Community Case Sergi Pedemonte Sarrias 2

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Community Case : Sergi Pedemonte Sarrias

Dr. Sergi Pedemonte Sarrias

DDS, PhD, Associate professor at University of Barcelona

Private practice in Barcelona

Contact: [email protected]

COMPREHENSIVE OLD RESTORATIONS REPLECEMENT

Replacing old surviving unesthetic metal-ceramic restorations is a common procedure in ouroffices. Although new materials can give us good results, properly treatment plan and a highqualified lab is mandatory to achieve as good as possible results.

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A 39 years old woman came to our office looking for a better smile. An old metal-ceramic bridgeat 1.2,1.1 and 2.1 displayed an unarmonius smile. Teeth 1.1, was lost due a traumatic injurie 20years ago producing a huge defect and buccal plate resorption.

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First of all we planned digitally our treatment goal.

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Secondly, a wax up recreating ideal teeth and soft tissue proportions was made.

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From wax-up, a surgical splint was made for crown lenthening at 2.1. Bur abrasion wasperformed at 1.1 gingiva for an ovoid pontic. At the same appointment, after old bridge removaland crown lenthening, a chair side provisional restoration was made from the wax-up. Duringheailing period 1.3 incisal edge was added with composite.

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After two monts of crown lenthening healing, horizontal 1.1 pontic deffect was corrected with aconnective tisue graft. A new provisional from lab was placed. After tissue healing andmaduration for 4 months polyvinyl siloxane impression was taken.

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E.max Press LT B2 was the material of choice for 1.2,1.1 and 2.1 bridge and for no-prepveneer at 2.2.

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Cementation was performed with adhesive procedures.

I want to specially thant my friends from DENTEK (Manresa, Spain) for their daily dedicatedeffort.

REFERENCES

Fradeani M. Esthetic Rehabilitation in Fixed Prosthodontics. Vol 1: Esthetic Analysis: ASystematic Approach to Prosthetic Treat- ment. Chicago: Quintessence, 2004.

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Coachman C, Calamita M. Digital smile Design: A tool for treatment planning andCommunication in Esthetic dentistry. Quintessence of Dental Technology 2012;Vol 35:103

Zitzmann UN, Marinello CP, Berglundh T. The ovate pontic design: A histologic observation inhumans. J Prosthet Dent 2002;88:375-80.

Schultheis S, Strub JR, Gerds TA, Guess PC.Monolithic and bi-layer CAD/CAM lithium-disilicateversus metal-ceramic fixed dental prostheses: comparison of fracture loads and failure modesafter fatigue.Clin Oral Investig. 2013;17(5):1407-13.

Kern M, Sasse M, Wolfart S.Ten-year outcome of three-unit fixed dental prostheses made frommonolithic lithium disilicate ceramic. J Am Dent Assoc. 2012;143(3):234-40.

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Community Case Sergi Pedemonte Sarrias 2

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