Protetička restauracija pojedinačnog zuba kirurškim produljenjem krune, konzervativnom terapijom i litijevim disilikatnim nadomjestkom proizvedenim cad-cam tehnologijom: Prikaz slučaja

Translated title of the contribution: Single tooth prosthetic restoration through surgical crown lengthening, conservative therapies and cad-cam milled restoration in lithium-disilicate: A case report

Maria Giulia Pulcini, Carlo Vitelli, Arturo Dian, Katherine Radaelli, Matteo Basso

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. The restorative treatment of a decayed, non-vital upper premolar often requires an interdisciplinary approach. Esthetics and the entity of the masticatory loads are usually affecting the choice of procedures and materials. A conservative treatment in a case with esthetic needs and functional requirements is investigated in this case report. Materials and methods. A case of a 45-yearold woman with a severely decayed upper premolar is presented. The tooth has been previously treated in an emergency department with a provisional endodontic medication, but a further treatment has been then performed. The tooth was painful at the moment of the visit and the carious lesion appeared to invade the subgingival level. A surgical-conservative approach has been selected involving crown lengthening, endodontic treatment and a prosthetic crown with a monolithic Lithium-Silicate. Results. The rehabilitative process required 3 months, including maturation times after surgery and the placement of the provisional crown. The patient claimed to be both esthetically and functionally satisfied with the restoration. Conclusion. A conservative treatment of a severely involved tooth requires a critical evaluation of the remaining structures and a precise selection of the restorative materials. A monolithic crown could represent an ideal solution for restoring an upper premolar requiring esthetics and solid function, but the choice of a high translucent, easily polishable and possibly even chair-side prosthetic material might be an appreciable added value for clinicians.

Translated title of the contributionSingle tooth prosthetic restoration through surgical crown lengthening, conservative therapies and cad-cam milled restoration in lithium-disilicate: A case report
Original languageCroatian
Pages (from-to)371-378
Number of pages8
JournalActa Stomatologica Croatica
Volume53
Issue number4
DOIs
Publication statusPublished - 2019
Externally publishedYes

Keywords

  • Bicuspid
  • Crown lengthening
  • Crowns

ASJC Scopus subject areas

  • Dentistry(all)

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