Restoring a Maxillary endodontically treated Central Incisor: The Aesthetic Challenge
Boudabous Emna*, Ben kraiemHoussem, Riahi Zeinab , HadyaouiDalenda , Nouira Zohra, BelhassenHarzallah and Cherif Mounir
Published: March 30, 2022
Abstract
The restoration of an endodontically treated central incisor is a major challenge to the clinician in his daily practice. In fact achieving a natural mimicry of the single maxillary central incisor restoration with the adjacent dentition is a real challenge. An anterior dental restoration must be able to restore proper function, aesthetics and confort for the patient. A large variety for aesthetic treatments in the anterior dentition from the less invasive to the most invasive, ; such as tooth bleaching, direct composite restorations, ceramic veneers or full coverage crowns.
The choice of the suitable treatment option depends on characteristics and severity of dental defects or tooth decay. Crowning an anterior too this indicated when there is extensive coronal destruction and we can’t do a direct restoration. In a recent systematic review, endodontically treated teeth restored with crowns had higher long-term survival after 10 years (81 ± 15%) compared to teeth without crowns (63 ± 15%) [14] This review also showed that the survival rate of crown-free root
fillings was satisfactory in the first three years (84% ± 9%), but decreased significantly after that [18]. Many materials can be used for crowns: metal, ceramics or zirconia.
Nowadays, the ceramic systems made it to restore the symmetry, color, shape and incisal translucency. This clinical report describes the treatment of a discolored and endodontically treated central incisors and to show the different guidelines to guarantee a natural mimicry using a zircon abased ceramic restoration.