Single Tooth Prosthetic Restoration Through Surgical CrownLengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate: A Case Report

Single Tooth Prosthetic Restoration Through Surgical CrownLengthening, Conservative Therapies and CAD-CAM Milled Restoration in Lithium-Disilicate: A Case Report

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Objective.The restorative treatment of a decayed, non-vital upper premolar often requires an interdisciplinary approach.Esthetics and the entity of the masticatory loads are usually affecting the choice of procedures and materials.A conservative treatment in a case with esthetic needs and functional requirements is investigated in this case report.

Materials and methods.A case of a 45- yearold woman with a severely decayed upper premolar is presented.The tooth has Hand Mixer been previously treated in an emergency department with a provisional endodontic medication, but a further treatment has been then performed.The tooth was painful at the moment of the visit and the carious lesion appeared to invade the subgingival level.

A surgical-conservative approach has been selected involving crown lengthening, endodontic treatment and a prosthetic crown with a monolithic Lithium- Silicate.Results.The rehabilitative process required 3 months, including maturation times after surgery and the placement of the provisional crown.The patient claimed to be both esthetically and functionally satisfied with the restoration.

Conclusion.A conservative treatment of a severely involved tooth requires a critical evaluation of the remaining structures and a precise selection of the restorative materials.A monolithic crown could represent an ideal solution for restoring an Saturday Night Live upper premolar requiring esthetics and solid function, but the choice of a high translucent, easily polishable and possibly even chair-side prosthetic material might be an appreciable added value for clinicians.