to be careful.

If the treatment is carried out according to the condition of the teeth and the color,

laminate veneer is a dental procedure that can deliver the ideal effect.

However, it is important to properly identify the initial oral condition

and the cause of fracture and wear,

so please proceed only after 충분히 consulting with the medical team.

If you have any further questions about laminate veneers,

please feel free to contact us anytime.

Thank you.