Abstract

Copyright: © 2015 Mandiga S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. *Corresponding author: Denise Estafan, Associate Professor and Director, Esthetic Dentistry, Department of General Dentistry, Division of Reconstructive and Comprehensive Care, New York University College of Dentistry, USA, E-mail: de1@nyu.edu

Highlights

  • Restorative dentistry is the art and science of replacing human tooth structure

  • A classification system used by Stefano Gracis et al [2] divides dental ceramics and ceramic like materials into 1) Glass-matrix ceramics 2) Polycrystalline ceramics 3) Resin-matrix ceramics gives clinicians a better understanding of the materials that they are using

  • The two materials chosen for this case report to replace and restore six maxillary anterior teeth are monolithic pressed lithium disilicate and porcelain fused to metal

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Summary

Introduction

Restorative dentistry is the art and science of replacing human tooth structure. It has been said that individually, enamel and dentin are lowstrength materials but when combined, have a unique bond that can last a lifetime [1]. The success of an esthetic rehabilitation depends on the material selection or the lab utilized but more importantly, understanding how to work with the unique characteristics of different restorative materials to achieve a predictable, functional and beautiful outcome for each individual case. The purpose of this case report is to describe a treatment modality utilizing two different restorative materials in the smile zone to achieve an acceptable esthetic outcome. Examination revealed 5 discolored veneers with several areas of wear and crack propagation and an existing crown with recurrent decay Recession of his anterior teeth displayed the margins of his existing restorations. He was unhappy with his smile and wanted a smile makeover that would appear whiter than his existing veneers and appear as natural as possible

Background
Discussion
Findings
Design of the preparation

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