%0 Journal Article
%T Esthetic Rehabilitation of a Severely Compromised Anterior Area: Combined Periodontal and Restorative Approach
%A Rachele Censi
%A Virna Vavassori
%A Andrea Enrico Borgonovo
%A Dino Re
%J Case Reports in Dentistry
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/658790
%X The complete oral rehabilitation of patients demanding a beautiful and attractive smile involves a multidisciplinary approach that includes the change of both the morphological aspect of the teeth and the architecture of gum tissues. This clinical report describes a successful interdisciplinary approach for the treatment of an esthetically compromised dentition. In a first phase, the periodontal plastic surgery was performed for root coverage and, in particular, it was decided for the execution of a coronally advanced flap for the treatment of multiple recession defects. Once complete healing of soft tissues was obtained, six lithium disilicate veneers were placed over the anterior maxillary teeth. Lithium disilicate is a glass-based ceramic which presents excellent aesthetics and allows the passage of light without creating unnatural reflections. This feature has made it possible to recreate a natural aspect of teeth that in combination with the harmonic architecture of soft tissue has permitted obtaining a beautiful and pleasant smile. 1. Introduction From antiquity to modern times, the face and its expressions have always played a crucial role because they can greatly affect interpersonal relationships [1]. According to several studies, it is especially the smile that influences the appearance of the face as a beautiful smile seems to convey serenity, safety, and success in the beholder [2]. Therefore, patients who turn to dentists require, in addition to the functional aspect, an outcome that meets their esthetic needs in order to obtain a natural smile and beautiful teeth [3]. The professional, in consideration of these demands, can improve the patient¡¯s smile in a comprehensive manner, changing both the morphological characteristics of the teeth (shape, color, position, and size) and the architecture of the soft gum tissue [4]. To do this, different techniques of periodontal surgery have been developed for the correction of soft tissue and many changes have been done in the discovery of methods and materials for the construction of direct and indirect restorations. In this work, we present a clinical case of a patient who required, for cosmetic reasons, the replacement of the previous restoration and the correction of the soft tissue profile at the level of the anterior region of the maxilla. The gingival recessions were treated with a coronally advanced flap, and once healing was complete, prosthetic veneers made of lithium disilicate were placed over the teeth. 2. Clinical Case The patient, C. C., female, aged 45, came to our attention requiring
%U http://www.hindawi.com/journals/crid/2014/658790/