02 Dec Upper Arch Restoration with PFZ crowns and some feldspathic…as usual vertical preparations…included a short follow up.
Performed by: Dr Marco Maiolino
Abstract: We present a case of a patient asking for aesthetic treatment of his upper arch, 4 old PFM crowns were on the anterior teeth. In the past teeth, 1.5 2.5 2.6 were extracted and not replaced causing the movement of the other teeth and the creation of incorrect prosthetic spaces. The same happened on teeth 3.6 and 4.6.
The proposed solution was an orthodontic treatment to establish correct spaces but the patient refused it.
We decided to do a bridge between 2.4 (tooth endodontically treated with old crown ) and 2.7 to manage better space, on upper right instead we decided to keep the space (other choices were orthodontics or another bridge )
# 1 Initial smile situation
#2 Upper Arch Initial situation details
#3 Situation after extraction in the past and non-replacement of lost teeth. The movement of the other teeth created incorrect prosthetic spaces.
The proposed solution was an orthodontic treatment to establish correct spaces but the patient refused it.
#4 Upper and Lower occlusal Arch view. We decided to do a bridge between 24 (tooth endodontically treated with old crown ) and 2.7 to manage better space, on upper right instead we decided to keep the space (other choices were orthodontics or another bridge )
#6 Anterior crowns were disassembled showing extensive decay especially on teeth 12 and 22
#7 Tooth 1.2 was treated in the past with endodontic surgery. A new endodontic treatment was carried on all four incisors and restored with composite
#8 Detail of anterior vertical preparations
#9 Try in of zirconia
#10 Details of lab work by DT Emanuele Tarascio
#11 Tissues after provisional removal just before final delivery
#12 Delivery of upper work
#13 Final smile of the patient
#14 Pre/post smile view
#15 Recall at 3 months
