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Minimallyinvasiveprosthetic treatmentwithvarious ceramicmaterials September-October 2016 | No. 5, Vol. 6 Published in Dubai www.dental-tribune.me IPS e.max® PRESS MULTI THE WORLD’S FIRST POLYCHROMATIC PRESS INGOT • Monolithic LS2 restorations showing a lifelike shade progression • Exceptional combination of strength, esthetics and efficiency • For crowns, veneers and hybrid abutment crowns • Coordinated with high-precision Programat press furnaces • Maximum cost effectiveness in the press technique • • • all ceramic all you need www.ivoclarvivadent.com Ivoclar Vivadent AG Bendererstrasse 2 | 9494 Schaan | Liechtenstein Tel.: +423 235 35 35 | Fax: +423 235 33 60 LIFELIKE ESTHETICS – EFFICIENTLY PRESSED By Dr Marko Jakovac, Croatia, and MicheleTemperani,Italy In cases where a full mouth recon- structionisrequired,itisessentialto follow a systematic procedure and use carefully coordinated materials. The following case study describes thetreatmentofapatientwithtooth agenesis. New materials and innovative tech- niquesformodernestheticandmin- imally invasive dentistry are coming to the market every day. As a result, patient-focused treatment protocols are continuously improving. If com- plex treatment is indicated, how- ever, personal aspects in addition to the functional and esthetic require- ments of the patient need to be ad- dressed – for example, psychological stressorfinancialconstraints. In this article, we will explore the possibilities of providing minimally invasive treatment, taking these fac- torsintoconsideration. Casestudy The twenty-three-year-old patient showed severe hypodontia (tooth agenesis) with a total of 14 missing teeth (Fig. 1). Seven teeth were miss- ing in both the upper and the lower jaw. Severe hypodontia of this kind usually results in a very low verti- cal dimension of occlusion. In some cases, it disturbs the chewing func- tion. At the beginning of this type of treatment, psychosocial aspects have to be taken into consideration. In the present case, the patient did not smile during the first appoint- ment, and he covered his mouth with his hand when he spoke. Due to the financial constraints of the young candidate and his fear of an operative intervention (treatment withimplants),itwasdecidedtopur- sue a conventional prosthetic treat- ment approach. According to the treatment plan, the upper anterior teeth would be restored by means of an all-ceramic bridge and the lower anterior teeth with lithium disilicate veneers. The decision was taken to treat the posterior teeth with metal- ceramicrestorations. Fig. 1: Patient with hypodontia: portrait picture of the initial situation. A total of fourteen teeth were missing in the upper andlowerjaw. Fig.2:AnteriorLuciajigfor theevaluationof thecentricrelation Fig.3:CapturingaprotrusivebiterecordwithVirtualCADbite ÿPage2 Tel.: +4232353535 | Fax: +4232353360