-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
Community Case : Sergi Pedemonte Sarrias
Dr. Sergi Pedemonte Sarrias
DDS, PhD, Associate professor at University of Barcelona
Private practice in Barcelona
Contact: [email protected]
COMPREHENSIVE OLD RESTORATIONS REPLECEMENT
Replacing old surviving unesthetic metal-ceramic restorations is
a common procedure in ouroffices. Although new materials can give
us good results, properly treatment plan and a highqualified lab is
mandatory to achieve as good as possible results.
1 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
A 39 years old woman came to our office looking for a better
smile. An old metal-ceramic bridgeat 1.2,1.1 and 2.1 displayed an
unarmonius smile. Teeth 1.1, was lost due a traumatic injurie
20years ago producing a huge defect and buccal plate
resorption.
2 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
First of all we planned digitally our treatment goal.
3 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
Secondly, a wax up recreating ideal teeth and soft tissue
proportions was made.
4 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
5 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
From wax-up, a surgical splint was made for crown lenthening at
2.1. Bur abrasion wasperformed at 1.1 gingiva for an ovoid pontic.
At the same appointment, after old bridge removaland crown
lenthening, a chair side provisional restoration was made from the
wax-up. Duringheailing period 1.3 incisal edge was added with
composite.
6 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
7 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
8 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
9 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
After two monts of crown lenthening healing, horizontal 1.1
pontic deffect was corrected with aconnective tisue graft. A new
provisional from lab was placed. After tissue healing andmaduration
for 4 months polyvinyl siloxane impression was taken.
10 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
11 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
12 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
E.max Press LT B2 was the material of choice for 1.2,1.1 and 2.1
bridge and for no-prepveneer at 2.2.
13 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
14 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
15 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
Cementation was performed with adhesive procedures.
I want to specially thant my friends from DENTEK (Manresa,
Spain) for their daily dedicatedeffort.
REFERENCES
Fradeani M. Esthetic Rehabilitation in Fixed Prosthodontics. Vol
1: Esthetic Analysis: ASystematic Approach to Prosthetic Treat-
ment. Chicago: Quintessence, 2004.
16 / 17
-
Style ItalianoAesthetic & restorative
dentistryhttp://www.styleitaliano.org
Coachman C, Calamita M. Digital smile Design: A tool for
treatment planning andCommunication in Esthetic dentistry.
Quintessence of Dental Technology 2012;Vol 35:103
Zitzmann UN, Marinello CP, Berglundh T. The ovate pontic design:
A histologic observation inhumans. J Prosthet Dent
2002;88:375-80.
Schultheis S, Strub JR, Gerds TA, Guess PC.Monolithic and
bi-layer CAD/CAM lithium-disilicateversus metal-ceramic fixed
dental prostheses: comparison of fracture loads and failure
modesafter fatigue.Clin Oral Investig. 2013;17(5):1407-13.
Kern M, Sasse M, Wolfart S.Ten-year outcome of three-unit fixed
dental prostheses made frommonolithic lithium disilicate ceramic. J
Am Dent Assoc. 2012;143(3):234-40.
Powered by TCPDF (www.tcpdf.org)
17 / 17