Case Report – Smile Design
Clinic: Saini EnclaveThursday September 20th, 2018
Doctor Name: Dr. Raj Gaurav Singh
Preserving as much healthy tooth structure as possible is one of the main goal of conservative dentistry, A long lasting solution for restoring the function, esthetic and bio-mechanics of teeth when using minimally invasive technique is required. Emax crowns are prepared from lithium disilicate, which is a glass ceramic and possesses excellent strength. Emax crown imitate natural beauty of tooth structure, and it is all ceramic, looks lifelike, offer durability and high strength regardless of the indication. They offer outstanding performance which is because of combination of excellent flexural strength and high fracture toughness. The clinical success of the material attests to its quality. This is the material of choice since tooth conserving and conventional cementation are possible. Anterior restoration require esthetic excellency which is possible by lifelike transition of color and translucency with the benefit of stability of a monolithic structure. Reduced restoration thickness enables tooth-preserving preparation and Bio-compatibility.
A 29 year old female patient reported to the clinic with chief complain of spacing and discoloration in her front teeth. Intra-oral examination done and diagnostic impressions made. Wax mock up done and treatment plan explained to the patient.
e.max veneers suggested for 11,12,21. Rotation of 22 noticed therefore RCT and e.max crown planned. For correction of edge-to-edge bite RCT and e.max crowns were suggested for 31,32,41,42.
Figure 1 -Pre-operative image of discolored & spaced out teeth
Tooth preparation done and Rubber base impressions were made using single step technique. Shade selection done and patient consent taken. Impressions verified for accuracy and sent to laboratory.
Figure 2 -Models were poured and scanned for CAD-CAM assisted e.max prosthesis. CAD design was shared with prosthodontist and patient for the approval. After approval final restorations were milled using CAD-CAM machine and delivered to the clinic.
Figure 3 – Image showing digital mock-up of veneers for CAD-CAM design
Final restorations were assessed and tried on patient. Incisal guidance verified and occlusal equilibration done. After approval from the patient restorations were cemented using resin cement.
Figure 4 -Post-op image of smile correction
Figure 5 -Final restorations lateral view – Right
Figure 6 -Final restorations lateral view – Left