Aesthetic vs. dental harmony in amplitude discolored restoration

Abstract

Introduction: Most common reasons for failure in discolored dental restorations are on how to improve aesthetics and restorations functionality diagnostic. Efficient communication of dental harmony and dental aesthetics, dental-facial relationships, the characteristics of color, the functional-occlusal harmony are part of therapeutic planning taking into account the specific properties of materials and the different ways they can be used, the practitioner chooses the appropriate system with technician and patient for the situation. Fine adjustments allow a specific character which involves the verification of functional aspects, aesthetic appearance of the desired restoration. Aims and objectives: This paper proposes an approach on harmony and aesthetic dental in amplitude discolored restorations with an optimal system that allows adjustment and progressive verification of restoration for being able to count on the success of the final result. The objectives consist in differentiating between the directions for the protocol of occlusal rebalancing, functional and the harmonizing a whole physiognomic appearance offering the dental aesthetic desired by dental team with the patient. Material and method: A 32 year old patient presents to clinic with the desire in prosthesis the maxillary and mandibular discoloration. After clinical and paraclinical examination, we decided a complete restoration taking into consideration occlusal rebalancing and the determination of an optimal intermaxillary centric relationship. The focus is on complex restoration ceramic system with porcelain veneers, and metal-ceramic. Result: The design of the esthetic crowns and porcelain veneers allows us to use a prosthetic restoration with all the benefits of dental aesthetics and harmony thanks to the adjustment and created access to each odonto-periodontal unit and for prophylaxis procedures. Final appearance is acceptable esthetical and the dispensary of patient a week later can prevent unpleasant events. Conclusions: Therefore, with minimal modifications of a conventional metal-ceramic prosthetic restoration can get more long term benefits. Further studies are recommended with a longer time dispensary. In conclusion, we believe that in some cases, the disadvantages caused by the existence of an impediment in polish the occlusal surface which is a high risk for fracture of ceramics are outweighed by advantages given by the existence of a glaze liquid for ceramic by enabling to achieve an optimal, smooth, glossy surface for esthetic purposes. This method can be indications of use in following situations: uniform prosthetic restorations on implant, large bridges expanses with implant aggregation, unidentare or pluridentare prosthetic restorations.