Journal of Operative Dentistry & Endodontics

Register      Login

VOLUME 6 , ISSUE 2 ( July-December, 2021 ) > List of Articles

CASE REPORT

Revamping the Peg Smile: An Art of Rehabilitation of Peg Laterals with Ceramic Veneers and Composite Restorations—A Case Report

Ramdhas Annapurani, Mahendran Kavitha, Pasupathy Shakunthala, Jayavel Nandhakumar

Keywords : Composite restoration, Dental ceramic, Lithium disilicate, Mock-up, No-prep veneers, Peg laterals

Citation Information : Annapurani R, Kavitha M, Shakunthala P, Nandhakumar J. Revamping the Peg Smile: An Art of Rehabilitation of Peg Laterals with Ceramic Veneers and Composite Restorations—A Case Report. J Oper Dent Endod 2021; 6 (2):69-73.

DOI: 10.5005/jp-journals-10047-0115

License: CC BY-NC 4.0

Published Online: 24-05-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Esthetic management of peg laterals can be involving various factors such as patient expectations, minimally invasive biomimetic treatment approach, use of biomimetic materials, clinician's skills, and experience on case selection. Among various options, ceramic no-prep veneers have been the esthetic restoration in trend for the peg laterals. Case description: Minimally invasive bonded restorations were planned in order to provide a smile makeover for a 26-year-old male patient who had diastemas caused by peg laterals. Lithium disilicate-based ceramic no-prep veneers and composite restorations were designed, created, and bonded following diagnostic wax-up and cosmetic mock-up. The patient had a pleasing outcome. Conclusion: No-prep veneers can be considered as a conservative means for rehabilitation which requires thorough diagnosis and vigilant selection of cases.


HTML PDF Share
  1. Bello A, Jarvis RH. A review of esthetic alternatives for the restoration of anterior teeth. J Prosthet Dent 1997;78(5):437–440. DOI: 10.1016/s0022-3913(97)70056-8.
  2. Greenwall L. Treatment options for peg-shaped laterals using direct composite bonding. Int Dent SA 2017;12(1):6.
  3. Proffit WR, Fields HW, Sarver DM. Contemporary orthodontics. 4th ed. St Louis, Mo: Mosby Elsevier; 2007. p. 751.
  4. Walls AWG, Murray JJ, McCabe JF. Composite laminate veneers: a clinical study. J Oral Rehabil 1988;15(5):439–454. DOI: 10.1111/j.1365-2842.1988.tb00180.x.
  5. Manjula W, Sukumar M, Kishorekumar S, et al. Smile: a review. J Pharm Bioallied Sci 2015;7(5):273. DOI: 10.4103/0975-7406.155951.
  6. Londoño-Bolívar MÁ, Botero-Mariaca P. The smile and its dimensions. Rev Fac Odontol Univ Antioq 2012;23(2):353–365.
  7. Bhuvaneswaran M. Principles of smile design. J Conserv Dent 2010;13(4):225. DOI: 10.4103/0972-0707.73387.
  8. Gürel G. Discovering the artist inside: a three-step approach to predictable aesthetic smile designs, Part I. Dent Today 2013;32(5):74, 76–78. PMID: 23720999.
  9. Gürel G, editor. The science and art of porcelain laminate veneers. London, Chicago, Berlin, Copenhagen, Tokyo, Paris, Barcelona, Milano, São Paulo, New Delhi, Moscow, Prague, Warsaw, Istanbul: Quintessence Publ; 2003. 525 p. [Quintessence books].
  10. Lazar D. Precise mock-up. Styleitaliano.org. 2016. Available from: https://www.styleitaliano.org/precise-mock-up/.
  11. Novelli C, Scribante A. Minimally invasive diastema restoration with prefabricated sectional veneers. Dent J 2020;8(2):60. DOI: 10.3390/dj8020060.
  12. Hong J, Tak S-M, Baek S-H, et al. The effect of the amount of interdental spacing on the stress distribution in maxillary central incisors restored with porcelain laminate veneer and composite resin: a 3D-finite element analysis. J Korean Acad Conserv Dent 2010;35(1):30. DOI: 10.5395/JKACD.2010.35.1.030.
  13. Zarone F, Leone R, Di Mauro MI, et al. No-preparation ceramic veneers: a systematic review. J Osseointegration 2018;10(1):17–22. DOI: 10.23805/jo.2018.10.01.03.
  14. Alberton S, Alberton V, de Carvalho R. Providing a harmonious smile with laminate veneers for a patient with peg-shaped lateral incisors. J Conserv Dent 2017;20(3):210. DOI: 10.4103/0972-0707.218311.
  15. Zarone F, Di Mauro MI, Ausiello P, et al. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health 2019;19(1):134. DOI: 10.1186/s12903-019-0838-x.
  16. Reynolds J, Robert M. Lithium-disilicate pressed veneers for diastema closure. Inside Dent 2010;6(5):46–52.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.