Clinical Case: Esthetic Rehabilitation of a Severely Compromised Anterior Case
October 7, 2020 | Dr. Andreas W. Benecke
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.
INITIAL SITUATION: Inadequate esthetics of upper anteriors due to chipped and fractured crowns which had been replaced with temporary restorations.
Finished core build-ups and minimally-invasive preparations with 3M™ Filtek™ One Bulk Fill Restorative and 3M™ Scotchbond™ Universal Adhesive.
Used putty and light bodied consistency 3M™ Imprint™ 4 VPS Impression Material in the 2-step technique for a highly accurate impression.
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 then cemented in place with 3M™ RelyX™ Temp NE Temporary Cement.
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.
Applied 3M™ RelyX™ Ultimate Adhesive Resin Cement into restoration.
Final cementation using adhesive resin cement.
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.
Refer to Instructions for Use (IFU) for complete product information. Results may vary.
