Clinical case: dental prosthetics with crowns and veneers

A patient from abroad came to our clinic with a request for a complete smile restoration. She had previously consulted doctors in Europe where she lives, but no solution to her problem had been found. Her medical history revealed pathological tooth wear and secondary edentulism (missing some teeth). Our task was to create a beautiful smile within a short timeframe while ensuring that the new teeth would serve her for many years.

Our doctors offered two treatment options:

to restore the bite height using ceramic dental crowns and bridge-like prostheses to prevent further tooth wear, and to restore the smile zone with composite restorations.
to restore the bite height with ceramic crowns and prostheses, stop tooth wear, and cover the smile zone with ceramic veneers.

The patient chose the second treatment option. This plan is more expensive, but also more durable.

        STAGE 2
        
Scanning and modelingWe performed professional oral hygiene and took digital impressions of the jaws using an intraoral scanner to create a mock-up model. In specialized software, we recreated the shape and color of the future teeth. The approved version was sent to the laboratory for mock-up printing.

        STAGE 3
        
Model try-inThe tooth model was printed on a dental printer. The patient was able to evaluate the shape and color of the future teeth while looking at herself in the mirror, assess the level of comfort, and request adjustments.

        STAGE 4
        
Removal of old dental prosthesesThe patient had a bridge-like prosthesis that needed to be replaced to restore the bite height. The old prosthetic structure was removed to proceed with prosthetic treatment.

        STAGE 5
        
Scanning and modelingWe scanned the jaws again, this time without the prosthetic structures. These completed scans would be used to fabricate two types of prostheses: permanent and temporary. The future restorations were modeled with the previous adjustments and wishes taken into account.

        STAGE 7
        
Fabrication and fixation of crowns and veneersHigh-strength, natural-looking all-ceramic restorations were fabricated in the digital laboratory. The temporary prostheses were removed, and the ceramic restorations were immediately fixed, this time using permanent cement. The result was documented in the photo protocol. The patient received recommendations and care instructions for the veneers and crowns to help extend their service life.

        SUMMARY
        
It would also have been appropriate to offer another treatment option involving the placement of dental implants in the areas of the missing teeth. However, the CT scan revealed a bone tissue deficit caused by the long-term absence of the natural tooth. We also had a limited treatment timeframe, which did not allow for bone augmentation, implant placement, and prosthetic restoration. This treatment was completed in 3 clinic visits by the patient over 7 days.

Dental prosthetics with crowns and veneers

Maksym Makarenko

Examination and diagnostics

Scanning and modeling

Model try-in

Removal of old dental prostheses

Scanning and modeling

Fabrication of temporary prostheses

Fabrication and fixation of crowns and veneers

Book a consultation with a dentist

Dental prosthetics on implants

Dental prosthetics with dental zirconia bridges

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