Chinese Journal of Stomatological Continuing Education ›› 2026, Vol. 29 ›› Issue (2): 131-139.DOI: 10.12337/zgkqjxjyzz.2026.02.008

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Digital Guided Porcelain Veneer Restoration of Spaced Maxillary Anterior Teeth: A Case Report

Tian Luo, Yizhou Li, Jiameng Zhang, Meijun Zhan, Yapeng Pei, Haiyang Yu*   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prothodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
  • Online:2026-03-31 Published:2026-06-23
  • Contact: Haiyang Yu. Tel: 028-85501485. Email: YHYmechanics@163.com. Address: No.14, Section 3, Renmin South Road, Wuhou District, Chengdu 610041, Sichuan Province, P.R. China.
  • Supported by:
    Science and Technology Project of Sichuan Provincial Health Commission (Clinical Research Special Project) (No. 230LCYJ017); Sichuan Province Department of Science and Technology (No. 2025ZDZX0048); Innovation and Technology Transfer Special Fund of China Dental Valley and West China Hospital of Stomatology(No.2025KCZXC102)

Abstract: Objective: To evaluate the clinical efficacy of digitally guided microscopic restoration technology, directed by the target restoration space (TRS), in the aesthetic management of diastemas in maxillary anterior teeth. Diagnosis and Treatment: A 21-year-old female patient presenting with spaced maxillary anterior teeth was selected. Preoperative analysis precisely defined the TRS. A transparent TRS tooth preparation guide was fabricated to transfer the TRS design clinically. Under the magnification of a dental operating microscope, precise depth-cut holes were prepared using the TRS guide and specific depth-indicating burs, followed by the final placement of porcelain laminate veneers. Results: The final restorations demonstrated harmonious morphology and color integration with the natural dentition, non-interfering occlusal function, excellent marginal adaptation, and stable aesthetic and biological outcomes. The integration of microscopic technology and the digital guide enabled precise, micron-level control over the tooth preparation. Conclusions: The combination of microscopic tooth preparation, TRS analysis, and digital guide guidance overcomes the visual limitations of traditional restoration methods. It provides a precise, reliable, and reproducible technical pathway for cases with complex TRS classifications, achieving predictable aesthetic rehabilitation.

Key words: target restoration space, precision aesthetic restoration, porcelain laminate veneers, microscope-assisted prosthodontics, microscopic tooth preparation