Anterior Single Laminate Veneer Restoration Using CEREC Biogeneric Reference Design Mode: Case Report

2011 ◽  
Vol 493-494 ◽  
pp. 599-603 ◽  
Author(s):  
G. Akgungor ◽  
N. Kilincaslan ◽  
D. Şen

The single anterior tooth replacement remains a complex aesthetic challenge for clinicians and technicians in prosthetic dentistry. Maxillary central incisors are the key point of an esthetic smile and should exhibit a high degree of symmetry across the midline. Matching the shape and contours to the adjacent central incisor is the crucial factor to achieve an esthetic result. The CEREC system is the first to use chairside CAD/CAM system, which allows the dentist to provide ceramic restorations in a single appointment without time consuming laboratory procedures.This clinical report demonstrates the effective usage of CEREC system with the biogeneric reference design mode for designing and milling of a laminate veneer restoration in one appointment.Digital images of the preparation and bite registration were captured using an intraoral camera and virtual models were created. With the biogeneric reference design mode of CEREC 3.0 software, the image of the contralateral central incisor is mirrored, positioned over the preparation, and then refined. Among a variety of ceramic blocs available for CEREC system, the restoration was milled from feldspathic ceramic block.

2020 ◽  
Vol 3 ◽  
pp. 100109
Author(s):  
Muhammad Ikbal ◽  
Acing Habibie Mude ◽  
Irfan Dammar ◽  
Nisrina Ekayani

2021 ◽  
Author(s):  
JC Pontons-Melo ◽  
IM Garcia ◽  
MA Melo ◽  
FM Collares

Clinical Relevance Combined techniques to expose circumferential tooth structure associated with subsequent restoration may represent a valid option in many situations. This case provides an example of the successful management of the anterior tooth rehabilitation combining root displacement and crown lengthening. SUMMARY Rehabilitation of an extensively compromised single anterior tooth represents an intriguing challenge for dentists, particularly when the rehabilitation involves esthetic, psychosocial, and functional requirements. The success in rehabilitating a patient with a conservative approach depends on a critical evaluation of the remaining structures, precise treatment plan, systematic treatment strategies, and patient compliance. In this case, the patient’s chief complaint was the undesirable appearance of the maxillary right lateral, caused by the displacement of the post and crown. Clinical examination revealed a remaining tooth with coronal fracture, severe loss of tissue due to caries, and absence of ferrule effect. Radiographic examination revealed that the fracture margin was located subgingival. This case report describes a single-tooth rehabilitation involving a combination of root displacement via orthodontic extrusion and crown lengthening. The rehabilitation was followed by post-and-core restoration using a prefabricated glass fiber post associated with a disilicate lithium crown. The clinical decision making and combined effect of both treatment strategies are explained in this report. The treatment required three months, including recovery times after surgery and the placement of the provisional crown. The patient was esthetically and functionally satisfied with the restoration. Patient follow-up examination was performed 24 months after the treatment. This clinical report contributes to the clinical practice and exemplifies the possibility of rehabilitating the natural tooth using combined techniques, which may offer particular advantages regarding prognosis and invested efforts.


2018 ◽  
Vol 9 (1) ◽  
pp. 43-47
Author(s):  
Vinicius I Mascarenhas ◽  
Thaís P Leandrin ◽  
Camila C Lorenzetti ◽  
Camila L de Castro ◽  
Jose RC Saad

ABSTRACT Aim The aim of this case report was to restore the esthetic smile of a patient with agenesis of maxillary right central incisor, while discussing the most important topics in a multidisciplinary approach. Background Due to the absence or loss of some teeth in the anterior region, it becomes a challenge in oral rehabilitation. Restoration of function and esthetics may require a multidisciplinary treatment that can start with periodontal, orthodontic, surgical, implantology, or restorative evaluation. Case report A 28-year-old patient with agenesis of the maxillary right central incisor was looking to improve the esthetics of his smile. The patient had right superior lateral incisor positioned in place of the central and the canine in the position corresponding to the lateral incisor, which compromised the dental and gingival esthetics. After analyses and digital smile design (DSD), surgeries for gingival smile correction, gingivectomy (teeth 12, 14, and 15), and gingival tissue grafts (tooth 13) were made. After a period of 2 months, preparations were made on teeth 12, 13, and 14 for ceramic laminates following the initial DSD. After 1 year of cementation, maintenance and stability of gingival margin, as well as the integrity of laminate ceramic were observed. Conclusion In conclusion, a correct prior planning of esthetic rehabilitation is the best way to achieve excellent results to meet the needs and objectives of each patient. Often, a multidisciplinary treatment involving surgical and restorative procedures should be taken into consideration, with the appropriate choice of techniques and materials to be used. Clinical significance The treatment performed on the patient allowed the esthetic improvement of gingival architecture and installation of ceramic restorations with function and esthetics similar to natural teeth. How to cite this article Mascarenhas VI, Leandrin TP, Lorenzetti CC, de Castro CL, Saad JRC. Esthetic Multidisciplinary Rehabilitation of Patient with Central Incisor Agenesis. World J Dent 2018;9(1):43-47.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Gerardo Durán Ojeda ◽  
Ismael Henríquez Gutiérrez ◽  
Álvaro Guzmán Marusic ◽  
Abelardo Báez Rosales ◽  
José Pablo Tisi Lanchares

The use of CAD/CAM technology has allowed the fabrication of ceramic restorations efficiently and with predictable results. Lithium disilicate is a type of glass ceramic material that can be used for the elaboration of laminate veneers, being monolithic restorations which require characterization through a covering ceramic in order to achieve acceptable esthetic results. The next case report shows a predictable clinical protocol for the rehabilitation of the anterior teeth through the preparation of CAD/CAM veneers (e.max CAD, Ivoclar Vivadent, Liechtenstein) which have been characterized by a nanofluorapatite ceramic (e.max Ceram, Ivoclar Vivadent, Liechtenstein) through the layering technique.


2017 ◽  
Vol 2 (2) ◽  
pp. 56-59
Author(s):  
Nino John ◽  
Aparna Raj ◽  
K Radhakrishnan Nair ◽  
Meenu M Kumar ◽  
Rinsu N Alexander

ABSTRACT Reattachment is an effective, economical, and conservative procedure to restore the natural shape, contour, translucency, surface texture, occlusal alignment, and color of the fractured tooth that results in positive emotional and social response in a patient. This case report details the multidisciplinary management of a fractured central incisor with fracture line extending subgingivally in the palatal region. Access opening was done through the fractured segment of 21 and it was detached and stored in saline. After completion of endodontic therapy, crown lengthening procedure was done. Fiber post was placed for added reinforcement and the fragment reattached. A new trauma occurred after 4 months, but the reattached fragment did not get detached. How to cite this article Alexander RN, Nair KR, Geetha P, John N, Raj A, Kumar MM. Management of a Fractured Anterior Tooth by Reattachment using Fiber-reinforced Post. Cons Dent Endod J 2017;2(2):56-59.


2019 ◽  
Vol 39 (4) ◽  
pp. 511-515
Author(s):  
Parnward Hengjeerajaras ◽  
Stuart Froum ◽  
Hafiz Adawi ◽  
Paul Yu ◽  
Sang-Choon Cho

2008 ◽  
Vol 9 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Emre Ozel ◽  
Alper Cildir ◽  
Yonca Ozel

Abstract Aim The purpose of this case report is to describe the re-attachment of an anterior tooth fragment using a selfetching adhesive. Background Fracture of anterior teeth by trauma is a common problem in children and teenagers due to their active lifestyle. Restoration of these teeth often presents a challenge because of the large pulp in young teeth and open apical foramen depending on the age of the child. New dental adhesive materials offer an alternative solution for the treatment of some anterior tooth fractures. Report A 17-year-old female patient presented for treatment of a fractured maxillary left central incisor. The clinical examination revealed the exposure of dentin, but there was no exposure of the pulp. The patient saved the tooth fragment making it available for re-attachment to the remaining tooth structure. Under local anesthesia and rubber dam isolation the tooth fragment was re-attached using a self-etching adhesive and a microhybrid composite. Summary The re-attached tooth fragment was assessed clinically, radiographically, and using photographs at one, six, 12, 24, and 36 month intervals. The tooth remained vital, and there was no change in the color of the tooth at the three-year recall. Citation Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008 January; (9)1:77-083.


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