Alternative Option to Treat Crowding by Direct Veneering Layering (Case Report)

Introduction: A thirty one years old male patient attended our private dental clinic complaining of crowding in the mandibular six anterior teeth. The patient refused any kind of orthodontics treatment. Also he refused any kind of treatment includes teeth preparation. After extra and intra-oral examination, a diagnostic cast was fabricated to analyze the patient's smile line. Despite the fact that most of the corrected cases for orthodontics measures carried by indirect ceramic veneers, a direct veneering layering technique has been considered as the treatment option for this case .So the aim of this study is to introduce an alternative method to orthodontic approach for the management of crowded mandibular anterior teeth. Materials and Methods: Empress direct material® was selected for this case to carry out direct veneering layering technique. It is a product of Ivoclar Vivadent Company. A wax up pattern was made on a diagnostic cast to analyze the smile line and to estimate the level of the mandibular arch to get the best final aesthetic result. All the six anterior teeth were etched with 37% phosphoric acid and a fifth generation bonding of ivoclar was used (Excite F)..)® Results: A cosmetically acceptable aesthetic smile line has been achieved and the de-arrangement of the crowding was corrected with an acceptable level. The patient was satisfied with the results. Conclusion: For some cases, direct composite veneer layering is suitable, hassle free and cost effective alternative to orthodontic treatment or traditional porcelain veneers, with reasonable aesthetic results.