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Recreating an Aesthetic Smile

Multidisciplinary and Metal-free Approach Using CAD/CAM Technology

The aesthetic rehabilitation of patients with functionally compromised dentition frequently involves a multidisciplinary approach.  A correct aesthetic diagnosis, treatment plan, and careful material selection are critical factors in successful restoration. A team approach that includes the clinicians, the laboratory technician, and the patient is essential to achieve the desired result. The following video demonstrates a successful multidisciplinary approach used to recreate an aesthetic smile in a young patient with functionally and aesthetically compromised anterior maxillary dentition.

*Private practice, Cattolica, Italy 


Learning Objectives:

This video describes the multidisciplinary restoration of aesthetically compromised dentition in the anterior region. Upon watching this video, the viewer should:

  • Recognize the periodontal, implant, and prosthetic considerations involved in developing natural aesthetics.
  • Understand the role of treatment planning in restorative success.


Related Reading:

  1. Studer S, Zellweger U, Schärer P. The aesthetic guidelines of the mucogingival complex for fixed prosthodontics. Pract Periodont Aesthet Dent 1996;8(4):333-341.
  2. Fradeani M. Analisi Estetica. Approccio sistematico al trattamento protesico. Vol 1. Chicago, IL: Quintessence; 1994.
  3. Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodont Rest Dent 2005;25(2):113-119.
  4. Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Impl 2006;21(4):575-580.
  5. Zarone F, Sorrentino R, Vaccaro F, et al. Retrospective clinical evaluation of 86 Procera AllCeram anterior single crowns on natural and implant-supported abutments. Clin Impl Dent Relat Res 2005;7(Suppl 1):S95-S103.
  6. Shillingburg HT Jr, Kaplan MJ, Grace SC. Tooth dimensions—A comparative study. J South Calif Dent Assoc 1972;40(9):830-839.
  7. Pontoriero R, Carnevale G. Surgical crown lengthening: A 12-month clinical wound healing study. J Periodontol 2001;72(7):841-848.
  8. Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dento-gingival junction in humans. J Periodontol 1961;32:261-267.
  9. Richter WA, Ueno H. Relationship of crown margin placement to gingival inflammation.  Prosthet Dent 1973;30(2):156-161.
  10. Magne P, Perroud R, Hodges JS, Belser U. Clinical performance of novel-design porcelain veneers for the recovery of coronal volume and length. Int J Periodont Rest Dent 2000;20(5):441-457.
  11. McLean JW. Evolution of dental ceramics in the twentieth century. J Prosthet Dent 2001;85(1):61-66.
  12. Fradeani M, Redemagni M, Corrado M. Porcelain laminate veneers: Six- to12- year clinical evaluation—A retrospective study. Int J Periodont Rest Dent 2005;25(1):9-17.
  13. Dumfahrt H. Porcelain laminate veneers. A retrospective evaluation after one to 10 years of  service: Part 1—Clinical procedure. Int J Prosthodont 1999;12(6):505-513.
  14. Simonsen RJ, Calamia JR. Tensile bond strength of etched porcelain (abstract 1154). J Dent Res 1983;62:297. 
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