Crowns to Create Esthetics for Mal-Aligned Central Incisors: A Case Report

Abstract

This case report describes the smile design of crowded upper central anteriors in a female patient aged 25 years. The patient wanted the correction to be completed in a short period of time. A smile design schedule was drawn up involving root canal treatment of the central incisors and placing posts in both the teeth. All ceramic crowns were then fabricated to establish a very satisfactory and pleasing esthetics.

Prosthetic Management of Tooth Malposition

“…Consequently, restoring an esthetic smile with ceramic crowns in cases of severe misalignment may result in the creation of teeth with pleasing inherent proportions to one another as well as a pleasant tooth arrangement that is in harmony with the patient's gingiva, lips, and face [19].…”

“…Given the cohesive strength of feldspathic ceramic, Mc Lean has suggested limiting the amount of unsupported ceramic to 2.0 mm to minimize cohesive ceramic fracture. According to Castelnuovo et al, when utilizing a leucite reinforced ceramic like IPS-Empress, the amount of unsupported incisal ceramic can be increased by up to 4.0 mm [19]. The diagnostic wax-up is used to determine how much ceramic should be added to fix an open bite.…”