Functional and aesthetic restoration of smile through ceramic restorations – case report

Vol. 13 – Number 49 – 2021 NOTEBOOK PLS Case report Page 135-143 Functional and aesthetic restoration of smile through ceramic restorations – case report Letícia Ascari dos Santos¹ Jucimara da Silva¹ André Fabiano Martins Carvalho¹ Janes Francio Pissaia¹ Abstract The demand of patients for an aesthetic and harmonious smile has been growing, which generates the need for knowledge of various techniques and materials to obtain satisfactory results. Thus, ceramic restorations are increasingly present in dentistry due to their excellent optical and mechanical properties. Thus, the objective of this work was to perform the functional and aesthetic restoration of the smile through ceramic restorations in the anterior teeth. Patient L.T., male, 47 years old, sought the dental clinic of the Universidade Paranaense, complaining about the aesthetics of his smile. On clinical examination, asymmetry was observed between the gingival zeniths of the elements, as well as short clinical crowns and extensive and unsatisfactory composite resin restorations. In the radiographic examination, it was observed the presence of satisfactory molten metal core in the element 21, and the need for endodontic treatment in the elements 12, 11 and 22, for placement of intraradicular retainer, being selected the Fiberglass Pin (FP). Given this case, the procedure of gingivectomy with osteotomy was also proposed. Total metal-free crowns were made of lithium disilicate for elements 13, 12 and 22 and zirconia for elements 11 and 21. The ceramic laminate on tooth 23 was also made of lithium disilicate. The final result obtained was approved by the patient and the professionals involved. Descriptors: Mouth rehabilitation, dental esthetics, gingivectomy. ¹ Dentistry – UNIPAR. DOI: 10.24077/2021;1349-135143