High-risk esthetically driven restoration: begin with the end in mind.
A high-risk esthetically driven restorative case requires the dental team, along with the patient, to have a clear vision of the final outcome. In this case of a 33-year-old woman who wanted to improve her smile, esthetic problems stemmed from a retained deciduous maxillary left canine along with an impacted tooth No. 11. Among a number of concerns was the shape and color of the deciduous canine and the uneven length of the maxillary central incisors. A treatment plan that included orthodontics with removable aligners, occlusal adjustment, composite restorations, extraction and implant placement, indirect porcelain veneers, and a custom abutment and PFM crown was successfully executed in four phases over the course of more than 4 years.
Pizzi Dental Studio Inc., New York, New York, USA.
Michael T
MT
Ricciardi
Peter
P
Pizzi
D000328:Adult; D016556:Crown Lengthening; D003442:Crowns; D003481:Cuspid; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D003793:Dental Restoration, Permanent / Q000379:methods*; D003801:Dental Veneers; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D008437:Maxilla; D019558:Occlusal Adjustment; D009971:Orthodontics, Corrective / Q000379:methods*; D010347:Patient Care Planning; D012308:Risk Management; D057085:Tooth Wear / Q000628:therapy; D014094:Tooth, Deciduous / Q000473:pathology; D014095:Tooth, Impacted / Q000628:therapy*