Hello AACD Members,
To continue our "Case of the Month Series", I have chosen a case that combines both porcelain and resin, but still falls into the mantra of "responsible esthetics". I am a firm believer in conservative treatment, and I feel this exemplifies that perfectly.
This patient had an existing crown on tooth 8 for 30+ years which he called his "dinosaur tooth". He had re cemented it with crazy glue multiple times until he showed up in my office without it. (original photo not available). I quickly made a Cerec crown just to get something in his mouth as he was going away on vacation and I did not want to give him a provisional. When. He returned we discussed more ideal treatment. As you can see in the pre op pictures, the two main concerns are matching the color of the adjacent natural tooth and correcting the midline cant. Rather than veneering or crowning #9, a simple mesial resin was placed to upright the midline.
My patient was super happy with the result. The case was successful for multiple reasons. A phenomenal ceramist who nailed the shade match, and great team work and communication between us. Accreditation Level?... yes for sure... Falls right into a good case selection for Case type 2
Clinical Dentistry – Adamo E. Notarantonio DDS FAACD
Lab procedures and Ceramics – Hakjoo Savercool CDT, San Diego Aesthetic Dental Studio
Materials – Pressed eMax - Lithium Disilicate, Ivoclar Empress Direct Resin