Restoring Severe Tetracycline Stained Teeth with Milled Lithium Disilicate Ceramic Veneers: A Case Report with 14-Month Recall

Tetracycline is a broad-spectrum antibiotic commonly used to treat bacterial infections in children and adults. One of the side effects of tetracycline is the intrinsic staining of teeth which often creates an esthetic concern that can affect one’s self-esteem. The severity, color of staining and presence of banding are dependent on the type of tetracycline used, as well as the duration, timing, and concentration used during odontogenesis of primary and permanent teeth. Treatment depends on the severity of the staining and can include external bleaching, microabrasion, direct resin restoration, ceramic veneers, or full-coverage crowns. This case report discusses the treatment planning and sequence of using milled lithium disilicate veneers to achieve predictable, esthetic and life-changing results for a patient with severe tetracycline staining.