Professional paper
https://doi.org/10.15644/asc53/4/8
Single Tooth Prosthetic Restoration Through Surgical CrownLengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate: A Case Report
Maria Giulia Pulcini
; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy
Carlo Vitelli
; Dental student, Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy
Arturo Dian
orcid.org/0000-0002-4405-708X
; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy
Katherine Radaelli
; MSc student, Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy
Matteo Basso
orcid.org/0000-0002-7115-6796
; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy
Abstract
Objective. The restorative treatment of a decayed, non-vital upper premolar often requires an interdisciplinary approach. Esthetics and the entity of the masticatory loads are usually affecting the choice of procedures and materials. A conservative treatment in a case with esthetic needs and functional requirements is investigated in this case report. Materials and methods. A case of a 45- yearold woman with a severely decayed upper premolar is presented. The tooth has been previously treated in an emergency department with a provisional endodontic medication, but a further treatment has been then performed. The tooth was painful at the moment of the visit and the carious lesion appeared to invade the subgingival level. A surgical-conservative approach has been selected involving crown lengthening, endodontic treatment and a prosthetic crown with a monolithic Lithium-
Silicate. Results. The rehabilitative process required 3 months, including maturation times after surgery and the placement of the provisional crown. The patient claimed to be both esthetically and functionally satisfied with the restoration. Conclusion. A conservative treatment of a severely involved tooth requires a critical evaluation of the remaining structures and a precise selection of the restorative materials. A monolithic crown could represent an ideal solution for restoring an upper premolar requiring esthetics and solid function, but the choice of a high translucent, easily polishable and possibly even chair-side prosthetic material might be an appreciable added value for clinicians.
Keywords
Bicuspid; Crown Lengthening; Crowns
Hrčak ID:
230346
URI
Publication date:
19.12.2019.
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