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All-ceramic prosthetic rehabilitation of a worn dentition: Use of a distal cantilever. Two-year follow-up
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Usama N. Chekhani *   , Aikaterini A. Mikeli , Fabian K.P. Huettig |
| Department of Prosthodontics and Section of Medical Materials and Technology, Center of Dentistry, Oral Medicine and Maxillofacial Surgery,University Hospital Tuebingen, Tuebingen, Germany |
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Abstract: (1973 Views) |
The rehabilitation of heavily abraded occlusion in patients with parafunctional habits is a restorative challenge to the dentist. Use of all-ceramic systems in such cases is widely considered, but uncertainty over their resistance hinders their broad use. The authors would like to illustrate a possible approach by mixing two all-ceramic systems based on zirconium dioxide and lithium disilicate. A 48-year-old female patient attended with reduced vertical dimension in a full dentition. She suffered from craniomandibular (CMD) pain and desired an esthetic rehabilitation. Prosthodontic treatment was started in a pain-free condition, after correction of the vertical dimension with an occlusal splint, over four months. Determination of the treatment was based on the clinical fi ndings: IPS e.max® ZirCAD frameworks veneered with IPS e.max® Ceram were used for discolored retainers or subgingival fi nishing lines. All the rest received IPS e.max® Press crowns. A zirconiia-based, single-tooth-retained distal cantilever reconstruction was used to replace a missing second molar. No technical or biological complication was observed 24 months after treatment. The patient was highly satisfi ed and pain-free.
Source: Dental Research Journal Full Text |
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| Keywords: Computer-aided design/computer-aided manufacturing, cerec, multilink, relyX Unicem |
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Type of Study: case report |
Subject:
Oral and Maxillofacial Surgery
Received: 2013/07/6 | Published: 2012/01/15
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