Prosthetic Dentistry Posts

16/05/17
Full mouth non-prep adhesive rehabilitation for erosion and attrition – The award “Excellence in Prosthodontics” 2017 winning case
Ionut Branzan Cristian Petri

31/03/17
A multidisciplinary approach to the treatment of a complex case: analog and digital procedures
Matteo Chiapasco Piero Venezia Emilia Casiello Raffaele Cavalcanti

20/07/16
The Classic 3-STEP Technique, a simplified protocol for ADDITIVE adhesive rehabilitations
Francesca Vailati Urs Christoph Belser

03/12/15
Digital Smile Design interdisciplinary approach
Ernesto Guzman

12/10/15
Rehabilitation of maxillary edentulism by means of computer-guided implant surgery and provisional prosthesis with immediate loading
Fabio Cozzolino Roberto Sorrentino Luigi De Stefano

18/11/14
Complex prosthetic rehabilitation due to severe dental wear
Mauro Fradeani

01/03/14
Digital impression by means of Itero intraoral scanning system to fabricate zirconia single crowns
Roberto Sorrentino Fabio Cozzolino Dario Mari Vincenzo Mutone

21/02/13
Porcelain veneers in the Esthetic zone
Roberto Sorrentino Fabio Cozzolino Attilio Sommella

12/12/12
Nobel Guide Implant-Guided Surgery with Nobel Clinician Software
Roberto Sorrentino Fabio Cozzolino Vincenzo Mutone

28/09/12
Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report
Roberto Sorrentino Fabio Cozzolino

01/07/11
An innovative prosthetic-guided Orthodontic technique: case series
Fabio Cozzolino Anna Mariniello Roberto Sorrentino Marcello Sacchetta

27/09/10
Controlled split crest and sonic surgery
Fabio Cozzolino Giuseppe Cozzolino Roberto Sorrentino Vincenzo Mutone

28/06/10
Prosthetic treatment in Esthetic zone with all-ceramic procera zirconia abutment and crown supported by a SLActive Straumann implant
Fabio Cozzolino Roberto Sorrentino Anna Mariniello Vincenzo Mutone

26/04/10
Agenesis of the lateral incisors treated with Straumann Bone Level implants and Etkon zirconia abutment
Fabio Cozzolino Roberto Sorrentino Anna Mariniello Vincenzo Mutone

22/06/09
Porcelain veneers
Fabio Cozzolino Roberto Sorrentino Vincenzo Mutone

10/01/09
A new technique for restoring prosthetic space in implant region: a case report
Fabio Cozzolino Anna Mariniello

19/12/08
Gold ceramic vs zirconia dental crowns
Fabio Cozzolino

27/11/08
Alumina and zirconia prostheses: these unknowns
Roberto Sorrentino


Full mouth non-prep adhesive rehabilitation for erosion and attrition – The award “Excellence in Prosthodontics” 2017 winning case

Full mouth non-prep adhesive rehabilitation for erosion and attrition – The award “Excellence in Prosthodontics” 2017 winning case

 

The 28 year old patient came into our office complaining of tooth sensitivity. When doing the anamnesis, she denied any history of dental or facial trauma. But she declared that she has been eating lemons 2 times a day for the past 12 years. On examination, we found no TMJ, muscle or periodontal problems.

As part of our protocol, we requested a panoramic x-ray and did facial and dental photos, on which we discussed the dental problems with the patient. Although her only chief complaint was tooth sensitivity, after seeing the facial photos she realized that  her issues are also related to esthetics.

daniela dinicioiu .135

A multidisciplinary approach to the treatment of a complex case: analog and digital procedures

A multidisciplinary approach to the treatment of a complex case: analog and digital procedures

The clinical case we present here regards a 25-year old girl who underwent an extremely severe car accident in which she was the only one survivor out of 4 passengers of the same age. 

The Classic 3-STEP Technique, a simplified protocol for ADDITIVE adhesive rehabilitations

The Classic 3-STEP Technique, a simplified protocol for ADDITIVE adhesive rehabilitations

Introduction

Patients affected by dental wear often are treated only when their dentation becomes extremely compromised.

However, when pathologies such as dental erosion, and/or parafunctional habits are not intercepted at an early stage, full mouth rehabilitations, mostly implementing crowns, are often considered. Thanks to improved adhesive techniques, the indications for crowns have decreased and a more conservative approach can be nowadays proposed to protect the remaining tooth structure.

Digital Smile Design interdisciplinary approach

Digital Smile Design interdisciplinary approach

 The “Excellence in Prosthodontics” award winning case

 

Summary:

Limitations in treatment planning are unpredictable due to poor communication between operator – patient, interdisciplinary team, lab technician and clinical factors overlooked by the lack of information .

Tools such as photographys , videos and computer are essential for communication with the patient to create expectations through prototypes that can result in a temporary restoration that will help us see the functional , biological, mechanical and aesthetic performance of the same and future the final restoration.

Rehabilitation of maxillary edentulism by means of computer-guided implant surgery and provisional prosthesis with immediate loading

Rehabilitation of maxillary edentulism by means of computer-guided implant surgery and provisional prosthesis with immediate loading

Computer-guided implantology and immediate loading with CAD-CAM screw-retained full-arch temporary prosthesis

 

A 41 year-old female patient presented with multiple missing teeth at both dental arches and a few remaining elements, among which fractured and non vital teeth. Moreover, the patient, in good general health but with poor oral hygiene, presented with reduced vertical dimension of occlusion (VDO), insufficient labial support and prosthetic space limited by macroglossia. The patient lamented severe functional problems, related both to mastication and speech, as well as serious esthetic concerns, since the maxillary teeth were not visible at all both at rest and during function.

1

Complex prosthetic rehabilitation due to severe dental wear

Complex prosthetic rehabilitation due to severe dental wear

 

In collaboration with Dr. Leonardo Bacherini

Several factors affect the life of a tooth and, consequently, different causes can lead to dental wear. Unfortunately, their effects are cumulative and irreversible and, despite its main cause, tooth wear starts immediately after tooth eruption. As a consequence, clinicians have to diagnose such a condition early, particularly when dental wear occurs suddenly and progressively in young patients. The processes causing tooth wear are attrition, erosion, abrasion, demastication, abfraction and non-carious cervical lesions.

 

Patient’s expectations

    • Remote pathological anamnesis: bulimia during youth
    • Recent pathological anamnesis: gastro-esophageal reflux disease (GERD)
    • Non smoker
    • Dental anamnesis: the patient complained about severe sensitivity on all teeth and wanted to improve the esthetics of her smile; the teeth were short and abraded

Digital impression by means of Itero intraoral scanning system to fabricate zirconia single crowns

Digital impression by means of Itero intraoral scanning system to fabricate zirconia single crowns

Stereomicroscopic analysis of the precision of fit of PFM frameworks fabricated with traditional impression vs zirconia prostheses produced using an optical impression technique

Case presentation

A 42 year-old female patient, unsatisfied by the esthetics of her smile, asked for the rehabilitation of the maxillary incisors by means of fixed prostheses, substituting 4 previous metal-ceramic single crowns.

Porcelain veneers in the Esthetic zone

Porcelain veneers in the Esthetic zone

 

RESTORATION OF MAXILLARY CENTRAL INCISORS WITH MINIMALLY INVASIVE FELDSPATHIC CERAMIC VENEERS LAYERED ON REFRACTORY MODEL

 

 

CASE PRESENTATION

A 26 year-old female patientpresented with fractures of the incisal margins of 1.1 and 2.1.

2 affollamento inferiore

Nobel Guide Implant-Guided Surgery with Nobel Clinician Software

Nobel Guide Implant-Guided Surgery with Nobel Clinician Software

 

MAXILLARY COMPLETE EDENTULISM TREATED WITH IMMEDIATELY LOADED STRAIGHT AND TILTED IMPLANTS AND A SCREWED FULL-ARCH TEMPORARY PROSTHESIS


INITIAL SITUATION
A 65 year-old female patient presented with maxillary complete edentulism. During the anamnestic interview, the patient reported a clinical history of adult chronic periodontitis; the patient has been edentulous for 9 years. Good general health and oral hygiene conditions were reported; the patient was a moderate smoker (about 10 cigarettes per day).
During the clinical examination, a complete maxillary denture was noticed (figg. 1-2) and it was considered satisfactory for occlusion and morphology; on the contrary, such denture was unsatisfactory from an aesthetic point of view, showing wear and pigmentation of the prosthetic teeth.

Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report

Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report

A 63-year-old female patient presented with a severe chronic periodontitis at the mandibular arch. Only teeth 33 and 44 were present and had been used as abutments for a resin removable partial denture which did not satisfy the functional and estethic needs of the patient. Moreover, a metal-ceramic crown with a supragingival margin and a mesial metal connector was evidenced on tooth 33; the patient reported that the mandibular front teeth had been previously prepared for a metal-ceramic fixed dental prosthesis, in order to limit the discomfort due to the mobility of such teeth.At the maxillary arch, the patient wore a complete removable denture which was esthetically unsatisfactory but valid to accomplish oral functions.
edentulia mascellare