Esthetic Rehabilitation of a Severely Compromised Anterior Case - Before and After
October 7, 2020
Dr. Andreas W. Benecke, M.Sc.

Clinical Case: Esthetic Rehabilitation of a Severely Compromised Anterior Case

Using 3M™ Lava™ Esthetic Fluorescent Full-Contour Zirconia.

About the Case

Chipped and fractured anterior restorations of male patient (age 63) were in urgent need of replacement. After detailed examination and explanation of treatment options, the patient selected full contour zirconia restorations due to lower costs and comparable esthetics to layered ceramic crowns. All teeth needed core build-ups prior to preparation, and the lateral left incisor was additionally stabilized using a fiber post.

Temporary restorations

INITIAL SITUATION: Inadequate esthetics of upper anteriors due to chipped and fractured crowns which had been replaced with temporary restorations.

Finished core build-ups

Finished core build-ups and minimally-invasive preparations with 3M™ Filtek™ One Bulk Fill Restorative and 3M™ Scotchbond™ Universal Adhesive.

VPS impression material

Used putty and light bodied consistency 3M™ Imprint™ 4 VPS Impression Material in the 2-step technique for a highly accurate impression.

New temporary restoration

Application of bis-acrylic composite into matrix to create a new temporary restoration using 3M™ Protemp™ Plus Temporization Material.

Trimmed and polished new temporary restoration

Trimmed and polished new temporary restoration then cemented in place with 3M™ RelyX™ Temp NE Temporary Cement.

Lingual view of monolithic zirconia crowns fabricated on a stone model

Lingual view of monolithic 3M™ Lava™ Esthetic Fluorescent Full-Contour Zirconia crowns fabricated on a stone model.

Try-in of crowns to confirm fit and esthetics before cementation

Try-in of crowns to confirm fit and esthetics before cementation.

Final cementation using adhesive resin cement

Final cementation using adhesive resin cement.

Anterior zirconia crowns one week after final cementation

FINAL RESULTS: After treatment and final cementation, the patient revisited the office for a final check. He was very pleased with the monolithic restoration especially in terms of function, phonetics and esthetics.

Monolithic restorations allow for cost-effective all-ceramic restorations and are a real alternative when it comes to price-perfomance ratio.

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