Aesthetic Goals In Porcelain Fused To Metal Rehabilitation

Abstract

Purpose. The ultimate goal for ceramic fused to metal restoration is the creation of a perfect aesthetic integration of the restoration with healthy tissues. Material and method. The study included a group of twenty-one patients. Sixteen of them were partial edentulous patients and five presented dental lesions or chromatic modifications of the dental tissues. The treatment plan was represented by metal-ceramic crowns and bridges. The ceramic system used was Vintage Halo (Shofu). Results. According to the patient’s age, to the topography of the missing teeth or to the colour modification, we especially surveyed the aesthetic rehabilitation creating the specific morphological elements, in order to realise an individual natural aspect with a similar behaviour for the reflection of the light as the dental enamel. Conclusions. The current popularity of metal-ceramic restorations is primarily related to their predictable strength achieved with reasonable aesthetics. The main parameters that are responsible for a high-quality result are represented by: non-invasive, reversible procedures, conservative preparations, individual function offered by an individualized reconstruction, gnathological concepts into the occlusal rehabilitation, biocompatible materials, longevity of the reconstruction and comfort for the patient.

Keywords

• aesthetic rehabilitation
• metal-ceramic restorations
• shade determination