Digital Smile Design for Conservative Midline Diastema Closure with Indirect Ceramic Veneers: A Case Report
Sadhana S M
*
Department of Conservative Dentistry and Endodontics, SJM Dental College and Hospital, Chitradurga, Karnataka, India.
Abdul Mujeeb
Department of Conservative Dentistry and Endodontics, SJM Dental College and Hospital, Chitradurga, Karnataka, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: this case report demonstrates a fully digital, single-visit workflow to close a 2.5 mm maxillary midline diastema and correct a tilted lateral incisor using 0.5 mm lithium disilicate veneers.
Presentation of case: a 27-year-old female sought aesthetic correction for a midline gap and distally tilted lateral incisor. Intraoral scans (medit i700), virtual smile design, and exocad-based cad/cam planning guided minimal enamel preparation. Veneers were milled chairside from IPS E.MAX CAD blocks and bonded the same day without temporaries. At 6-month follow-up, veneers showed excellent integration, marginal seal, shade stability, and gingival health.
Discussion: Digital veneer workflows using lithium disilicate allow conservative treatment with reliable, aesthetic outcomes. Literature reports 10-year survival rates over 96% for cad/cam veneers. In this case, efficient restoration was achieved without compromising biological or aesthetic principles.
Conclusion: Single-appointment, digitally fabricated lithium disilicate veneers are an effective and enamel-preserving option for diastema closure and minor anterior corrections.
Keywords: Digital workflow, midline diastema, CAD/CAM, lithium disilicate veneer