The Aesthetic Rehabilitation Of Anterior Teeth Using All-Ceramic Restorations – Clinical Cases

Agripina Zaharia, Carolina Davidescu, Corina Stefanescu, Rodica Murineanu, Aureliana Caraiane, Cristian Raspopa

The morpho-functional rehabilitation is a fundamental principle in any prosthodontic therapy. The all-ceramic fixed restorations offer the best aesthetic results due to the absence of the metal coping. Differences among all-ceramic systems concern issues like technique, resistance and translucency. The mechanical properties of these restorations are enhanced and their susceptibility to fracture is reduced by use of the resin-bonded technique. The complete ceramic crown’s major indication concerns the anterior maxillary teeth of most patients, except those with oral parafunctions or deep overbites. The dental preparation is slightly more conservative than that of the metal-ceramic crown, although crown thickness becomes an issue that can influence the crown’s resistance. Purpose: In most cases, the purpose is the aesthetic rehabilitation of severely damaged anterior maxillary teeth. Materials and method: The article presents several clinical situations that require prosthodontic treatment for the restoration of anterior teeth. The therapeutical solutions have been elaborated to gain the maximum advantage for the patient according to the bio-psychological and social context, thus proving the method’s feasability and excellent clinical results. The study was conducted on 16 patients, of different sex, age and profession, in the Dental Prosthetics Clinic. The materials used were IPS e.max Press ceramic (lithium disilicate glass-ceramic) and PermaCem dual-cured luting cement. Results: Remarkable aesthetic and functional results have been obtained for the anterior maxillary area thus satisfying the most pretentious of patients. The chosen therapeutical plans, using the mentioned materials, have brought harmony to the soft and hard tissues. Conclusions: For a prosthodontic treatment to be successful, it requires a thorough clinical and paraclinical examination of the patient, specific interventions on the bone, gums, teeth and periodontium and a good doctor-patient-dental technician collaboration.

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