Aesthetic Rehabilitation of Maxillary Central Incisors: Zirconia Crown and Porcelain Veneers
This article describes a case of a central incisor with an old provisional crown. In addition, the other maxillary central incisor was filled with old composite resin which was compromising aesthetics.
A 21 year old female patient presented to the Department of Fixed Prosthodontics, seeking a treatment to improve her smile and the impaired aesthetic appearance caused by affected teeth. She gave a history of an early childhood trauma to the central incisors, an old provisional crown on the left central incisor.
A comprehensive examination revealed that the right central incisor had sufficient endodontic treatment, the left central incisor was vital and had an old discolored defective reconstruction with composite resin.
The objective of this case report is to highlight the steps of dental rehabilitation using ceramic veneers reinforced by lithium disilicate and zirconia crown.
CLINICAL SIGNIFICANCE: This case demonstrates how a conservative multidisciplinary approach yields excellent results in an aesthetically demanding area. Atraumatic surgical techniques can maintain the natural soft tissue architecture, while a detailed approach to provisional and final restorations allows for a highly aesthetic smile.
The treatment plan included:
11: fiber core reconstruction with Zirconia based crown restoring the altered properties of the incisor, both aesthetic and mechanical
21: ceramic veneer reinforced by lithium disilicate providing aesthetic results and solving problems related to the size, shape, and color of the teeth.
Keywords: porcelain veneers, lithium disilicate, full coverage crown, aesthetic restoration, Central incisors, Zirconia based crown, Devitalized teeth
