A Prosthodontic Approach to Enhance Esthetics in a Patient with Malaligned Upper Anterior Teeth

Abstract

with the chief complaint of a flared anterior tooth and was seeking cosmetic rehabilitation. Informed consent to document the case report was obtained from the patient. Treatment Planning ProcessThe patient was presented with a ceramic crown on tooth 21, cemented in 1976. He felt that the crown was bulky and too prominent.He stated that his friends constantly made him uncomfortable about it. He was seeking to have the crown replaced, and the alignment improved. The patient has canine guidance on lateral excursions. Finances were not a concern for the patient. Upon clinical examination and radiographic interpretation, the crown was found to be defective, with an open margin on the mesial surface and caries on the lingual of tooth 21. Pre-treatment radiographs were taken as part of the comprehensive exam (Figure 1,2).