Esthetic rehabilitation with ultra-thin ceramic veneers and direct mock-up in the treatment of dental erosion – case report.

  • Fernando Grandon Departamento de Odontología Restauradora. Facultad de Odontología; Universidad de Concepción, Chile. Programa Odontología Estética Adhesiva. Universidad de Concepción, Chile.
  • Natalia Marcus Departamento de Odontología Restauradora. Facultad de Odontología; Universidad de Concepción, Chile.
  • Maria Muster Facultad de Odontología, Universidad Andrés Bello, Concepción, Chile.


Dental erosion is a high prevalence condition characterized by the loss of dental substance due to chemical agents. It can also be associated with physical wear, affecting function and aesthetics. Ceramic veneers can provide effective solutions to patients affected by erosive disorders, by means of an indirect approach and minimal intervention. Recent advances in cementation techniques and ceramic materials have allowed their use in reduced thicknesses, known as "dental contact lenses" or "ultra-thin veneers". They contribute significantly to the preservation of the dental structures, having excellent mechanical properties and providing satisfactory aesthetic solutions. Their manufacture requires rigorous planning and the use of three-dimensional models or mock ups in order to preview the final outcome. Case: The aim of this report is to communicate the use of this technique for the treatment and successful 12-months follow-up of a patient affected by dental erosion of the maxillary central incisors. Special interest was placed on direct mock-up, which is a simple technique not requiring laboratory steps. Luting of the lithium disilicate veneers was carried out with a light-curing resin cement and try-in pastes, yielding a very satisfactory result. Conclusion: Diagnosis and early treatment of this disorder allows the application of conservative techniques, such as ultra-thin veneers, which are seen as a promising alternative treatment to full coverage restorations and traditional ceramic veneers.


1. Fradeani M, Barducci G, Bacherini L. Esthetic rehabilitation of a worn dentition with a minimally invasive prosthetic procedure (MIPP) Int J Esthet Dent. 2016;11(1):16–35.
2. Vailati F, Bruguera A, Belser U. Minimally Invasive Treatment of Initial Dental Erosion Using. 65. Pressed Lithium Disilicate Glass-Ceramic Restorations: A Case Report. Quintessence Dental Tech. 2012;35:65–78.
3. Bahillo J, Jané L, Bortolotto T, Krejci I, Roig M. Full-mouth composite rehabilitation of a mixed erosion and attrition patient: a case report with v-shaped veneers and ultra-thin CAD/CAM composite overlays. Quintessence Int. 2014;45(9):749–56.
4. Gaillard C, Cofar F, Popp I, Bellamy J, Hue C. Repairing dental erosion with mini-mal-preparation dentistry. Validation of biological and functional esthetics in a full-mouth rehabilitation. J of Cosmetic Dent. 2016;32(3):96–109.
5. Edelhoff D, Prandtner O, Saeidi Pour R, Liebermann A, Stimmelmayr M, Güth JF. Anterior restorations: The performance of ceramic veneers. Quintessence Int. 2018;49(2):89–101.
6. Alencar MS, Araújo DF, Maenosono RM, Ishikiriama BL, Francischone CE, Ishikiriama SK. Reestablishment of esthetics with minimum thickness veneers: a one-year follow-up case report. Quintessence Int. 2014;45(7):593–7.
7. Savi A, Crescini A, Tinti C, Manfredi M. Ultra-Thin Veneers Without Tooth Preparation in Extensive Oligodontia. Int J Periodontics Restorative Dent. 2015;35(6):e97–e103.
8. Clavijo V, Sartori N, Phark JH, Duarte S. Novel Guidelines for bonded ceramic veneers: part 1. Is tooth preparation truly necessary? 1st Ed. Hanover Park, IL: Quintessence of Dental Technology; 2016.
9. Magne P, Magne M. Use of additive waxup and direct intraoral mock-up for enamel preservation with porcelain laminate veneers. Eur J Esthet Dent. 2006;1(1):10–9.
10. Gurrea J, Bruguera A. Wax-up and mock-up. A guide for anterior periodontal and restorative treatments. Int J Esthet Dent. 2014;9(2):146–62.
11. Teichmann M, Göckler F, Weber V, Yildirim M, Wolfart S, Edelhoff D. Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses. J Dent. 2017;56:65–77.
12. Beier US, Dumfahrt H. Longevity of silicate ceramic restorations. Quintessence Int. 2014;45(8):637–44.
13. Soares PV, Spini PH, Carvalho VF, Souza PG, Gonzaga RC, Tolentino AB, Machado AC. Esthetic rehabilitation with laminated ceramic veneers reinforced by lithium disilicate. Quintessence Int. 2014;45(2):129–33.
14. Azer SS, Rosenstiel SF, Seghi RR, Johnston WM. Effect of substrate shades on the color of ceramic laminate veneers. J Prosthet Dent. 2011;106(3):179–83.
15. Chen XD, Hong G, Xing WZ, Wang YN. The influence of resin cements on the final color of ceramic veneers. J Prosthodont Res. 2015;59(3):172–7.
16. Igiel C, Weyhrauch M, Mayer B, Scheller H, Lehmann KM. Effects of ceramic layer thickness, cement color, and abutment tooth color on color reproduction of feldspathic veneers. Int J Esthet Dent. 2018;13(1):110–9.
17. Koubi S, Gurel G, Margossian P, Massihi R, Tassery H. A Simplified Approach for Restoration of Worn Dentition Using the Full Mock-up Concept: Clinical Case Reports. Int J Periodontics Restorative Dent. 2018;38(2):189–97.
18. Negrão R, Cardoso JA, de Oliveira NB, Almeida PJ, Taveira T, Blashkiv O. Conservative restoration of the worn dentition - the anatomically driven direct approach (ADA) Int J Esthet Dent. 2018;13(1):16–48.
19. Morimoto S, Albanesi RB, Sesma N, Agra CM, Braga MM. Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. Int J Prosthodont. 2016;29(1):38–49.
20. Grandon F, Galdames B, Marcus N, Muster M. Cerámica libre de metal terminada y caracterizada por pulido manual. Rev Clin Periodoncia Implantol Rehabil Oral. 2018;11(1):39–42.
How to Cite
GRANDON, Fernando; MARCUS, Natalia; MUSTER, Maria. Esthetic rehabilitation with ultra-thin ceramic veneers and direct mock-up in the treatment of dental erosion – case report.. Journal of Oral Research, [S.l.], v. 7, n. 6, p. 254-259, july 2018. ISSN 0719-2479. Available at: <>. Date accessed: 03 june 2020. doi:


ceramic veneers; dental erosion; mock-up; lithium disilicate.