Case Report


Esthetic rehabilitation with porcelain crowns using digital planning

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1 Professor, Department of Restorative Dentistry, University of Santo Amaro, São Paulo, SP, Brazil

2 Master Student, Department of Biological Sciences, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil

3 PhD, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Campinas, SP, Brazil

4 Adjunct Professor, Department of Dentistry, Faculty of Sciences of Health, Federal University of Jequitinhonha and Mucuri Valley, Diamantina, MG, Brazil

5 Master Student, Department of Dental Clinic, Federal University of Piauí, Teresina, PI, Brazil

6 DDS, Gama Filho University, Rio de Janeiro, RJ, Brazil

7 Professor, Department of Dental Clinic, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

Address correspondence to:

João Victor Frazão Câmara

Alameda Doutor Octávio Pinheiro Brisolla, 6-65, CEP 17012-059, Bauru, São Paulo,

Brazil

Message to Corresponding Author


Article ID: 101168Z01JP2020

doi: 10.5348/101168Z01JP2020CR

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How to cite this article

Pierote JJA, Câmara JVF, Barbosa IF, de Araújo CTP, Carvalho GAO, de Castro AN, Pereira GDS, Prieto LT. Esthetic rehabilitation with porcelain crowns using digital planning. Int J Case Rep Images 2020;11:101168Z01JP2020.

ABSTRACT


Introduction: The desire for a perfect smile has increased substantially over the past few years. After the esthetic dental treatment, patients seem more confident and happy, which results in greater chances of success in job interviews and better personal relationships.

Case Report: A male patient, sought dental care, reporting smile esthetics as the main complaint. After clinical and radiographic evaluations, tooth wear was observed on central and lateral incisors due to dental erosion. A photographic protocol was performed for digital planning and then, from the diagnostic wax-up, a mold was made with addition silicone and bis-acrylic resin was used for the mock-up. The minimally invasive preparation was carried out with diamond burs of fine and ultrafine granulations and consisted in the removal of the live angles and retentive areas. The crowns were made in lithium disilicate (LD) glass-ceramic, following the treatment protocol with hydrofluoric acid, phosphoric acid, adhesive, and a cementing agent. The excess was removed and photoactivation was performed for 40 seconds on the buccal, lingual, and incisal surfaces on each tooth and subsequent finishing and polishing.

Conclusion: The clinical success of lithium disilicate porcelain crowns depends on the precise clinical protocol, correct indications, and laboratory procedures.

Keywords: Dental porcelain, Lithium, Mouth rehabilitation

SUPPORTING INFORMATION


Author Contributions

Josué Junior Araújo Pierote - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

João Victor Frazão Câmara - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Isabel Ferreira Barbosa - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Cíntia Tereza Pimenta de Araújo - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guereth Alexsanderso Oliveira Carvalho - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Adriano Nóbrega de Castro - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Gisele Damiana da Silveira Pereira - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Lucia Trazzi Prieto - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Josué Junior Araújo Pierote et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.