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- W2269248635 abstract "Aim: Our objective is to present how to accomplish an optimal desired esthetic outcome in a specific clinical situation including a previously disappointing result. Only a multi-disciplinary approach allows overcoming the difficulties related to gingival smile and discolored abutments complicated by very natural bright teeth. Case presentation: A 23-year-old student presented to the fixed prosthetic dentistry department at the dentistry faculty, Monastir University. The patient reported an esthetic dental problem related to two splinted full coverage retainers cemented on the maxillary central incisors. The patient was dissatisfied with the length and the shape of the crowns. Furthermore, the bluish shade in the gingival collar was so uncomfortable specially that the patient presented a gingival smile. After a comprehensive dental and periodontal examination, part of treatment plan included removal of crowns, endodontic treatment of the right maxillary central incisor, whitening of left maxillary central incisor, and its reconstruction by a fiber reinforced resin post and core. Manufacturing of all ceramic separated crowns with zirconia copings was our decision. Conclusion: In particular clinical situations related to failed splinted crowns with discolored and decayed abutments, obtaining a natural color through prosthetic crowns becomes a difficult task. In fact, the multi- disciplinary approach is the only way to enhance the esthetic result by whitening the abutment teeth, reconstructions should use a translucent material which is the fiber reinforced resin post and core with final zirconia restorations meeting the right natural teeth color." @default.
- W2269248635 created "2016-06-24" @default.
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- W2269248635 date "2015-04-18" @default.
- W2269248635 modified "2023-09-27" @default.
- W2269248635 title "Replacement of Failed Anterior Crowns with Zirconia Based Restorations" @default.
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- W2269248635 doi "https://doi.org/10.6084/m9.figshare.1384293.v1" @default.
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