Veneer or Interproximal Enamel Reduction?

BACKGROUND: Clinicians often ask, "Veneer or no to veneer?" Clinicians usually think of porcelain veneers for cases in which patients are dissatisfied with their teeth shape. Interproximal reduction can change teeth's shape and appearance within the enamel to improve gingival contour, eliminate black gingival triangles, and correct the Curve of Spee.

AIM: Our aim is to present to clinicians the option of reshaping and interproximal reduction (IPR) as a valid alternative to porcelain veneers.

CASE REPORT: A male patient with round bulbous-shaped anterior maxillary teeth sought a better masculine smile. Interproximal reduction with thin bur size was performed to reshape the anterior teeth in order to achieve a proportional teeth width to height and give a more rectangular rather than square shape. Finally, the orthodontist closed the multiple diastemas using round wires in order to reduce anterior teeth proclination. The patient received bleaching treatment and minor composite fillings.

CONCLUSION: Not every cosmetic case should be treated with veneers and crowns. Conservative minimal intervention, such as IPR was more than sufficient in treating such cases. It is the right of the patients to be informed and educated about all possible treatment options.

CLINICAL SIGNIFICANCE: Minor reshaping and IPR preserving teeth structures can be helpful in achieving esthetic results and patients' confidence.