Digital Smile Design for Conservative Midline Diastema Closure with Indirect Ceramic Veneers: A Case Report
International Journal of Research and Reports in Dentistry · pp. 266–272 · Published 7 Aug 2025
10.9734/ijrrd/2025/v8i2229Abstract
Aim: this case report demonstrates a fully digital, single-visit workflow to close a 2.5 mm maxillary midline diastema and correct a tilted lateral incisor using 0.5 mm lithium disilicate veneers. Presentation of case: a 27-year-old female sought aesthetic correction for a midline gap and distally tilted lateral incisor. Intraoral scans (medit i700), virtual smile design, and exocad-based cad/cam planning guided minimal enamel preparation. Veneers were milled chairside from IPS E.MAX CAD blocks and bonded the same day without temporaries. At 6-month follow-up, veneers showed excellent integration, marginal seal, shade stability, and gingival health. Discussion: Digital veneer workflows using lithium disilicate allow conservative treatment with reliable, aesthetic outcomes. Literature reports 10-year survival rates over 96% for cad/cam veneers. In this case, efficient restoration was achieved without compromising biological or aesthetic principles. Conclusion: Single-appointment, digitally fabricated lithium disilicate veneers are an effective and enamel-preserving option for diastema closure and minor anterior corrections.
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