Orthodontic retreatment and 20 ceramic veneers

Clinical case 2: stabilisation, orthodontic retreatment and 20 ceramic veneers — 10 on the upper arch and 10 on the lower arch.

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Clinical case presentation: Dr. Lorena Bican

Case background

The patient attended after orthodontic treatment and composite veneers, feeling dissatisfied with the outcome. A new comprehensive plan was developed from an assessment of the clinical situation and the patient’s goals.

Before and after treatment

Before treatment
After treatment

Treatment plan stages

  1. Caries treatment and gingival health

    The plan began with caries treatment, professional cleaning and periodontal care.

  2. Orthodontic retreatment

    Orthodontic retreatment followed as part of the new restorative plan.

  3. Composite removal and planning

    The composite veneers were removed after orthodontics. A wax-up and mock-up followed to plan and assess the proposed tooth shapes.

  4. Ceramic restorations

    The final phase included 20 ceramic veneers: 10 on the upper arch and 10 on the lower arch, within the individual treatment plan.

Outcome and context

The final photograph shows the ceramic restorations after the treatment phases. Selecting ceramics in this case does not mean that composite veneers are unsuitable for other patients.

This is an individual case, not a general treatment recommendation. The number and type of restorations are determined after assessment. Photographs may differ in angle and lighting.

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Start with a consultation and a plan

Every treatment begins with a diagnosis: clinical examination, photographs, radiographs and, where relevant, an occlusal analysis. Only then do we discuss options.

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