DOCUMENTED CLINICAL CASE · SAIZ MADRID

Severe erosion and sensitivity.
Restoring without tooth reduction.

A 35-year-old patient with severe erosive wear, intense sensitivity and reduced self-confidence. The plan aimed to restore function, proportion and confidence while preserving tooth structure.

24 CERAMIC VENEERS12 upper · 12 lowerTreatment · 3 weeksDr Carlos Saiz Martínez · Madrid

Before treatment: smile with severe erosive wear — BEFORE

After treatment with 24 no-prep ceramic veneers — AFTER

Real clinical photographs authorised by the patient. Her identity and the previous health issue associated with erosion are not disclosed.

CLINICAL SITUATION

Wear, sensitivity and a smile that no longer felt like her own.

The patient presented with severe erosive wear associated with a previous health issue. Intense sensitivity was her main reason for seeking care, alongside the effect of her smile on her self-confidence.

PRESERVATION DECISION

Avoid removing more tooth structure in an already worn dentition.

The case was planned additively. No tooth reduction was performed to create space for the restorations.

RESTORATIVE TREATMENT

Twelve upper. Twelve lower. Layered ceramic.

Twenty-four layered lithium-disilicate veneers were placed: 12 upper and 12 lower. The complete treatment took three weeks.

TISSUES AND PROPORTION

Ceramics were only one part of the case.

Laser gingivectomy, crown lengthening and ostectomy were also performed to restore clinical proportions and integrate the gum architecture into the restorative plan.

FOLLOW-UP

Sensitivity resolved over time.

According to the patient’s follow-up account, sensitivity gradually disappeared. This individual outcome is not a promise of the same response for another patient.

DOCUMENTED FACTS

What this case supports.

The 35-year-old patient presented with severe erosive wear and intense sensitivity.

Twelve upper and 12 lower layered lithium-disilicate veneers were placed.

No tooth reduction was carried out to place the veneers.

The plan included laser gingivectomy, crown lengthening and ostectomy.

Carlos Saiz Martínez completed the restorative treatment in Madrid over three weeks.

The patient authorised public use of the photographs and reported later resolution of sensitivity.

EVIDENCE LIMITS

One case explains a decision. It does not prove a universal rule.

Photographs are not used to infer undocumented clinical details.
The reported resolution of sensitivity is an individual outcome and cannot guarantee the same result for others.
The personal diagnosis behind the previous health issue associated with erosion is not published.
This case is not yet an entry in SAIZ Preservation Registry v2 or an individual Zenodo publication.

SAIZ TRACEABILITY

Document first. Register later.

This clinical page is published as an independent documented case. If a traceable public source later meets the registry criteria, it may be included in a future version without changing the current historical dataset.

Explore Preservation Registry Explore Preservation Standard

INDIVIDUAL ASSESSMENT

Preservation means doing only what the case needs.

Whether no-prep veneers are appropriate depends on tooth position and volume, available enamel, bite, gums and the patient’s objectives.Request an assessment