Droga do estetyki. Aspekty uzupełnień pełnoceramicznych w odcinku przednim – cz. I
PRESENTATION OF A TYPICAL PATIENT CASE
The patient case described below presents a „dental fairy tale”. It tells the story of a young woman who turned from a „duckling” into a beautiful „swan”.
Examination and planning
The patient visited the practice because of esthetic concerns. She was unhappy about the appearance of her upper anterior restorations. An analysis of the preoperative situation provided the foundation for the further treatment in line with our principles. Generally, a portrait picture is ideal to assess the overall impression and detect disharmonies. Assessment is performed using the known reference lines. The shortcomings were easy to spot on the preoperative pictures of the patient (Figs 1). The crowns were grossly overcontoured and looked bulky.
We prefer a manual approach for treatment planning. Reconstruction of a patient case is impossible without a wax-up. The patient’s requests and esthetic improvements were all integrated into the wax-up, which was then submitted to the operator as treatment proposal. We need to be aware of the fact that the vision we have as dental technicians does not always tally with the expectations of the patient, who, first and foremost, does not want to experience too much pain.
Together, the initial situation was discussed and surgical crown lengthening was proposed. The gingival line is essential to [...]
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