PMC6476146_01
Initial smile of the patient.
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A healthy 19-year-old male patient attended to our clinic with a chief complaint of maxillary anterior teeth because of the fractures (Figures 1 and 2).
Intraoral view of the fractured anterior teeth.
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A healthy 19-year-old male patient attended to our clinic with a chief complaint of maxillary anterior teeth because of the fractures (Figures 1 and 2).
Mock-up made in the mouth through the wax-up prepared in laboratory by free-hand technique.
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Digital impression via mock-up.
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Adaptation of the digital impression with smile design on the patient's photo converted from 2D to 3D by the program.
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Turkey) using the biocopy design mode on the CAD/CAM software. In addition, the patient's photo and digital impression were uploaded to the system, and digital smile design was done on the computer (Figures 5 and 6). The smile design was shown to the patient, and reapproval was obtained (Figure 6).
The final appearance of the smile design with the corrected version of the restorations on the digital impression taken with mock-up.
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Turkey) using the biocopy design mode on the CAD/CAM software. In addition, the patient's photo and digital impression were uploaded to the system, and digital smile design was done on the computer (Figures 5 and 6). The smile design was shown to the patient, and reapproval was obtained (Figure 6).
(a, b) Preparation steps on the mock-up after the first digital impression.
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Afterward, preparations were performed over the provisional composite restorations using an operation microscope with a magnification of 40x (Carl Zeiss; Oberkochen, Germany) (Figure 7(a)). The facial reduction was continued with a tapered rounded-end diamond bur (Diatech) until a flat surface was provided under the microscope (Figure 7(b)).
Final view of the almost uncut preparation.
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When the teeth were prepared the final shape, the teeth were almost uncut (Figure 8).
Final view of the restoration design with the corrected restorations on digital impressions completed after the preparation.
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The mock-up model was copied to the computer, errors on the copy were corrected manually on the computer, and designs of the restorations were completed (Figure 9).
Final view of restorations milled with CAD/CAM.
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After the intraoral controls, the restorations were glazed (Figure 10).
The patient's smile immediately after cementation of the restorations.
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PLV restorations produced in a single session with CAD/CAM provided the patient's aesthetic rehabilitation and satisfaction quickly (Figures 11 and 12).
Intraoral appearance of restorations immediately after cementation.
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PLV restorations produced in a single session with CAD/CAM provided the patient's aesthetic rehabilitation and satisfaction quickly (Figures 11 and 12).
One year follow-up of the restorations.
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PLV restorations were observed to be very good after one year (Figure 13).