Anterior Restoration Utilizing Novel All-Ceramic Materials
Thomas F. Trinkner, DDS
Learning Objectives:
After reviewing this case study, the reader should:
- Be able to visualize the process of creating anterior restorations using all ceramic material
- See the excellent aesthetic results that all ceramic restorations can provide patients
In order to provide the highest level of patient care, the restorative
team must be able to deliver treatment that is not only biocompatible and
functional but also predictably aesthetic. As the field of aesthetic dentistry has
continued to expand, this indicates that the final restorations must have a
natural appearance and be harmoniously integrated with proper soft tissue
architecture that has been gently and meticulously controlled throughout the
duration of the restorative procedure. Consequently, the importance of the
provisionalization phase as a means to evaluate aesthetics, phonetics, and
function cannot be underestimated. At this phase, any necessary adjustments can
be performed prior to the fabrication and delivery of the definitive
restorations. The selection of an appropriate restorative modality that
achieves the patient's expectations depends on the patient's inherent
condition, the physical properties of the involved materials, the skills of the
clinician and laboratory technician, and the communication between these dental
professionals. Data transfer between the practice and the laboratory is
facilitated by various means that include radiographs, photographs, diagnostic
waxups, articulator- mounted models,
and the provisional restorations. The eventual success of the restorative
procedure is directly related to the dynamic and evolving relationship of these
dental professionals.
A 19-year-old male patient presented with maxillary lateral
incisors that exhibited insufficient crown height, which resulted in diastemata
and aesthetic compromise. Wear patterns were evident on the cuspids, particularly when
they were manipulated into lateral guidance. Comprehensive radiographic and
clinical examinations were performed; these analyses indicated that the soft tissue
levels and symmetry of the patient were adequate and did not require osseous
surgical augmentation. Following a thorough evaluation of the temporomandibular
joint and its musculature, it was determined that the joint was noncontributory
to the patient’s condition. No pain was present upon mastication, and the
patient’s medical history was not relevant. The patient requested aesthetic enhancement
in order to correct the form and appearance of the existing dentition.
*Private practice, Columbia, South Carolina
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