Esthetic Treatment of a Periodontal Patient with Prefabricated Composite Veneers and Fiber-Reinforced Composite: Clinical Considerations and Technique

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The advances in periodontal therapy and the clinical success of adhesive dentistry have changed the way dentists treat periodontal patients. As more teeth are saved, the demand for functional and esthetic restoration of periodontally involved teeth grows. Once, these teeth were restored with full-coverage splinted restorations, whereas today, adhesive techniques provide less invasive and less complicated treatment options.This paper presents a novel adhesive combination of fiber-reinforced composite and prefabricated composite veneers to restore function and esthetics in a periodontal patient with severe bone and attachment loss. After successful completion of the periodontal treatment, fiber-reinforced composite has been bonded to the buccal surface of the maxillary anterior teeth in order to control teeth mobility. At the same appointment, prefabricated composite veneers have been bonded to the splinted teeth in order to restore esthetics. The final result shows full integration of contemporary adhesive techniques for single-appointment, minimally invasive treatment of a periodontal patient.CLINICAL SIGNIFICANCEThis paper describes the use of fiber-reinforced composite and prefabricated composite veneers for the treatment of severe periodontal patients with a minimally invasive, single-appointment technique.

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