Minimally Invasive Esthetic Treatments With an Orthorestorative Integrated Digital Approach: A Case Report

The article describes the effectiveness of an integrated digital approach combining orthodontic and restorative phases in dental esthetic treatment, focusing on minimally invasive procedures. A 55-year-old woman with dental esthetic concerns underwent a comprehensive treatment plan. Initial evaluation included digital impressions of both arches using an intraoral scanner, followed by a 15-week sectional clear aligner therapy to correct dental misalignments prior to minimally invasive lithium disilicate veneers. A digital wax-up was proposed to the patient and used as a guide to perform gingivectomy and minimal tooth reduction. The aligner therapy effectively corrected the misalignment and crossbite, optimizing tooth positioning for minimally invasive veneer preparation. Digital planning allowed precise enamel reduction and gingival reshaping. The final placement of lithium disilicate veneers resulted in significant esthetic improvement, confirmed by clinical evaluations and patient satisfaction. The integration of digital technologies in orthodontic and restorative dentistry enhances esthetic treatment planning and execution. Combining sectional clear aligner therapy with precise digital wax-ups minimizes invasive procedures, improves surgical precision, and ensures predictable outcomes. The digital workflow also facilitates patient education and communication, demonstrating treatment goals and results effectively.