PMC6276481_01
Preoperative images: (a) fontal view; (b, c) lateral views; and (d) opposing tooth facets in eccentric movement.
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In intraoral examination, severe wear was found in maxillary anterior teeth, and other teeth had mild occlusal wear (Figures 1(a)-1(c)). In eccentric movements, the opposing tooth facets were matched confirming the presence of attrition (Figure 1(d)).
Preoperative radiograph.
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No other remarkable findings were observed (Figure 2).
(a, b) Diagnostic wax up in lateral views.
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Then, the wax-up procedure and mandibular posterior tooth setup were accomplished and the mandibular interim removable partial denture was fabricated (Figure 3).
Mandibular restoration digital design: (a) occlusal view and (b) lateral view.
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For RPD abutments, it was tried to survey the guide planes digitally as well (Figure 4).
Establishment of mutually protected occlusion after mandibular restoration delivery: (a) right side and (b) left side.
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A mutually protected occlusion was established (Figure 5).
Full contour design of maxillary restorations.
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In the next appointment, the temporary restorations were finalized by checking the occlusal contacts, phonetics, and esthetics, and an impression was made from the temporary restorations (Figure 6).
Maxillary temporary restorations.
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A laboratory scanning procedure was accomplished, and A2 shade zirconia frameworks (IPS e.max ZirCAD, Ivoclar Vivadent, Liechtenstein) were designed according to the temporary restorations verified in the clinic (Figure 7).
Postoperative images: (a) intraoral view, (b) smile view, and (c) postoperative panoramic view.
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The final restorations were cemented with glass ionomer cements (GC Fuji II, GC America, Illinois, USA) (Figure 8).