Injectable Composite Veneers; Quick Solution for Multiple NCCLs

Abstract

<p>Background:</p><p>Injectable composite veneers have emerged as an innovative advancement in aesthetic dentistry, offering a minimally invasive approach to enhance dental aesthetics while preserving natural tooth structure. This technique integrates both indirect laboratory-based planning and direct clinical application, facilitated by a diagnostic wax-up phase that enables precise morphological design. The wax-up serves as a blueprint for fabricating a transparent silicone index, which acts as a customized guide for the controlled placement of flowable composite resin. The low viscosity and high adaptability of flowable composites ensure optimal marginal adaptation and anatomical conformity, minimizing voids and interfacial stress. In the following case report, a 55-year-old male patient came to the restorative dentistry clinic with concerns about the appearance of his anterior teeth. Multiple teeth exhibited enamel hypoplasia and non-carious cervical lesions. Given the need for a time-efficient and conservative approach, the injectable technique was recommended to simultaneously restore the aesthetics of the anterior teeth and address the NCCLs.</p><p><br></p><p>Methods</p><p>The transparent silicone putty index was fabricated based on the wax-up. The aesthetics and function on the wax-up was confirmed with the patient prior to the procedure. Channels were prepared on the incisal edges of the silicone index with a high-speed handpiece and diamond bur to allow for tip of the injectable flowable composite to pass through. After the application of bonding, the silicone index was placed and firmly held in position while flowable resin composite was injected through the channels on the incisal edge. The restoration was light cured for 30 seconds each and the index was removed. After removal of the silicone index, the excess resin composite was removed with a scalpel blade no.12, diamond finishing stone, finishing and polishing discs. Finally, polishing rubber system were used to give a lustrous finish. The patient’s smile was improved and lost dental tissues, especially on the cervical region, were reconstructed.</p><p><br></p><p><strong>Results: </strong></p><p>The results not only improved the visual appeal of the anterior teeth but also restored the patient’s confidence in his smile. This procedure showcased the advantages of a minimally invasive approach, allowing for minimal tooth preparation while delivering high patient satisfaction and predictable outcomes.</p><p><br></p><p>Conclusion:</p><p>The protocol begins with digital or analog smile design, followed by the creation of a silicone index to transfer the planned contours to the patient’s dentition. By leveraging this dual-phase methodology, clinicians achieve predictable replication of the wax-up, reducing chairside adjustment time and operator-dependent variability. The injectable technique eliminates the need for extensive enamel reduction, aligning with biomimetic principles to maintain biomechanical integrity. Clinical applications include the correction of chromatic anomalies (e.g., intrinsic discoloration, fluorosis), minor diastema closure, morphological irregularities (chips, abrasions), and subtle malpositioning of anterior teeth, providing a conservative alternative to traditional porcelain veneers or orthodontic interventions. Long-term outcomes are supported by the material’s wear resistance and repairability, though case selection remains critical—ideal candidates exhibit localized defects without functional compromise. This technique represents a paradigm shift toward patient-centric, preservation-focused cosmetic dentistry, balancing aesthetic demands with biological conservation.</p><p><br></p><p><strong>Keywords: (up to 6 keywords)</strong></p><p>Minimally Invasive Dentistry, Injectable composite Veneers, Smile Makeover</p>