{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:58Z","timestamp":1786649698341,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Aim:<\/jats:title>\n The aim of this study was to compare and evaluate the clinical performance of direct composite veneers (DCVs), indirect composite veneers (ICVs), and ceramic veneers using a minimally invasive tooth preparation technique.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n A total of 90 veneers were placed on the anterior teeth: DCVs (\n n<\/jats:italic>\n = 30), ICVs (\n n<\/jats:italic>\n = 30), and ceramic laminate veneers (\n n<\/jats:italic>\n = 30). Tooth preparations were standardized using magnification (\u00d73 loupes) and depth-marking burs. DCVs were applied using a multilayered stratification technique and finished with a composite polishing kit. ICVs were CAD-CAM fabricated using Gradia HIPS, while ceramic veneers were milled from IPS e.max CAD HT blocks and layered with nanofluorapatite ceramic. All restorations were cemented using adhesive protocols tailored to each material. The restorations were assessed at baseline, 3 months, 6 months, and 1 year using the modified United States Public Health Service criteria.\n <\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n \n Data were analyzed using SPSS 23.0 with a significance level of\n P<\/jats:italic>\n < 0.05. Fisher\u2019s exact test was used for comparing proportions, and Kaplan\u2013Meier analysis assessed overall survival relative to observation time.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n At 3, 6, and 12 months, marginal discoloration showed a statistically significant increase (total events: 8, 14, and 28; P < 0.001). No events were observed for caries or tooth fracture. Postoperative sensitivity occurred in three cases but was not statistically significant (\n P<\/jats:italic>\n > 0.05). While fractured restorations showed no significant difference at 3 and 6 months, a significant increase was noted at 12 months (11 events;\n P<\/jats:italic>\n = 0.02).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Indirect composite and ceramic veneers showed superior performance over DCVs in minimizing marginal discoloration, postoperative sensitivity, and restoration fractures.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jcde.jcde_279_25","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T16:00:26Z","timestamp":1759593626000},"page":"965-971","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Clinical assessment of direct composite veneer and indirect veneers using a minimally invasive preparation technique"],"prefix":"10.4103","volume":"28","author":[{"given":"Komal","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geeta","family":"Asthana","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Parmar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajashree","family":"Tamuli","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadhna","family":"Manglani","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nupur","family":"Dhanak","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,4]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0300-5712(97)00032-8","article-title":"Survival of three types of veneer restorations in a clinical trial:A 2.5-year interim evaluation","volume":"26","author":"Meijering","year":"1998","journal-title":"J Dent"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"9","DOI":"10.2147\/CCIDE.S7837","article-title":"Advances in dental veneers:Materials, applications, and techniques","volume":"4","author":"Pini","year":"2012","journal-title":"Clin Cosmet Investig Dent"},{"key":"R3-20251006","doi-asserted-by":"crossref","first-page":"210","DOI":"10.4103\/0972-0707.218311","article-title":"Providing a harmonious smile with laminate veneers for a patient with peg-shaped lateral incisors","volume":"20","author":"Alberton","year":"2017","journal-title":"J Conserv Dent"},{"key":"R4-20251006","first-page":"601","article-title":"Anterior esthetic rehabilitation with full and partial veneers using conventional and digital techniques:A case series","volume":"26","author":"Rathee","year":"2023","journal-title":"J Conserv Dent Endod"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"469","DOI":"10.4103\/jioh.jioh_169_23","article-title":"Fracture strength of direct and indirect composite veneers after aging:An in vitro study","volume":"15","author":"Menon","year":"2023","journal-title":"J Int Oral Health"},{"key":"R6-20251006","doi-asserted-by":"crossref","first-page":"3514","DOI":"10.3390\/ma17143514","article-title":"Randomized clinical trial on direct composite and indirect ceramic laminate veneers in multiple diastema closure cases:Two-year follow-up","volume":"17","author":"Elkaffas","year":"2024","journal-title":"Materials (Basel)"},{"key":"R7-20251006","doi-asserted-by":"crossref","first-page":"46","DOI":"10.4103\/JCDE.JCDE_209_23","article-title":"Comparative evaluation of the shear bond strength of lithium disilicate veneers using one light-cure and two dual-cure resin cement:An in vitro study","volume":"27","author":"Mondal","year":"2024","journal-title":"J Conserv Dent Endod"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.dental.2022.03.007","article-title":"10-year practice-based evaluation of ceramic and direct composite veneers","volume":"38","author":"Mazzetti","year":"2022","journal-title":"Dent Mater"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1111\/jerd.12697","article-title":"Longevity of direct diastema closure and recontouring restorations with resin composites in maxillary anterior teeth:A 4-year clinical evaluation","volume":"33","author":"Korkut","year":"2021","journal-title":"J Esthet Restor Dent"},{"key":"R10-20251006","first-page":"627","article-title":"The direct\/indirect composite resin veneers:A case report","volume":"8","author":"Fahl","year":"1996","journal-title":"Pract Periodontics Aesthet Dent"},{"key":"R11-20251006","doi-asserted-by":"crossref","first-page":"4932","DOI":"10.3390\/ma16144932","article-title":"Risk factors with porcelain laminate veneers experienced during cementation:A review","volume":"16","author":"Assaf","year":"2023","journal-title":"Materials (Basel)"},{"key":"R12-20251006","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0300-5712(97)00032-8","article-title":"Survival of three types of veneer restorations in a clinical trial:A 2.5-year interim evaluation","volume":"26","author":"Meijering","year":"1998","journal-title":"J Dent"},{"key":"R13-20251006","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.3889\/oamjms.2018.353","article-title":"The success of dental veneers according to preparation design and material type","volume":"6","author":"Alothman","year":"2018","journal-title":"Open Access Maced J Med Sci"},{"key":"R14-20251006","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jdent.2019.06.001","article-title":"Randomized clinical trial on indirect resin composite and ceramic laminate veneers:Up to 10-year findings","volume":"86","author":"Gresnigt","year":"2019","journal-title":"J Dent"},{"key":"R15-20251006","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1590\/S1678-77572011000200012","article-title":"Difference in the color stability of direct and indirect resin composites","volume":"19","author":"Lee","year":"2011","journal-title":"J Appl Oral Sci"},{"key":"R16-20251006","doi-asserted-by":"crossref","first-page":"16","DOI":"10.4047\/jap.2019.11.1.16","article-title":"Color changes of ceramic veneers following glazing with respect to their composition","volume":"11","author":"Kim","year":"2019","journal-title":"J Adv Prosthodont"},{"key":"R17-20251006","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/JCDE.JCDE_719_24","article-title":"Translucency and color stability of advanced lithium disilicate ceramic material:An in vitro study","volume":"28","author":"Alazemi","year":"2025","journal-title":"J Conserv Dent Endod"},{"key":"R18-20251006","first-page":"428","article-title":"Enamel thickness after preparation of tooth for porcelain laminate","volume":"11","author":"Pahlevan","year":"2014","journal-title":"J Dent (Tehran)"},{"key":"R19-20251006","first-page":"e20748","article-title":"Rubber dam isolation for bonding ceramic veneers:A five-year post-insertion clinical report","volume":"13","author":"Jurado","year":"2021","journal-title":"Cureus"},{"key":"R20-20251006","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s12903-021-02038-5","article-title":"Shear bond strength of ceramic laminate veneers to finishing surfaces with different percentages of preserved enamel under a digital guided method","volume":"22","author":"Zhu","year":"2022","journal-title":"BMC Oral Health"},{"key":"R21-20251006","first-page":"550","article-title":"An in vitro comparison of incisal preparation design on load-to-failure of ceramic veneers","volume":"26","author":"Sharma","year":"2023","journal-title":"J Conserv Dent Endod"},{"key":"R22-20251006","doi-asserted-by":"crossref","first-page":"325","DOI":"10.4103\/jips.jips_37_17","article-title":"Evaluation of fracture resistance of ceramic veneers with different preparation designs and loading conditions:An in vitro study","volume":"17","author":"Arora","year":"2017","journal-title":"J Indian Prosthodont Soc"},{"key":"R23-20251006","first-page":"215","article-title":"A meta-analysis of the most indicated preparation design for porcelain laminate veneers","volume":"15","author":"da","year":"2013","journal-title":"J Adhes Dent"}],"container-title":["Journal of Conservative Dentistry and Endodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/JCDE.JCDE_279_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:57:13Z","timestamp":1786647433000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/JCDE.JCDE_279_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":23,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jcde.jcde_279_25","relation":{},"ISSN":["2950-4716","2950-4708"],"issn-type":[{"value":"2950-4716","type":"print"},{"value":"2950-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-05-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}