PMC5863396_01
(a-c) Preoperative labial view. (d and e) Preoperative occlusal view
CCD-9-128-g001.jpg
PMC5863396_01_CCD-9-128-g001.jpg
F1
(a-c) Preoperative intraoral view. (d) Facial analysis. (e) Analysis of midline shift. (f) Wax mock-up on diagnostic casts. (g) Broadrick's occlusal plane analysis. (h) Intraoral mock-up with acrylic resin. (i-k) Gingival recontouring and crown lengthening procedure
CCD-9-128-g002.jpg
PMC5863396_01_CCD-9-128-g002.jpg
F2
After mounting on a semiadjustable articulator, Broadrick's occlusal plane analysis was carried out [Figure 2g]. The wax-up of final prosthesis was sculpted on the diagnostic casts [Figure 2f]. The template was loaded with temporary crown material and adapted on the patient's maxillary and mandibular teeth to form eggshell provisionals as direct mock-up restoration [Figure 2h]. This was followed by full-mouth gingivectomy [Figure 2i-k] in conjunction with gingivoplasty to gain an increase in the clinical crown length and facilitate placement of the permanent crowns.
(a and b) Crown preparation. (c) Metal try-in of prosthesis. (d-f) Final prosthesis after cementation and direct composite buildup of mandibular anterior teeth
CCD-9-128-g003.jpg
PMC5863396_01_CCD-9-128-g003.jpg
F3
Custom made metal post and core were fabricated for 11 21 26 46 [Figure 3a and b]. Mandibular anterior teeth were built up with direct composite restorations after carrying out dentin deproteinization [Figure 3e and f].
Postoperative view after 1 month recall. (a-c) Facial view. (d and h) Profile view. (e and g) Occlusal view. (f) Smile view
CCD-9-128-g004.jpg
PMC5863396_01_CCD-9-128-g004.jpg
F4
After a follow-up of 24 months, the patient was satisfied with both function and esthetics [Figure 4a-h].