2017 Volume 9 Issue 4 Pages 403-406
Patient: A 30-year-old woman visited the Department of Fixed Prosthodontics, Osaka University Dental Hospital seeking a second opinion on the treatment method of secondary dental caries that occurred on the maxillary right central incisor. It was considered that the ill-fitting facing metal crown included deep secondary caries reaching the subgingival region in the right central incisor. Periodontal surgery was carried out to obtain the symmetry of the left and right gingival margin and recover the normal biological function after orthodontic extrusion. The prosthetic treatment was finished with an all-ceramic crown using a zirconia frame.
Discussion: The esthetical problem of the maxillary right central incisor was improved by adjusting the morphology using provisional restoration and precisely reflecting the morphology in the prosthesis.
Conclusion: This report introduced the clinical case that esthetic problems of the secondary caries of the maxillary central incisor were improved by pre-prosthetic treatment and all-ceramic crown placement.
