Aesthetic Results Research Articles

Immediate fixed temporization with a natural tooth crown pontic and fiber-reinforced composite following horizontal root fracture: A case report

Anterior tooth loss can significantly affect self-esteem, particularly in young individuals. Traditional treatments like removable prostheses often fail to meet aesthetic and functional standards. Using the patient’s natural tooth as a temporary bridge offers a perfect match in size, shape, and color, with psychological benefits. In this case, a 24-year-old male with a fractured maxillary left central incisor underwent tooth extraction. The extracted tooth was cleaned, reshaped with composite resin, and attached to adjacent teeth using fiber-reinforced composite. This technique provided immediate restoration with an aesthetically pleasing ovate pontic design that supported natural gingival health. The patient reported satisfaction with the aesthetic and functional outcome after one month. Utilizing the natural tooth as a pontic is cost-effective, minimally invasive, and preserves future treatment options, making it an ideal temporary solution for anterior tooth loss.

Surgical outcome after autologous bone chips replacement in depressed skull fractures: a single center experience.

Surgery for depressed skull fractures (DSFs) is always faced by multiple challenges including ideal timing, defect reconstruction and complications. Few data are available regarding the aesthetic results and patients' satisfaction following DSFs management. A prospective non-randomized study included 59 traumatic brain injury (TBI) patients surgically treated for DSFs. Depressed bone fragments were elevated and washed with diluted hydrogen peroxide for 15min then replaced within a net made of vicryl 0 through edges of the galea. Our objective was to evaluate outcome and patients' satisfaction of using autologous bone fragments for skull defect reconstruction. The mean Glasgow Coma Scale (GCS) score on admission was 14.51 ± 1.237. The mean age was 16.505 ± 12.426 years. DSFs were of compound type in 81.4% with predominance towards the parietal region 54.2%. Associated intracranial pathologies were found in 39.0% of cases. Mean time to surgery was 5.79 ± 9.982h. Dura was found torn in 19 cases (32.2%). Postoperative complications were encountered in 5 cases (8.5%). The mean hospital stay was 3.61 ± 3.157 days. 96.6% of cases had good discharge outcome. Factors with significant impact on outcome included; admission GCS score (P < 0.001), type of associated pathology (P = 0.006), and venous sinus involvement (P = 0.003). At the end of follow up, 46 patients (82.5%) were satisfied about the aesthetic results, while 10 patients (17.5%) were not satisfied and 9 of them underwent re-surgery for late cranioplasty. Using autologous depressed bone chips for skull defect reconstruction can be a safe and feasible surgical technique for TBI patients suffering DSFs with good aesthetic results, high patient satisfaction, decreased need for later cranioplasty and consequently low overall management cost.

Aesthetic Outcome of Isolated Advancement Genioplasty With and Without Submental Liposuction in the Treatment of Skeletal Chin Deficiency in Double Chin Patients (A Randomized Controlled Clinical Trial).

This study was conducted to evaluate the effect of submental liposuction with advancement genioplasty versus advancement genioplasty alone on esthetics in double chin patients. Twenty-six patients with deficient chin were included in the study. The patients were distributed into 2 groups: submental fat liposuction in conjunction with advancement genioplasty group as intervention one and advancement genioplasty alone as a control group. Preoperative and postoperative computed tomography was performed for all patients. With the help of various software, diagnosis, virtual planning, and evaluation were done. Patient satisfaction was evaluated by a Face-Q questionnaire. The study was conducted on 26 patients with deficient chin, 88.9% were females and 11.1% were males. The mean age of cases was (25.5±3.5y), clinically all cases went uneventful, and there were no statistically significant differences regarding soft tissue relapse between the study and control groups. All patients showed statistically significant increases in scores of satisfaction with the chin, psychological well-being, and social well-being scales. Submental fat liposuction can be a good intervention choice in mild-moderate chin deficient cases when added to an advanced genioplasty procedure.

Effectiveness of contemporary surgical approaches and prosthetic rehabilitation in the management of ameloblastoma: a narrative review of functional and aesthetic outcomes

Ameloblastoma, a benign yet aggressive odontogenic tumour poses significant challenges in management due to its potential for recurrence and impact on oral functionality and aesthetics. Effective treatment necessitates a combination of surgical resection, bone reconstruction, and prosthetic rehabilitation. This review aims to evaluate contemporary surgical approaches and prosthetic rehabilitation strategies for managing ameloblastoma, focusing on functional and aesthetic outcomes to enhance patient recovery and quality of life. A narrative review was conducted using scholarly databases, incorporating articles published in English from 2013 to 2023. Studies were selected based on their focus on surgical approaches and prosthetic rehabilitation outcomes. A systematic framework categorized surgical techniques (radical, conservative) and prosthetic methods (fixed, removable, or implant-supported). Radical segmental resection with sufficient safety margins emerged as the preferred surgical approach to minimize recurrence. Immediate reconstruction using autogenous bone grafts, particularly vascularized fibula free-flaps, demonstrated high success rates and improved quality of life. Implant-supported prosthetics showed enhanced functional and aesthetic recovery, with immediate implants yielding better survival rates. Technological advancements such as CAD/CAM and 3D printing improved surgical precision and patient outcomes. Contemporary surgical and prosthetic advancements significantly enhance the management of ameloblastoma. Integrating innovative techniques with long-term follow-up ensures optimal functional and aesthetic results, contributing to improved patient satisfaction and recovery.

Comparison of Postoperative Breast Asymmetry Using Vectra 3D Imaging in Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction

Background/Objectives: Implant-based breast reconstruction (IBBR) is increasingly favored over autologous reconstruction due to its procedural simplicity and recovery benefits. Conducting this reconstruction using either the subpectoral or prepectoral planes has varied aesthetic outcomes. This study utilizes VECTRA XT 3D imaging to objectively assess breast symmetry differences between these surgical techniques. Methods: A retrospective cohort study was conducted analyzing data from patients undergoing unilateral total mastectomy followed by immediate silicone implant reconstruction via subpectoral or prepectoral techniques. The VECTRA XT 3D system provided measurements, including sternal-notch-to-nipple (SN-N), midline-to-nipple (ML-N), and nipple-to-inframammary fold (N-IMF) distances, as well as breast width, volume, and projection, taken more than a year postoperatively, to assess symmetry and aesthetic outcomes. Results: The study included 63 patients—29 in the subpectoral group and 38 in the prepectoral group. The SN-N ratio was 0.91 for the subpectoral group compared to 0.95 for the prepectoral group (p = 0.014). Among patients with a BMI of 25 or higher, the prepectoral group had an SN-N ratio significantly closer to 1 (0.97 ± 0.07) than the subpectoral group (0.89 ± 0.06) (p = 0.027). No statistically significant differences were found in metrics based on the surgical method across age categories divided at 50. Conclusions: The prepectoral IBBR technique shows improved nipple positioning and breast symmetry compared to subpectoral methods, as assessed via precise 3D imaging. This finding suggests potential advantages for surgical planning and patient satisfaction, indicating the need for large cohort studies to further investigate the factors influencing breast symmetry.

Anterior rehabilitation using 3D-printed dental implants and custom-made immediate restorations through additive manufacturing.

Dental implants have evolved significantly, but various failures continue to arise, initially focused on osseointegration and, more recently, involving aesthetic concerns. However, the criteria for evaluating aesthetic failures are still not well defined. These failures can be classified into issues related to the white tissue (crowns) and pink tissue (gingiva). This study presents a rehabilitation protocol that uses 3D-printed surgical guides and adaptations for bone and tissue grafts, with a focus on aesthetic restoration. The case of a fractured upper left central incisor illustrates the application of an implant system for immediate rehabilitation, highlighting the effectiveness of immediate implant and restoration techniques in achieving ideal aesthetic and functional outcomes.

Systemic Factors in Dental Implant Therapy

Objective: Dental implant therapy has emerged as a reliable and widely accepted solution for rehabilitating partially or fully edentulous patients. This review aims to explore the evolution of dental implant success metrics and the critical patient-related factors influencing implant outcomes. Background: Dental implants have undergone significant advancements since the clinical success reports in the 1970s and 1980s. The initial focus on long-term implant survival has expanded to include considerations of aesthetics, functionality, and patient satisfaction. These developments have been driven by the advent of improved implant surfaces, innovative surgical techniques, and a more comprehensive understanding of success criteria. Significance: Modern dentistry requires more than providing functional solutions for missing teeth. Patients now demand long-lasting aesthetic and functional outcomes that align with enhanced quality of life and their overall health. Thus, dental professionals must navigate a range of systemic, anatomical, and physiological factors when planning implant therapy. Conclusion: Delivering successful dental implant treatment necessitates a thorough understanding of patient-specific variables, including health conditions, longevity, and expectations. By addressing these factors, clinicians can optimize outcomes, ensuring patient satisfaction and treatment longevity.

Partial Cutting Otoplasty: A Stable Technique for Prominent Ears.

Prominent ears are a common deformity that can cause significant social and psychological distress, especially at a young age. Otoplasty changes the shape and, in some cases, the size of the ear, by working on two crucial points of the anatomy: the hypertrophy of the conchal bowl and the undeveloped antihelix fold. Generally speaking, there are two main approaches to auriculoplasty: cartilage cutting and cartilage sparing techniques; cartilage sparing techniques are safer but with limited aesthetic results. Despite the simplicity of this surgery, complications such as irreversible distortion of the anatomy, overcorrection, or recurrence are very frequent and have important consequences for facial aesthetics. A novel technique based on the perfect equilibrium between cartilage sparing and cartilage cutting technique is described. This method is based on three to four mattress sutures that reshape the antihelix, with a limited component of cartilage cutting and excision of the overdeveloped concha, avoiding high-tension sutures and scarring on the anterior surface of the ear. This technique was used on 150 ears from 2019 to 2023, with only three ears (2%) requiring revision. Rates of complications or recurrence were low. The presented technique appears to be a rapid, reproducible, and safe method for treating the prominent ear deformity, providing aesthetically pleasing results. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Wound Healing in External Rhinoplasty-The Effect of Fibrin Glue on Dead Space Closure: A Retrospective Propensity Score-Matched Study.

The presence of "dead space" in external rhinoplasty creates a welcoming environment for erratic soft tissue contraction. Poor redraping of the skin over the underlying osseocartilaginous framework at the end of the surgery may result in its creation. If surgeons can control and reliably predict skin contraction and wound healing, septorhinoplasty results would undoubtedly improve. Fibrin glue application has previously demonstrated a reduction in adverse events in plastic surgery. Several potential advantages have been attributed to the application of fibrin glue, such as reducing downtime, improving patient satisfaction and reducing complication rates. To evaluate the effectiveness of homologous fibrin glue on the long-term healing process in external rhinoplasty. We performed a retrospective propensity score-matched analysis in 154 patients enrolled for external septorhinoplasty. An aesthetic evaluation was performed with the FACE-Q nose and nostrils, the Utrecht Questionnaire including VAS score and the NOSE. Assessments were conducted prior to surgery and post-operatively at 3, 6 and 12months. After propensity score matching, two equal groups of 66 patients were retained. The first cohort of 66 patients underwent a rhinoplasty without the application of fibrin glue; in the second cohort of 66 patients, human fibrin glue was used to achieve better adherence of the skin to the underlying skeletal framework. All patients had a statistically highly significant improvement on all PROMs post-operatively. The post-operative results remained stable over the different time points. However, no statistically significant difference in the aesthetic outcome was discovered whether fibrin glue was used or not during surgery. Obliteration of dead space is a key component in septorhinoplasty as it minimizes soft tissue contraction, resulting in a more predictable outcome. Although fibrin glue has been used successfully in different medical fields, no long-term positive effects on patient satisfaction could be detected in the present study. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Non-Surgical Novel Technique for Correction of Palpebromalar Groove (Tear Valley Deformity) and Extended Area: The Matador Stab.

The tear valley deformity presents unique challenges in aesthetic correction. The Matador Stab technique and its modification introduce a novel approach to address this anatomical complexity. A prospective study was conducted on 198 patients presenting with tear valley deformities. The technique involves precise filler placement using a cannula, guided by anatomical landmarks such as the orbicularis retaining ligament (ORL) and the zygomatic cutaneous ligament (ZCL). Patients were assessed for outcomes including patient satisfaction and complications. The tear valley was divided into quadrants to allow for more precise targeting of the deformity. The Matador Stab technique was applied to 396 tear valleys across 198 patients. High patient satisfaction was reported, with minimal complications such as mild bruising and swelling. The technique demonstrated improved precision in filler placement and aesthetic outcomes. The Matador Stab technique represents a significant advancement in the non-surgical correction of tear valley deformities, offering enhanced safety and precision. This technique allows for tailored treatment based on detailed anatomical understanding, improving overall aesthetic results. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Modified Hatchet Flap for Reconstruction of Large Full Thickness Defects of the Lower Lip.

Reconstruction of large lower lip defects due to malignancies with good aesthetic result remains challenging. In this study we presented reconstruction of full thickness lower lip defect with modified hatchet flap. The charts of patients with 50% to 95% of the total lower lip defect due to lower lip tumor resection who had reconstruction with modified hatchet flap were reviewed. Seven of the patients had unilateral, two had bilateral modified hatchet flap. After follow-up period, it was concluded that this method provided a wide and functional mouth opening. Six of the patients stated that they were aesthetically satisfied with their appearance, while 3 patients found the result acceptable. None of the patients required additional surgical procedure. Modified hatchet flap is an easy-to-design, easy-to-remember flap with good aesthetic and functional results which makes it a reliable flap in the reconstruction of the large lower lip defects.

The role of fractional CO2 laser and lipofilling in optimizing aesthetic outcomes of post burn scars: a comparative study

The role of fractional CO2 laser and lipofilling in optimizing aesthetic outcomes of post burn scars: a comparative study

Multidisciplinary Approach to Smile Design of a Patient With Osteogenesis Imperfecta With Clear Aligners and Prosthetic Restorations.

Osteogenesis imperfecta (OI) is an autosomal dominant disease that affects the teeth and the musculoskeletal system. Orthodontic treatment in OI patients may be risky due to the fragility of dental hard tissues. Clear aligners may be considered a suitable orthodontic treatment method for these patients. A 30-year-old female OI patient with Angle Class I malocclusion, open bite, and crowding underwent prosthetic treatment after 15 months of clear aligner orthodontic treatment. Aesthetic rehabilitation was achieved with clear aligner treatment and prosthetic restorations. It is possible to obtain more aesthetic results with orthodontic treatments before prosthetic restorations in the oral rehabilitation of patients with skeletal and dental malocclusions. In orthodontic treatments in adult patients with systemic diseases, the use of clear aligners both minimizes the risk and provides a more comfortable process.

Modified Orbicularis-tarsus Fixation in Double Eyelid Blepharoplasty: A New Approach Using Conjoined Fascia Readhesion.

Traditional fixation methods for double eyelid blepharoplasty, such as orbicularis-levator and orbicularis-tarsus techniques, have achieved satisfactory results but face challenges like shallow or disappearance of supratarsal folds. To address these limitations, the authors introduced a modified orbicularis-tarsus fixation approach incorporating conjoined fascia readhesion. This technique involves dissecting the orbicularis oculi muscle from the conjoined fascia, allowing for scar-based readhesion between these structures, resulting in enhanced stability of the supratarsal fold. A total of 67 patients underwent double eyelid blepharoplasty by the same surgeon using this modified technique. Patients were followed up from 3 to 24 months, with a mean period of 10.3 months. Of the 67 patients, 62 (92.54%) were very satisfied, and 5 (7.46%) were satisfied with the surgical results. Four patients experienced relatively pronounced early swelling, all resolved without particular treatment within 8 weeks. This novel approach by using conjoined fascia readhesion ensures a firmer fixation and improves the aesthetic outcomes. It is a highly applicable and reliable approach for upper-eyelid blepharoplasty.

Current Trends in Deep Plane Neck Lifting: A Systematic Review.

The aging neck is a prevalent aesthetic concern, with over 160,000 neck procedures performed in 2020. It is characterized by increased soft tissue laxity and displacement of cervical structures. While nonsurgical interventions like cryoablation and laser resurfacing show promise, their variable responses highlight the necessity for surgical solutions. Traditional neck lifts address superficial structures but often neglect the subplatysmal plane. Recently, deep plane neck lifts have gained attention for addressing deeper anatomical structures. This paper systematically reviews the literature on subplatysmal modifications in cervicoplasty, aiming to clarify the risks and benefits of these evolving surgical techniques. On February 20, 2024, a systematic review adhering to Preferred Reporting Items for Systematic Review and Meta-Analyses 2020 guidelines was performed. MEDLINE, PubMed, Cochrane, and Scopus databases were searched for terms related to neck rejuvenation. Independent reviewers screened titles, abstracts, and full texts, including all relevant studies. Data extracted included patient numbers, procedures, outcomes, and complications. From an initial 771 articles, 57 studies encompassing 8648 patients met inclusion criteria. The most commonly altered anatomical structures during "deep plane" neck lift (DPNL) were the submandibular gland (69.9%), digastric muscles (58.6%), and subplatysmal fat (48.6%). Postoperative complications were reported in 59.6% of studies, with nerve palsy (0.2%-12%) and hematoma (0.2%-4%) being most common. Aesthetic outcomes were less frequently reported (56% of studies); patient satisfaction ranged from 81.6% to 98.6%, while objective measures were reported in only 12% of studies. Recent surveys indicate a growing concern over excess laxity under the chin, with patients increasingly seeking neck rejuvenation. Our review found that DPNL techniques vary widely, with the submandibular gland and digastric muscles being the most frequently altered structures. Despite a general lack of standardized outcome measures, patient satisfaction was high. However, DPNL showed a higher rate of postoperative nerve palsy compared to traditional neck lift. Overall, while DPNL demonstrates potential aesthetic benefits, the increased risk necessitates thorough patient counseling and further studies for standardization and comparison.

Modified Technique of Temporal Osteotomy in Fronto-Orbital Advancement in Anterior Plagiocephaly

Background: Nonsyndromic anterior plagiocephaly is one of the most common types of craniosynostosis. In recent years, various surgical techniques have been introduced to correct this deformity, which many surgeons believe have not been associated with adequate clinical and aesthetic results. The aim of the study was to introduce a new surgical technique (modified Z-technique of temporal region osteotomy) and to evaluate the aesthetic and anthropometric outcomes of frontal orbital correction for the management of patients with nonsyndromic anterior plagiocephaly. Methods: In this cohort study, 47 patients with nonsyndromic anterior plagiocephaly who were operated on in 15-Khordad and Mofid Hospital affiliated to Shahid Beheshti University of Medical Sciences during the years 2018 to 2023 with the modified z-technique of temporal region osteotomy, were investigated. Aesthetic outcomes and changes in anthropometric parameters of the skull were evaluated 2 years after surgery. Also, the length of surgery, the mean length of stay in the hospital and ICU, the amount of bleeding and postoperative complications were evaluated. Postoperative recurrence of deformity was evaluated according to the Whitaker classification. Results: The mean age of the patients was 11.1±4.15 months. Twenty-seven (57.44%) patients were female and 20 patients were male. The mean follow-up period of the patients was 19.3±3.54 months. The mean weight of the patients was 13.12±7.45 kg. The mean length of hospital stay and ICU stay were 5.44±0.50 and 1.78±0.63 days, respectively. A significant positive correlation was observed between the duration of surgery and the duration of stay in ICU (r=0.23, P=0.023). According to Whitaker’s classification, 39 (82.97%) patients were classified in class I, 4 (8.51%) in class II, 2 (4.25%) in class III, and 2 (4.25) in class IV. Aesthetically, the surgical results were excellent (class I Whitaker) in 82.97%. No serious complications such as infection, CSF rhinorrhea, hematoma occurrence, skull defect occurrence, fever, bleeding, and postoperative mortality were reported. Conclusion: Our study showed that the modified z-technique of temporal region osteotomy was associated with good and excellent aesthetic and clinical results. Bleeding rate, average length of hospital stay, and average length of ICU stay in patients with nonsyndromic anterior plagiocephaly treated with modified Z-technique of temporal region osteotomy were low and comparable with other with other reported series. No cases of serious complication and death were reported during the follow-up period. Nonsyndromic anterior plagiocephaly can be successfully treated with modified Z-technique of temporal region osteotomy with good results and low complication rates.

The Influence of Abutment Selection in the Tridimensional Implant Position: Considerations for Predictable Implant Restorative Long-Term Outcomes.

To explore the influence of abutment selection on 3D implant positioning, emphasizing the synergy between surgical and prosthetic considerations for achieving predictable long-term outcomes in implant-supported restorations. Implant dentistry has transitioned from a purely surgical approach to a prosthetically driven methodology that prioritizes implant-supported restoration (ISR). This shift has been bolstered by advancements in digital technologies and abutment designs, which allow for more precise implant positioning and better management of biological, mechanical, and esthetic outcomes. The selection of appropriate abutments plays a pivotal role in optimizing the 3D implant position, influencing peri-implant tissue stability and the overall success of the restoration. This manuscript explores into the biorestorative concept, highlighting how virtual planning can preemptively assess abutment configurations and their interactions with surrounding tissues, guiding implant placement to achieve desired results. The integration of digital planning and strategic abutment selection prior to implant placement ensures optimal 3D implant positioning respecting fundamental biological and prosthetic parameters. This approach minimizes complications, improves long-term tissue stability, and enhances patient outcomes by aligning surgical procedures with the specific prosthetic needs.

An original method of nose reconstruction using an individualized titanium implant and a radial flap: a clinical case

In recent years, the number of oncological diseases of the facial area and the nasal area has increased. The consequences of surgical treatment of these diseases lead to the formation of functionally and aesthetically significant defects of the face and external nose, leading to disruption of such functions as breathing and speech. In this article, we propose a method for nose reconstruction using an individualized titanium implant in combination with a radial flap. Due to the use of additive technologies in combination with visualization and 3D modeling programs at the stage of preoperative planning, it becomes possible to analyze the defect, its localization, volume, tissue composition, as well as to model and create an individual implant. This approach allows you to get good functional and aesthetic results in one operation, reduce the number of complications and rehabilitation period.

Maximizing Aesthetic Outcomes in Delayed Breast Reconstruction: the Be.A.U.T-I.F.U.L. DIEP® Step-by-Step Inset Technique.

In microvascular breast reconstruction, the focus has shifted to achieving aesthetically pleasing results. Delayed breast reconstruction poses challenges such as ensuring natural ptosis and avoiding a "patch" effect. The Be.A.U.T-I.F.U.L. deep inferior epigastric perforator (DIEP) flap inset, presented here, offers a systematic and sequential seven-step method to optimize breast reconstruction outcomes. This approach emphasizes safety during flap harvest using the best (Be.) perforator identified via computed tomography angiography to minimize dissection and ensure solid perfusion. The flap is placed obliquely, directing its tail to the axilla (A.), enhancing upper (U.) pole volume and ptosis. The flap base is tucked-in (T-I.) to increase the projection of the breast mound, and its lateral portion is split as a fishtail (F.): the upper (U.) fin is used to define the lateral inframammary fold and prevent lateral displacement of the reconstructed breast, while the lower (L.) fin is turned under the flap to further improve projection. This structured approach, focusing on key breast aesthetics, ensures optimal cosmetic outcomes and can serve for most delayed microsurgical breast reconstruction scenarios. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Multilayer Ultratranslucent Monolithic Zirconia Crowns Treated With Multimode Universal Adhesive System Containing Zirconia Primer: A Clinical Report

ABSTRACTIntroductionUltratranslucent zirconia combines high mechanical strength and esthetics, making it ideal for monolithic restorations. This case report describes a total rehabilitation of the upper dental arch with single‐unit crowns made of multilayer ultratranslucent zirconia (Prettau 4 Anterior, Zirkonzahn), as well as the use of a simplified adhesive cementation protocol for this type of ceramic.Materials and MethodsA 64‐year‐old female patient sought rehabilitative treatment, after planning in a semi‐adjustable articulator, interim prostheses, from tooth 2 to 15, were installed to restore occlusal vertical dimension and esthetics. After all surgical, periodontal, and endodontic procedures, impressions of the upper and lower arches were taken. In the maxilla, 14 zirconia crowns with a color gradient were fabricated and cemented, with their internal surface treated with a multimode adhesive system containing zirconia primer (Single Bond Universal, 3M ESPE). The same adhesive system was applied to the preparations, and the crowns were cemented with dual resin cement (RelyX Ultimate, 3M ESPE).ResultsAfter the crowns exhibited excellent esthetic results, with only a minor fracture observed on the palatal cusps of the right first upper premolars.ConclusionsThus, ultratranslucent zirconia appears to be a viable option for oral rehabilitation with single‐unit crowns due to its excellent clinical performance.Clinical SignificanceMonolithic ultratranslucent zirconia crowns are able to reproduce the natural characteristics of dental elements. Additionally, the application of 10‐methacryloyloxydecyl dihydrogen phosphate‐based primer has proven to be an efficient surface treatment for adhesive cementation of UT zirconia.