Adhesive esthetic treatment of non-syndromic maxillary anterior microdontia in young high-demanding patients: a case series

Background: Microdontia of the maxillary anterior teeth occurs quite frequently but is poorly documented. The literature describes several treatment choices, which are often focused on an orthodontic approach rather than a restorative one. The latest trends in restorative dentistry and the new ceramic materials, such as lithium disilicate, allow clinicians to perform esthetic rehabilitations based on microinvasive approaches that are most appropriate for younger patients. Summary: Four patients, all employed in the field of dentistry, presented at our dental practice complaining of diastemata between their maxillary anterior teeth. Clinical analysis showed that the six anterior teeth were smaller than normal. In this article, we describe the treatment performed in these cases using ceramic veneers. Only one case required a preparatory orthodontic intervention. The esthetic integration of the restorations was excellent, and no fractures or debondings were registered at the 2-year follow-up, resulting in a high degree of patient satisfaction. Conclusion: Since microdontia is a shape defect, we strongly believe that when patients ask for its correction, the treatment should focus on shape adjustments performed with mini-invasive techniques. Orthodontics may be a useful preparatory step to optimize the distribution of the teeth to be restored.