Case Presentation:

Whitening and Composite Veneers for Aesthetic Enhancement and Correcting Orthodontic Outcome

Patient Information:

• Name: Miss S. Smith
• Age: 24 years
• Gender: Female

Chief Complaint:

The patient sought dental care due to dissatisfaction with the final outcome of an online clear aligner orthodontic treatment she had undergone. She was particularly concerned about the appearance of her upper lateral incisors, which were instanding and did not align properly with the rest of her teeth.

Treatment Plan:

After discussing the patient’s concerns and goals, a comprehensive treatment plan was devised to address her aesthetic concerns and provide a solution for the instanding lateral incisors. The treatment plan included the following steps:

• Impressions for Whitening: At the first appointment, alginate impressions were taken to create custom whitening trays. The patient’s teeth were examined for any contraindications to teeth whitening, and her dental shade was recorded.
• Fit of Whitening Trays: During the second appointment, the custom whitening trays were fitted to ensure comfort and proper fit. The patient was instructed on the use of the whitening gel and provided with the appropriate instructions for at-home whitening.
• Whitening Review: At the third appointment, the patient’s progress with teeth whitening was assessed. The shade change was documented, and the patient’s satisfaction with the whitening results was discussed.
• Composite Veneer Placement: The fourth appointment involved the placement of composite veneers on the upper lateral incisors to improve their appearance and align them with the adjacent teeth. The selected composite material, BL shade Coltene Everglow, was used for its aesthetic properties.

Procedure Timeline:

Composite Veneer Placement: [2 hours]

Post-Operative Instructions:

The patient was provided with post-operative care instructions for maintaining the results of the teeth whitening and ensuring the longevity of the composite veneers. She was advised to practice good oral hygiene, avoid staining substances, and maintain regular dental check-ups.

Follow-up:

The patient was scheduled for follow-up appointments to monitor the stability of the composite veneers, assess the overall satisfaction with the treatment, and address any concerns that may arise.

Conclusion:

The treatment journey for Miss Smith involved a combination of teeth whitening and composite veneer placement to address her aesthetic concerns. The careful selection of BL shade Coltene Everglow contributed to achieving natural-looking results for the composite veneers. The patient’s initial dissatisfaction with the outcome of her previous orthodontic treatment was successfully resolved through the collaborative efforts of orthodontic correction and aesthetic enhancement. Regular follow-up and compliance with post-operative instructions will play a vital role in maintaining the desired results over time.