[Clinical study of the application of non-invasive porcelain veneer to improve the aesthetic effects in maxillary anterior area].

OBJECTIVE: To evaluate the clinical results of application of non-invasive porcelain veneer to reduce the black triangle of implant and adjacent teeth and to improve the aesthetic effect in the maxillary anterior area. METHODS: The study included 10 patients (Male: 4, Female: 6; average age: 41.5) accessioned during May 2007 to August 2009 in Peking University School of Stomatology. The provisional restorations were delivery on implant after 3-6 months healing period of the implant. The non-invasive porcelain veneers were used in the round tip adjacent teeth with gingival recession in the indicated patients. Main measured parameters on the model included horizontal distance and vertical distance. The Horizontal distance refers to the black triangle bottom which is from adjacent surface of the natural teeth to the implant restoration at the gingival level. The vertical distance is from mid-point of the triangle bottom to the contact point. Clinical observed items included bleeding index (BI), integrity of porcelain veneer and degree of satisfaction of the patients. RESULTS: A total of 14 adjacent natural teeth in 10 patients were cemented with porcelain veneer. No porcelain veneer was lost or fracture during follow-up period (range 6 to 27 months, mean of 10.4 months). Mean bleeding index 0-1. The horizontal distance was reduced from (3.1 + or - 0.8) mm before restoration to (1.1 + or - 0.5) mm after restoration. Vertical distance from (5.3 + or - 1.1) mm to (2.9 + or - 0.7) mm. All patients were satisfied with the clinical result. CONCLUSION: The data and the experience described in this study indicate that improvement of aesthetic effects by using no-invasive porcelain veneer techniques can be a predictable technique for patients with periodontal disease. Further study is needed to determine the long-term result of the technique.