Saudi Journal of Oral and Dental Research (SJODR)
Volume-11 | Issue-06 | 225-230
Case Report
Harmonizing the Smile: Esthetic Diastema Closure with a Crown–Veneer Approach - A Case Report
Astha Bhargava, Ajay Kumar Nagpal, Abhishek Sharma, Muhammad Mutiur Rehman, Akanksha Kumari, Seemran Panda, Himanshu Sharma
Published : June 15, 2026
Abstract
A 25-year-old male presented with spacing between the maxillary anterior teeth and a compromised crown on tooth 21 following trauma 5 years prior. Clinical examination revealed an Ellis Class II fracture in tooth 11 and a full-coverage crown on tooth 21 with vital pulp in both teeth. Considering the patient’s esthetic concerns, an indirect restorative approach was planned, involving endodontic treatment of tooth 21, followed by placement of a lithium disilicate (IPS e.max) crown on tooth 21 and a veneer on tooth 11. Treatment included conservative crown removal, root canal therapy, tooth preparation, digital impression, laboratory fabrication, and adhesive cementation of the restorations. The procedure resulted in planned, involving endodontic treatment of tooth 21, followed by placement of a lithium disilicate (IPS e.max) crown on tooth 21 and a veneer on tooth 11. Treatment included conservative crown removal, root canal therapy, tooth preparation, digital impression, laboratory fabrication, and adhesive cementation of the restorations. The procedure resulted in optimal esthetics, proper occlusion, and patient satisfaction. This case highlights the predictable use of lithium disilicate restorations for esthetic rehabilitation of anterior teeth following trauma.