IADR Abstract Archives

Total Restorative Rehabilitation in a Patient With Functional and Esthetic Problems. a Case Report.

Objectives: A patient with many old, large unacceptable restorations underwent an orthodontic treatment in combination with orthognatic surgery. At the end of this treatment, stable occlusal contacts were missing and the old restorations needed replacement. The aim of the restorative treatment was to restore function and esthetics in this patient.
Methods: A 60-year old women was referred to the Department of Restorative Dentistry after orthodontic treatment and orthognatic surgery. A Class II skeletal relationship was corrected. Her teeth showed grayish tetracycline staining. The upper anterior teeth were quite heavily filled and masked with old unacceptable composite veneers. The premolars and molars were also severely damaged and presented large unacceptable worn composite restorations. Function was inadequate due to the presence of unstable contacts on these posterior teeth. Total restorative rehabilitation was required to give the patient a stable occlusion and pleasant smile. Treatment started with exploring all the teeth and treating the caries lesions. One devitalized upper premolar needed to be extracted because no ferrule effect was present. The lower anterior teeth and two molars were restored with direct composite restorations (Essentia, GC). Before starting with the indirect restorative procedures a total wax-up was made by the dental technician. For each tooth, the least invasive indirect ceramic restoration was selected: monolithic zirconium (Zirkonzahn prettau 2) crowns on 11,12,21, 3-unit monolithic zirconium (Zirkonzahn prettau 2) bridges on 23-25 and 44-47, bonded lithium disilicate glass ceramic (Emax) partial crowns on teeth 13, 14, 16, 17, 36 and 48. For each type of restoration, a correct cementation protocol was followed.
Results: The total restorative rehabilitation resulted in an adequate occlusion and articulation. In addition, the esthetic result was very natural. The patient was very satisfied with her new smile.
Conclusions: A full restorative rehabilitation needs a proper treatment planning. Good cooperation and communication with the dental technician play a crucial role in obtaining an optimal and durable result. Yearly follow-up of the patient, with emphasizing good oral hygiene and maintenance of the restorations is absolutely required.

2021 Continental European and Scandinavian Divisions Meeting (Brussels, Belgium, Hybrid)
Brussels, Belgium, Hybrid
2021
0173
Clinical Case Reports
  • Vanhecke, Anne-céline  ( KULEUVEN , Leuven , Belgium )
  • Peumans, Marleen  ( KULEUVEN , Leuven , Belgium )
  • NONE
    Poster Session ALL VIRTUAL
    Clinical Case Reports (all scientific fields)