RESUMO
Dental fluorosis is a developmental defect affecting amelogenesis. It presents clinically in different forms depending on the concentration, duration, and time of exposure to fluoride. Several therapeutic modalities have been described to manage mild and moderate forms of dental fluorosis; however, limited literature is available on the restorative management of severe forms of dental fluorosis, specifically in young individuals. This clinical report describes a complete prosthodontic rehabilitation of an adolescent patient with severe dental fluorosis affecting his permanent dentition. The patient was treated with a combination of monolithic, minimally-veneered zirconia crowns and direct composite resins. At the 1-year follow-up appointment, there were no complications, and both the patient's oral health and the integrity of the restorations remained stable.
Assuntos
Fluorose Dentária , Adolescente , Resinas Compostas , Coroas , Estética Dentária , Fluorose Dentária/terapia , HumanosRESUMO
A clinical and laboratory workflow for fabricating and retrofitting a monolithic ceramic crown to an existing removable partial denture (RPD) is described. A conventional polyvinyl siloxane impression was made of the prepared tooth with the RPD in place. A stone cast was poured and, after die sectioning, scanned with a tabletop scanner. The ceramic crown was designed and fabricated by using a digital workflow to fit the RPD clasp assembly, providing an adequate undercut for the clasp. The crown was then delivered and the RPD evaluated for adequate fit.
Assuntos
Prótese Parcial Removível , Cerâmica , Desenho Assistido por Computador , Coroas , Grampos Dentários , Fluxo de TrabalhoRESUMO
This case series presents an innovative technique for fabricating single implant crowns in which a digital scan was recorded immediately after the placement of the dental implant. This technique has been used over several years (January 2015 to April 2018) in 34 patients. The detailed workflow of 2 clinical treatments with successful clinical outcomes and short treatment time is described. The immediate digital implant scan workflow concept reduces treatment time for posterior single implant-supported crowns.