Bilaminate approaches and V-shaped and 360-degree veneers. Different adhesive restoration methods in the treatment of severe anterior wear: Part 2.

Abstract

The introduction of adhesive techniques has shifted dental restoration toward highly conservative strategies, emphasizing preservation of natural tooth structure to maintain oral health and reduce future interventions. In managing dental wear, additive methods offer predictable outcomes while safeguarding the longevity of restored teeth. Direct restorations are suitable for minor to moderate lesions due to their reversibility and cost-effectiveness, whereas deeper or functionally and esthetically significant defects often require indirect solutions. Minimally invasive approaches, particularly ceramic veneers, prioritize enamel preservation and aim to minimize unnecessary tissue removal. For severe anterior wear, three adhesive strategies stand out: the bilaminate approach (palatal and vestibular veneers), V-shaped veneers, and 360-degree peripheral veneers. This two-part article reviews these techniques, clarifying their indications and methodology through scientific evidence and detailed clinical illustrations. The first part presented the bilaminate approach, exploring its benefits and detailed methodology (Int J Esthet Dent 2026;21:12-26). Understanding this foundational technique sets the stage for the more complex configurations of V-shaped and 360-degree veneers, which are discussed in this second part.