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Replacement of unsatisfactory ceramic veneers with the aid of a digital workflow
  1. Renato Lardin Sartori Sanchez1,
  2. Giulia Gonçalves dos Santos1,
  3. Gisele Lie Fukuoka1 and
  4. Isabella Neme Ribeiro dos Reis2
  1. 1 Department of Prosthodontics, University of São Paulo, São Paulo, Brazil
  2. 2 Department of Stomatology, University of São Paulo, São Paulo, Brazil
  1. Correspondence to Isabella Neme Ribeiro dos Reis; bellaneme{at}


This case report focuses on the replacement of ceramic laminate veneers with suboptimal marginal fit and design, employing a digital workflow and CAD–CAM technology. The patient, a woman in her 30s, expressed concerns about the appearance and hygiene challenges of her existing veneers. A comprehensive assessment, including clinical examination, facial photographs and intraoral scanning, was conducted. Utilising CAD software, facial photographs and 3D models merged to create a digital wax-up, crucial in designing suitable veneers and addressing issues like overcontouring and a poor emergence profile. Following the removal of old veneers, a mock-up was performed and approved. Preparations ensured space for restorations with well-defined margins. The final restorations, milled with Leucite-reinforced vitreous ceramic, were cemented. At the 1 year follow-up, improved aesthetics, gingival health and functional restorations were observed. This report highlights the efficacy of digital workflows in achieving consistent and aesthetically pleasing outcomes in ceramic laminate veneer replacement.

  • Mouth
  • Dentistry and oral medicine

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigating results, drawing original diagrams and algorithms, and critical revision for important intellectual content: RLSS, GGdS and GLF. The following authors gave final approval of the manuscript: IR.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.