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Proper Preparation and Tissue Management for Anterior All-Ceramic Crowns

Learning Objectives:

After watching this video, the viewer should:

  • Learn best practices for the aesthetic integration of anterior all-ceramic crown restorations
  • Be able to visualize the steps and instrumentation needed to prepare all-ceramic anterior crowns

Crown integration requires an ideal positioning of the cervical margin in the gingival sulcus and tooth reduction sufficient to allow the creation of harmonious crown morphology. For proper integration, the crown also needs appropriate resistance to fracture and a perfect emergence profile. In this case, a 22-year-old male patient presented for metal-free restoration of the maxillary central incisors. After previous trauma, the maxillary left central incisor had fractured. Its incisal edge had been temporarily restored with composite resin. The right incisor became darker following the trauma but remained vital.

*Private practice; Paris, France

Related Reading:

  1. http://thenextdds.com/Blogs/The-Clinical-Perspective/Understanding-Margin-Geometry-for-Full-Coverage-Crowns/
  2. http://thenextdds.com/Case-Studies/Delayed-Immediate-Approach-to-Implant-Restoration-of-Maxillary-Left-Central-Incisor/
  3. http://thenextdds.com/Case-Studies/Immediate-Implant-Placement-After-Extraction-and-Single-Crown-on-a-CAD/CAM-Abutment/
  4. http://thenextdds.com/Podcasts/Removing-All-Ceramic-Restorations-Using-an-Er,Cr-YSGG-Laser/
  5. http://thenextdds.com/Podcasts/Zirconium-Oxide-Post-and-Core-System-for-the-Restoration-of-an-Endodontically-Treated-Incisor/
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