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Anterior Provisional Restorations Used to Determine Form, Function, and Esthetics for Complex Restorative Situations, Using All-Ceramic Restorative Systems |
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| Authors: | MAMALY RESHAD DDS MSc DOMENICO CASCIONE CDT BS TAE KIM DDS |
| Affiliation: | Co-chair, Section of Fixed and Operative Dentistry;and Assistant clinical professor, Division of Restorative Sciences, University of Southern California, School of Dentistry, Los Angeles, CA, USA; Clinical assistant professor, Division of Restorative Sciences, University of Southern California, School of Dentistry, Los Angeles, CA, USA;and Director of case design center, a Division of Burbank Dental Laboratory Inc., University Village, Los Angeles, CA, USA; Chair, Section of Removable Prosthodontics;and Assistant clinical professor, Division of Restorative Sciences, University of Southern California, School of Dentistry, Los Angeles, CA, USA |
| Abstract: | A technique is proposed for the restoration of a large and visible maxillary anterior defect. The importance of proper diagnosis, treatment planning, and communication is emphasized. Irreversible treatment should only be rendered once patient approval has been obtained through objective evaluation with provisional restorations. The techniques presented in this article use a combination of ceramic systems currently available to satisfy functional demands while achieving acceptable esthetics. A controlled series of steps, where the provisional restorative components are being replaced by the definitive ones is planned. The only difference between the provisional and definitive restorative components is the material used. The definitive restorations consisted of an implant-supported zirconium oxide framework. Individual pressed porcelain restorations were luted to the framework and a natural tooth. CLINICAL SIGNIFICANCEProvisional restorations allow an objective form of communication. Vertical and horizontal transitional lines can be effectively masked with appropriate treatment planning and a skilled ceramist. Many traditional dental laboratory steps may be eliminated or simplified without compromising the definitive restorations. ( J Esthet Restor Dent 22:7–17, 2010) |
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