Abstract

It is a well-known fact that white teeth, harmonically located in the dental rows, with no defects, wear signs and pathology in the periodontium, are a sign of youthfulness and some kind of a mirror of overall body health. Actually, the dentist can be the first one to detect the first manifestations of any somatic diseases or deficiencies during examination of the patient. Modern digital technologies can offer high quality and aesthetics of the dental procedures, that also benefits in the time of dental sessions, which is less stressful for the patient, the dentist and the laboratory. This study presents a clinical case of complex functional and aesthetical dental rehabilitation of a 34-year-old patient.
 The main complaint of the patient was a change of the face image, tooth wear and unsatisfactory appearance of the teeth, as well as discomfort during the jaw movements and occlusion. Since the patient had clear time limits, namely 3 months, rehabilitation, was carried out according to a fast protocol. It included increase of the vertical dimension, using botulinum therapy of the masticatory muscles, temporary prosthetic crowns and final full zirconia crowns. Also, splint therapy for the treatment of temporomandibular disorder was included to the protocol, as this problem hasn`t been treated in time. During the rehabilitation process, cone-beam computed tomography of the jaws and joints, an intraoral scanner, and the most modern digital workflow for prosthetics were performed.
 As a result of the rehabilitation, the lost chewing function and aesthetics of the teeth were restored. The tone of the masticatory muscles and the range of the jaw movements were harmoniously corrected, the cheek pits, the upper and lower lips increased in volume, therefore the shape and size of the lower part of the face increased and the patient’s smile became snow-white. The patient’s general condition and mood improved, he gained a new younger look.

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