Treatment of abraded teeth using metal free ceramics and conventional metal-ceramic restorations

Abstract

Introduction. Contemporary reconstructive dentistry is considered to be a bioesthetic discipline, the study of the beauty of living creatures in their original form and functions. A discussion of esthetic dentistry, the sophisticated artificial restorations in the patient mouth, hardly discernible to an observer or expert eye, implies a whole series of qualities. Damage of hard tooth-tissue, which is not caused by caries, is a physiological process present throughout the whole life, but some factors can bring about great losses of the hard tissue. This damage can be caused by a combination of different etiological factors, such as genetical and functional ones. Case report. A patient is coming in dental surgery complaining of a large damage of the hard-tooth tissue, ugly appearance of his teeth, speech dysfunction and masticatory problems. An intraoral view shows the presence of a large teeth-abrasion. The treatment plan simplified the treatment with a combination of metal-ceramic restorations and a new ceramic system IPS e.max (Ivoclar Vivadentm Schaan, Liechtenstien). Conclusion. In this clinical case with presented abrasion the treatment was presented using all-ceramic restorations and classical metal-ceramic restorations to establish good health, function and estehetic. The use of restorations based on zirconium (IPS e.max ZirPress, Ivoclar Vivadent, Schaan, Liechtenstein) can produce excellent clinical results in the frontal, as well as in lateral segments.

Keywords

• abrasion
• metal-ceramic restaurations
• all-ceramic restauration