title: Functional and esthetic rehabilitation with in-ceram alumina and zirconia system: a multidisciplinary approach.
abstract: The development of all-ceramic systems following metalceramics restorations allowed simulation of natural dentition due to favorable esthetics and resistance. In-Ceram is an alternative when esthetics is primordial as well as resistance required in rehabilitation. However, an ideal smile is associated to not only shape, color, texture and translucency but also harmony with gingival tissue. So, the aim of this study is to report a clinical case based on periodontal and fixed partial dentures principles to perform periodontal plastic surgery followed by esthetic rehabilitation. A female patient, 40-year-old, presented complaint about dental esthetics. After clinical and radiographic exams, metal-ceramics crowns (teeth 11, 12, 13, 21, 22 and 23) were considered unsatisfactory due to marginal leakage, color change in gingival tissue associated to metallic margin, and gummy smile. So, a crown lengthening surgery of anterior teeth was performed followed by rehabilitation of superior teeth with In- Ceram single crowns.
  
  
  CONCLUSIONS
  The interaction between periodontics and fixed prosthodontic area is the key of an adequated treatment planning which involves gingival smile to provide function and an esthetic condition in association with an esthetic, resistant and predictable material.
authors.affiliation: Department of Dental Materials and Prosthodontics, FOA-UNESP, São Paulo, Brazil.
authors.forename: Adriana Cristina
authors.initials: AC
authors.lastname: Zavanelli
authors.forename: José Vitor Quinelli
authors.initials: JV
authors.lastname: Mazaro
authors.forename: Sandra Rahal
authors.initials: SR
authors.lastname: Mestrener
authors.forename: Recardo Alexandre
authors.initials: RA
authors.lastname: Zavanelli
mesh_terms: D000328:Adult; D016556:Crown Lengthening; D003442:Crowns; D003776:Dental Porcelain / Q000737:chemistry*; D017267:Dental Prosthesis Design; D004955:Esthetics, Dental; D005260:Female; D005890:Gingivectomy / Q000379:methods; D006801:Humans; D008437:Maxilla / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D011176:Post and Core Technique; D018915:Root Canal Preparation / Q000379:methods; D013524:Surgical Flaps
chemical_list: C483026:In-Ceram Alumina; C485633:In-Ceram Zirconia; D003776:Dental Porcelain