Aesthetic and functional restoration of a maxillary premolar using a veneerlay – a case report

As implant procedures become more common, many patients require more aesthetic restoration and shorter treatment periods. Maxillary anterior dentition is very challenging site for esthetic final restoration. It becomes more difficult at the site of labial bone resorption. A strategy for esthetics is necessary before extraction. Nineteen years old girl had maxillary anterior teeth with external root resorption and severe resorbed labial plate due to inflammation. Before extraction, antibiotics and anti-inflammatory drugs were administered to relieve the infection and inflammation. Eight weeks after extraction, implant was placed using computer guided surgery. Guided bone regeneration with transmucosal healing was performed and then, fixed provisional restoration was delivered immediately. Soft tissue molding was performed with modification of provisional crown for 6 months. We achieved esthetic final implant restoration in compromised maxillary anterior teeth.

Aesthetic dentistry is concerned not only with the dental appearance but also the enhancement of a person’s smile. Creating a natural dental outcome harmonious with adjacent teeth is the main aim of aesthetic dentistry. A good observation, knowledge of dental anatomy and dental materials are required for this. Today’s cosmetic dental treatments are more durable and predictable than before with the technological advancements in natural-looking, tooth-colored dental materials. Additionally, more conservative techniques are being used in order to mimic natural dental tissues, depending upon patients’ specific clinical situation. These kinds of procedures can be held in a single visit by using aesthetic dental resins mostly without any preparations. This makes direct aesthetic dental rehabilitations such as smile designs more comfortable and convenient for the patients. In this case reporta patient with dental aesthetic problems due to crown fractures on maxillary centrals, treated with direct aesthetic composite resin restorations in one appointment.In one-year recall, no discolorations, fractures, secondary caries or soft tissue pathologies were detected and the restorations were almost undetectable resulting in an aesthetic outlook. In conclusionit is considered that natural looking, functional, tooth-colored, seamless, long lasting and aesthetic restorations can be created by using direct aesthetic composite resinsthat may satisfy the patients’ demands. Keywords: Cosmetic Dentistry; Crown fractures; Dental aesthetic; Direct composite resins

Aesthetic dentistry is concerned not only with the dental appearance but also the enhancement of a person's smile. Creating a natural dental outcome harmonious with adjacent teeth is the main aim of aesthetic dentistry. A good observation, knowledge of dental anatomy and dental materials are required for this. Today's cosmetic dental treatments are more durable and predictable than before with the technological advancements in natural-looking, tooth-colored dental materials. Additionally, more conservative techniques are being used in order to mimic natural dental tissues, depending upon patients’ specific clinical situation. These kind of procedures can be held in a single visit by using aesthetic dental resins mostly without any preparations. This makes direct aesthetic dental rehabilitations such as smile designs more comfortable and convenient for the patients. In this case report a patient with dental aesthetic problems due to crown fractures on maxillary centrals, treated with direct aesthetic composite resin restorations in one appointment. In one-year recall, no discolorations, fractures, secondary caries or soft tissue pathologies were detected and the restorations were almost undetectable resulting in an aesthetic outlook. In conclusion it is considered that natural looking, functional, tooth-colored, seamless, long lasting and aesthetic restorations can be created by using direct aesthetic composite resins that may satisfy the patients’ demands.

The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite. AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts. This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and all-ceramic crowns for anterior teeth were fabricated for final restorations. Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction. The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders.

Introduction: Apexification is a well-established endodontic treatment aimed at inducing apical closure in immature permanent teeth with necrotic pulp and open apices, often resulting from trauma. The introduction of bioceramic materials has enhanced the predictability and efficiency of this procedure. Description of Case: An 18-year-old female presented with a discolored, non-vital maxillary right central incisor (tooth 11) with a history of trauma at age 10. Clinical and radiographic examination revealed an open apex, wide root canal, and periapical radiolucency, consistent with a diagnosis of pulpal necrosis and symptomatic apical periodontitis. Apexification was performed using a bioceramic root repair material as a 4 mm apical plug, followed by thermoplastic obturation. Subsequent visits included intracoronal bleaching and esthetic restoration using direct composite resin. The patient remained asymptomatic, and follow-up showed successful periapical healing and esthetic restoration. Discussion: Bioceramic materials offer numerous advantages over traditional calcium hydroxide, including superior biocompatibility, shorter setting time, and reliable sealing in moist conditions. This case supports existing literature indicating high success rates with bioceramic apexification, particularly in trauma-related necrotic teeth where regenerative endodontic therapy may be less predictable. Conclusion: Apexification using bioceramic putty is a predictable and efficient treatment for managing non-vital immature teeth. In this case, the treatment resulted in successful apical closure, symptom resolution, and restoration of function and esthetics, reinforcing the role of bioceramic materials in contemporary endodontic practice.

A prosthesis used to close a palatal defect in dentulous or edentulous mouth is correctly referred to as an obturator. Palatal defects of any extent cause plethora of problems affecting speech, mastication and esthetics. Palatal obturator is a predictable intervention for rehabilitation and restoration of esthetics and functions in such cases. A light weight hollow obturator optimizes retention and stability as well as provides patient comfort. This case report describes the simplified technique for fabrication of a hollow bulb obturator for a completely edentulous patient who had undergone wide excision and partial alveolar resection sequel to management of squamous cell carcinoma.

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with Parkinson°Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

Management considerations in reconstruction of postablative defects of the mandible: vertical distraction of a scapular bone flap and removable lip support: a case report

Dental restorations without tooth preparation are among today's more advanced treatment options. This article presents the case of a young man who was treated with a non-prep laminate veneer that provided 3.5 mm of incisal elongation. A Photoshop assessment and functional evaluation, as well as a wax-up and mock-up, were used during pre-prosthetic planning. A combination of pressable and feldspathic ceramics was used as a restorative material, which was applied to the tooth surface without any preparation of dental hard tissue. An ideal functional and esthetic restoration was achieved thanks to close collaboration between the patient, the dentist, and the technician.

Background: Oral squamous cell carcinoma (OSCC) is the most common malignancy of the oral cavity, often necessitating extensive surgical resection. Such interventions may result in complex intraoral defects requiring immediate reconstruction to restore function and aesthetics. Objective: This case report highlights the surgical management of a patient with OSCC involving the tongue, floor of the mouth and mandibular ridge, reconstructed using a radial forearm free flap (RFFF). Case report: A 51-year-old male with a history of heavy smoking presented with a necrotic lesion affecting the left mandibular alveolar ridge, floor of the mouth, and tongue. Methods: Histopathological examination confirmed a diagnosis of moderately differentiated keratinizing OSCC (G2). After oncologic resection and selective neck dissection, the defect was reconstructed using an RFFF harvested from the left forearm. The facial artery and anterior jugular vein served as recipient vessels for microvascular anastomosis. A split-thickness skin graft (STSG) was used to close the donor site. Results: The postoperative course was generally favorable. Minor complications, including a localized hematoma and neck wound dehiscence, were conservatively managed. Functional outcomes such as oral intake and wrist mobility were successfully restored with rehabilitation. The RFFF provided durable, well-vascularized coverage over exposed mandibular bone, critical for minimizing the risk of osteoradionecrosis in the context of planned adjuvant radiotherapy. Conclusions: The radial forearm free flap remains a reliable reconstructive option for complex oral defects post-OSCC resection. Multidisciplinary collaboration and meticulous surgical technique are essential to achieve optimal oncologic, functional, and aesthetic outcomes.

The long successful history of Cast metal post-core systems is due to their superior physical properties. However, the high elastic modulus of metal can cause stress concentrations within the radicular dentin, leading to root fractures. Increased awareness for more esthetic restorations has led to the development of tooth-coloured, translucent, metal-free post-core systems. Notably, the introduction of Zirconia ceramic post and core systems satisfies this trend of a heightened awareness of esthetics, wherein the translucency of all-ceramic crowns is not hampered giving lifelike esthetics. Here, presented is a case report wherein an endodontically treated anterior tooth with loss of crown structure has been rehabilitated using a zirconia post and an all ceramic full coverage restoration. Keywords: Coronoradicular, CAD-CAM.

The absence of an interdental papilla, termed "black triangle," presents a challenge in aesthetic restorations. Photobiomodulation therapy (PBMT) is the non-thermal therapeutic use of light in order to positively modulate biological activity and has shown promise in tissue regeneration, wound healing, and inflammation reduction. This case report introduces a modified PBM protocol known as "hemolasertherapy" aimed at regenerating the gingival interdental papilla to fill the black triangle. In this case report, a34-year-old female with an unaesthetic black triangle between the maxillary central incisors presented for treatment. Before surgical intervention, our suggested protocol was proposed and explained, detailing potential risks and outcomes. After proper scaling root planning, a suggested protocol with PBMwas made. PBM application with a 635 nm wavelength diode laser at four points around the area between the two maxillary central incisors was made: coronal third and apical third of the papilla and mesial and distal of the papilla. Then, bleeding was provoked with a curette inside the sulcus between 11 and 21 (concerned area) by applying pressure on the junctional epithelium and the supracrestal connective tissue. After a few seconds, blood spontaneously filled the "black triangle" coronal to the interdental papilla and was left undisturbed.At this point, PBMwas applied again on the same four points already described. The irradiation parameters during all PBM treatments werecontact mode and continuous mode, 635 nm wavelength, spot size of 8mm, power of 50 mW, irradiation time on each point of 50 seconds, and energy density of 4.976 J/cm2. After the intervention, the patient was prohibited from smoking, using mouthwash, drinking, and brushing for two hours. The exact same procedure was repeated five and 10 days after the first intervention. Follow-up was made for three months after the intervention. The assessment indicated a minor increase in the papilla height, which was not enough for a complete closure of the "black triangle."However, there was a reduction in the appearance of the black triangle. This case report suggests that PBM if used within our suggested protocol can increase the height of the gingival interdental papilla leading to a more pleasant aesthetic appearance. It is important to note thatits effectiveness might be limited to specific conditions. In summary, the presented case report showcased a slight extension of the gingival interdental papilla. Further studies are essential to validate these observations.

Introduction:The zygomatic complex is integral to the facial contour, protection of the eye and other facial structures, and dental occlusion. Its importance in facial function and aesthetics requires high quality outcomes of the treatment.Case presentation:This paper reports the case of a 46-year-old man who had an occupational accident resulting in extensive facial trauma and zygomatic fractures. The patient presented with hyposphagma, palpable step in the area of the infraorbital rim, paresthesia of the right infraorbital nerve, flattening of zygomatic prominence, abrasion of the chin and nose, a 7-cm laceration in the midface region, ecchymosis in the palate, and alteration in the dental occlusion without limitation of mouth opening. Computed tomography (CT) confirmed the zygomatic complex fractures. The treatment was reduction and fixation with plates and screws. CT was used throughout the treatment period as an essential diagnostic tool for accurate fracture assessment and classification, formulation of the surgical plan, and postoperative evaluation.Conclusion:This case study illustrated the correct use of CT for improved and efficient treatment of traumatic injury of the zygoma, an anatomical area where restoration of function and aesthetics is challenging. The patient signed a written informed consent statement for publication.

Ameloblastoma is a rare, benign tumor of odontogenic epithelium that was recognized in 1827 by Cusack and renamed ameloblastoma in 1930 by Ivey and Churchill. Ameloblastomas can be found both in the maxilla and mandible with a greater predilection of about 80% in the mandible with the posterior ramus area being the most frequent site. While chemotherapy, radiation therapy, curettage and liquid nitrogen have been effective in some cases of ameloblastoma, surgical resection remains the most definitive treatment for this condition. Rehabilitation of residual mandibular defect post resection is a challenge due to long span compromised ridge condition and the absence of dentition. In such scenario, a fixed-removable prosthesis allows rapid return to excellent function by providing favorable biomechanical stress distribution along with restoration of esthetics, phonetics and ease of postoperative care and maintenance.This paper presents successful Prosthodontic rehabilitation of a patient with a large residual mandibular defect secondary to surgical resection for ameloblastoma using fixed-removable hybrid prosthesis.

Guided Autotransplantation of an Immature Premolar to the Maxillary Incisor Region with Immediate Restoration of Esthetics: A Case Report