Final situation after integration
Before the final integration, an approximate composite filling was applied to 12 mesial in the cervical area in order to additionally close the interpapillary space and to prevent a black triangle between 12 and 11. The interdental papilla had already shown deficits with the old restoration. After the try-in (Figs. 1 and 2), the crown was then able to be definitively cemented (Fig. 3). The excess cement was carefully removed in the vestibular area (Fig. 4) and the palatal area (Fig. 5) in order to prevent cement-associated gingival irritation. The control x-ray shows the integrated crown without excess cement (Fig. 6). The patient and the treatment team were pleased with the aesthetic appearance (Figs. 7 and 8). Figures 9 and 10 show the clinical result directly after the frontal and lateral integration.
Fig.1: Integration of the restoration
Fig. 2: … and the first try-in
Fig. 3: Drying before cementing
Fig. 4: Removal of the excess vestibular cement
Fig. 5: … and the excess palatal cement
Fig. 6: Control x-ray after cementing
Fig.7: The pleased patient
Fig. 8: The satisfied treatment team
Fig.9: The final aesthetic result in protrusion
Fig.10: Lateral view of the new reconstruction
The patient was also extremely pleased with the treatment result at the first follow-up visit after 22 weeks. The crown and composite filling had integrated into the inflammation-free gingival structures. The shade nuances of the two different restorations harmonized well with each other and the remaining tooth substance. Even after the short period of time, the patient had already gotten used to the new dental restoration. The implant crown now feels like his own tooth. Although the treatment effort spanned eight months it paid off for the patient. If another gap has to be treated in the future, the patient would prefer treatment with an individual implantation over a bridge restoration. Figures 11 and 12 show the final clinical and x-ray result. The gingiva lay tight against the new structures. The x-ray image shows stable bone conditions. The highly aesthetic and natural-looking treatment result of the fine-structure feldspar ceramic VITA VM 9 is visible when the patient smiles (Fig. 13). The detailed lateral view (Fig. 14) documents the craftsmanship and perfect imitation of nature that was created, layer by layer.
Fig. 11 and 12: Clinical and x-ray follow-up visit
Fig. 13: Natural-looking aesthetics when smiling
Fig. 14: Detailed lateral view of the maxillary incisors
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Part 1. Awardees Participated in Guided Tours, Lectures and a Competitive Hands-on Training at VITA Zahnfabrik.
Larsen-Chu Award Winners Invited to Germany for a Three-Day Trip
Part 2. Patient live workshop for individual needs
All-ceramic crown fabricated with VITA VM 9 on a zirconia abutment.
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