Reverse Cast Metallic Core Based on the Original Prosthetic Crown

Abstract

The dental crown can be restored using the root in clinical situations where the dental remnant allows adequate anchorage by the use of an intraradicular retainer. After endodontic treatment, reconstruction of the dental anatomy depends on correct planning and the type of restoration to be used. This requires reestablishment of form and function with creation of anchoring features, avoiding detachment and favoring the distribution of forces, thus preventing fracture of the remnant due to functional and parafunctional forces applied on the tooth. This paper reports the clinical case of a patient who sought dental care for a full metal-ceramic crown with a cast metallic core with reduced length that had been detached from tooth 24. After clinical and radiographic examination, root integrity was verified. The patient was offered reconstruction with a cast metallic core of satisfactory length, providing adequate retention and support, with reutilization of the original prosthetic crown, serving as a reverse template of the coronal portion of this new core, providing reduction in costs and operational time.

Esthetic-functional multidisciplinary rehabilitation – Case report

“…In the functional and esthetic reconstruction of teeth, lithium disilicate ceramics (IPS E-max) have presented as one of the main materials, with important characteristics as high resistance to compression and abrasion, color stability, biocompatibility, radiopacity, coefficient of thermal expansion similar to the dental structure and great ability to simulate the natural appearance of teeth [2,55,56]. In this case, we selected the esthetic rehabilitation of anterior teeth with ceramic crowns due to the esthetic excellence, mainly due to absence of metallic margin [57].…”

Remodeling of gingival contour in the rehabilitation with fixed partial dentures – case report

“…Besides esthetics, the goal of provisional dentures is to lead the soft tissue to the best cervical contour, as demonstrated in the technique of gingival conditioning by gradual pressure of provisional crowns. Since this is a non-surgical procedure and is considered minimally invasive because it does not remove soft tissue, gradual pressure is considered a safer technique, eliminating the risk of postoperative complications and anatomically and functionally restoring the components of the stomatognathic system (BUCHAIM et al, 2014;PEREIRA et al, 2019).…”

Reproduction of Esthetic Individuality in Upper Immediate Complete Denture

“…It should also be considered that prosthodontics can be considered an art; as such, it is not adaptable to strict regulations. Whenever possible, the clinician should avoid the symmetry of dental positions, individualizing the denture to each type of patient and oral cavity (McCord & Grant, 2000;Batista et al, 2000;Pereira et al, 2019).…”