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Stunning restoration effect – Digital technology empowers multidisciplinary combined treatment: A case of aesthetic restoration of anterior upper teeth.

This case is included in the 2023 annual cases of the Spark Program.

Yang Fan, Liu Yunsong

Department of Prosthodontics, Peking University School of Stomatology.

01 Basic information of the patient

Figure 1 Intraoral image of the patient before treatment.
Figure 1 Intraoral image of the patient before treatment.
Figure 2 Facial image of the patient before treatment.
Figure 2 Facial image of the patient before treatment.
Figure 3 Periapical film of the anterior upper teeth before treatment.
Figure 3 Periapical film of the anterior upper teeth before treatment.
Figure 4 Panoramic tomogram before treatment.
Figure 4 Panoramic tomogram before treatment.
Figure 5 Cephalometric lateral film before treatment.
Figure 5 Cephalometric lateral film before treatment.
Figure 6 CBCT of the anterior tooth area before treatment.
Figure 6 CBCT of the anterior tooth area before treatment.

02 Diagnosis and treatment plan

Figure 7 Virtual orthodontic post-treatment dental model and preliminary effect of restoration design.
Figure 7 Virtual orthodontic post-treatment dental model and preliminary effect of restoration design.

03 Treatment process

Figure 8 Panoramic tomogram after orthodontic treatment.
Figure 8 Panoramic tomogram after orthodontic treatment.
Figure 9 Cephalometric lateral film after orthodontic treatment.
Figure 9 Cephalometric lateral film after orthodontic treatment.
Figure 10 Profile image and intraoral image after orthodontic treatment.
Figure 11 Periapical film of the anterior upper teeth after orthodontic treatment.
Figure 12 Design of crown shape.
Figure 13 Determination of the crown contact area.
Figure 14 Digitally design the crown lengthening guide plate according to the diagnostic model and perform 3D printing.
Figure 15 Intraoral image four weeks after crown lengthening surgery.
Figure 16 a is the intraoral scanning result; b is the working model combined with intraoral scan + die.
Figure 16 a is the intraoral scanning result; b is the working model combined with intraoral scan + die.
Figure 17 Cutting PMMA temporary veneer.
Figure 17 Cutting PMMA temporary veneer.
Figure 18 Chairside adjustment. a is before adjustment; b is after adjustment.
Figure 18 Chairside adjustment. a is before adjustment; b is after adjustment.
Figure 19 Intraoral image of the patient when wearing the temporary veneer.
Figure 19 Intraoral image of the patient when wearing the temporary veneer.
Figure 20 Facial image and lip-tooth image of the patient when wearing the temporary veneer.
Figure 20 Facial image and lip-tooth image of the patient when wearing the temporary veneer.
Figure 21 Intraoral image of the patient during temporary veneer review.
Figure 21 Intraoral image of the patient during temporary veneer review.
Figure 22 Gingival shaping.
Figure 22 Gingival shaping.
Figure 23 Appearance of porcelain veneer.
Figure 23 Appearance of porcelain veneer.
Figure 24 Intraoral image after formal restoration.
Figure 24 Intraoral image after formal restoration.
Figure 25 Facial image and lip-tooth image after formal restoration.
Figure 25 Facial image and lip-tooth image after formal restoration.
Figure 26 Intraoral images during the one-year and two-year follow-up reviews after restoration.
Figure 26 Intraoral images during the one-year and two-year follow-up reviews after restoration.

04 Discussion

05 Case review – Professor Liu Yunsong

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