Single Tooth Prosthetic Restoration Through Surgical Crown Lengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate. A Case Report.

Autor:	Maria GP; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy., Vitelli C; Dental student, Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy., Dian A; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy., Radaelli K; MSc student, Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy., Basso M; Centre of Minimally Invasive, Aesthetic and Digital Oral Rehabilitation (CROMED), IRCCS Galeazzi Orthopedic Institute, Dental Clinic, University of Milan, Italy.
Jazyk:	angličtina
Zdroj:	Acta stomatologica Croatica [Acta Stomatol Croat] 2019 Dec; Vol. 53 (4), pp. 371-378.
DOI:	10.15644/asc53/4/8
Abstrakt:	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- year- old 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.
Databáze:	MEDLINE
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