Minimally invasive veneers and a single immediate implant in the esthetic zone

The present case report describes a minimally invasive and multidisciplinary approach to anterior dentition with interproximal spaces and uneven incisal edges using ceramic laminate veneer restorations and a single immediate implant to replace a hopeless primary tooth in the esthetic zone. The patient’s chief concerns were to improve her smile and address the mobility of her maxillary right canine. After clinical evaluation, the patient was offered conservative veneers from the maxillary right lateral incisor to the left canine, and extraction of the primary right canine with an immediate implant to replace the missing permanent right canine. A diagnostic wax-up followed by a mock-up provided a visual tentative outcome and led to the patient’s approval. Digital implant planning provided the required information for atraumatic tooth extraction, followed by guided implant placement. Additionally, ultrathin ceramic veneers cemented under rubber dam isolation completed the treatment with highly esthetic results. Well-planned restorative and surgical procedures with minimally invasive veneers and immediate implant therapy achieved the desired outcome in the esthetic zone and were still successful at the 3-year follow-up. Keywords: ceramics, esthetic dentistry, implantology, restorative dentistry, veneers