Indirect veneer treatment of anterior maxillary teeth with enamel hypoplasia

Background Nowadays, aesthetic rehabilitation affected by patient’s background, especially career, and social and economic status, becomes a necessity. The aesthetic abnormality of anterior teeth i.e discoloration, malposition and malformation, can affect patient’s appearance, especially during smile. These dental abnormalities, as a result, can decrease patient’s performance. Dental malformation, for instance, can be caused by developmental tooth defect, such as enamel hypoplasia. Enamel hypoplasia is a developmental defect caused by the lack of matrix amount which leads to thin and porous enamel. Enamel hypoplasia can also be caused by matrix calcification disturbance starting from the formation and development of enamel matrix causing defect and permanent changes which can occur on one or more tooth. Purpose The aim of the study is to improve dental discoloration and tooth surface texture on anterior maxillary teeth with enamel hypoplasia by using indirect veneer with porcelain material. Case A 20 years-old woman with enamel hypoplasia came to the Department Conservative Dentistry, Faculty of Dentistry Airlangga University. The patient wanted to improve her anterior maxillary teeth. It is clinically known that there were some opaque white spots (chalky spotted) and porous on anterior teeth’s surface. Case management Indirect veneer with porcelain material had been chosen as a restoration treatment which has excellent aesthetics and strength, and does not cause gingival irritation. As a result, the treatment could improve the confidence of the patient, and could also make their function normal. Conclusion Indirect veneer is an effective treatment, which can improve patient’s appearance and self confidence.