Transformation of teeth by using porcelain laminate veneers designed by diagnostic additive wax-up and resin composite mock-up

Objectives: Cuspids migrated medially into the position of lateral incisors create unpleasant esthetic appearances. This kind of a situation and the related disturbances such as the diastemas and the positional and/or proportional irregularities, create major challenges in front of the dental practitioners. Materials and Methods: The diagnostic additive wax-up, gingival esthetic recontouring, vacuum formed clear template, resin composite mock-up, silicone index, conservative preparations and luting procedures for transformed porcelain laminate veneers used for the esthetic rehabilitation of a patient presenting misplaced lateral incisor and cuspid, and polydiastema, were presented. Results: Anterior esthetic appearance was restored satisfactorily and the restorations are still functioning free of any postoperative complication after 3-years of follow-up. Conclusions: Preoperative designing approaches such as additive wax-up and resin composite mock-up made by the clear template and the use of the silicone index as a preparation guide; were found successful applications for improving the esthetic appearance of the anterior dentition and the changing of the tooth form by using porcelain laminate veneers. Clinical Relevance: Tooth morphology may be transformed into another tooth by using porcelain laminate veneers and preoperative planning guarantees the final success and the patient satisfaction.