Full Zirconia Implant-Born Prosthetic Rehabilitation with CAD/CAM Technology after Accurate Digital Planning. A Case Report

CAD/CAM technology can enhance the dentistry application of ceramic materials that meet the more relevant biocompatibility and aesthetics demands. In implant-borne prosthesis rehabilitation, yttria-stabilized zirconia appeared to be a valid alternative to metal-alloys and titanium, with comparable mechanical properties and even better interaction with bone and soft tissues. The improvement of monolithic CAD/CAM manufacturing allows for a reliable, predictable, and rapid workflow that can correspond to a holistic treatment philosophy associated with zirconia fixtures. This reported clinical case highlights the advantages of this approach in resolving particularly functionally and aesthetically complex situations. A 40-year-old patient with permanent canine impaction and the persistence of a deciduous tooth compromised by caries was successfully rehabilitated with the surgical removal of the enclosed tooth, the seating of a mono-phase zirconia implant after the deciduous extraction and its loading with a zirconia single crown, without any clinical or radiographical alteration up to seven years follow-up.

A Person-Centred Approach to Holistic Assessment

Holistic assessment is an important aspect of providing high quality care focused on meeting a patient's individual needs. A holistic assessment should take into consideration the overall health of the patient, including their physical, psychological, social and spiritual wellbeing. This paper aims to clarify the meaning of 'holistic’ in relation to dentistry and describes how this relates to treating the person as a whole, rather than be aligned to any particular treatment philosophy. The importance of a person-centred approach in undertaking a holistic assessment is highlighted. A brief overview of the relational aspects of person-centred care (PCC) is provided and it is suggested that four key dimensions of PCC should be considered as important factors in holistic assessment: connection, caring attitude, communication and control.

Amelogenesis Imperfecta: A Conservative and Progressive Adhesive Treatment Concept

SUMMARY Objective The aim of this study was to present a case report of a patient affected by amelogenesis imperfecta showing a possible minimal and conservative adhesive treatment approach. Clinical Procedure A treatment philosophy of amelogenesis imperfecta is illustrated by means of a case report of a 14-year-old boy who consulted us for a full mouth rehabilitation. Discussion This clinical report describes step by step how to manage a case of amelogenesis imperfecta from childhood over time. Significance This kind of minimally invasive, progressive approach allows the conservation of maximum tooth substance together with an acceptable esthetic outcome.