2023 Volume 15 Issue 3 Pages 405-408
Patient: The patient was a 39-year-old woman who complained of esthetic disorder and dull pain in the right maxillary central incisor. According to a comprehensive diagnosis based on cephalometric analysis, orthodontic treatment was performed after extraction of the central incisor to improve the profile and midline. In addition, porcelain laminate veneer was delivered on the adjacent supernumerary tooth to restore the morphology of the central incisors and enhance the esthetics.
Discussion: After the treatment, there was no periodontal tissue inflammation, and the gingival morphology was maintained. Also, the patient’s psychological discomfort was greatly improved. We believe that the long-term stable result was achieved by the harmony between the prosthesis and gingiva, the tooth axis according to the skeletal structure, and the appropriate occlusion.
Conclusion: Top-down treatment based on a comprehensive diagnosis can achieve prosthetic treatment that harmonizes esthetics and function even in the case of a single-tooth prosthesis.