HAIPHONG, Vietnam: A new case report has demonstrated what a conservative prosthetic pathway can achieve when a patient with a relatively complex anterior presentation declines orthodontic treatment. The medium-term outcomes highlight how digital planning, enamel-preserving techniques and lithium disilicate veneers can support durable aesthetic restorations in a case made more demanding by both periodontal and occlusal factors.
The case involved a patient with altered passive eruption, a mild Class II, Division 2 malocclusion and palatal inclination of the maxillary incisors. Orthodontic treatment combined with bleaching was considered the biologically preferable option, and combined orthodontic and prosthetic treatment was also evaluated. However, the patient declined orthodontic treatment. The team therefore opted for Digital Smile Design-guided restoration with minimally invasive lithium disilicate veneers, as well as gingivectomy.
Clinical assessment found that the restorations remained functionally and aesthetically stable after six years. No major complications such as veneer fracture, debonding or significant discoloration were reported. The surrounding soft tissue also remained healthy, and the patient continued to report satisfaction with both the appearance and function of the restored teeth.
For clinicians, the report’s main value is not novelty in technique, but the integration of established principles in a demanding case. Although the report focuses on a single patient, the six-year follow-up suggests that the case illustrates the potential clinical value of employing careful digital planning for conservative veneer restoration that considers biomechanical complexities.
The article, titled “Digital smile design-driven minimally invasive lithium disilicate laminate veneers in the aesthetic zone: A 6-year follow-up case report”, was published online on 17 February 2026 in Frontiers in Dental Medicine.
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