Esthetic enhancement of ceramic crowns with zirconia dowels and cores: a clinical report


Burduroğlu H. D., Çelik Ö., Güler U., Canay Ş.

36th Annual Conference of the European Prosthodontic Association, Rotterdam, Netherlands, 6 - 08 September 2012, pp.103

  • Publication Type: Conference Paper / Summary Text
  • City: Rotterdam
  • Country: Netherlands
  • Page Numbers: pp.103
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

The use of esthetic ceramic crowns and esthetic posts in restoring endodontically treated teeth has been

increased dramatically in recent years. Tooth-colored dowels and cores are being used to enhance the

esthetic result. It is sometimes difficut for the dentist to decide which material is best for the restoration

of endodontically treated teeth with partial coronal loss. Successful treatment of a severely damaged

teeth with pulpal disease depends not only on good endodontic therapy but also on good prosthetic

reconstruction. The main emphasis on deciding the restoration material should be as follows; minimal

risk, biocompability, esthetics and patient desires. This clinical report describes the restoration of


endodontically treated maxillary incisor with a zirconia post-core in monoblock form and a zirconia all-

ceramic crown. The purpose of this study was to clinically evaluate the esthetic results of a zirconia post-

core combined with a zirconia reinforced all-ceramic crown. A 16-year-old female patient came to our


clinic with a fractured left maxillary incisor due to a direct trauma to the tooth. Endodontic teratment

was conducted. After 2 weeks, post space preparation was carried out for the maxillary left central incisor

and tooth preparation was done for all-ceramic crown. Impression was taken with polyvinyl siloxane

material. The impression is scanned and CAD/CAM fabrication of the monoblock post-core was made.

The post-core is cemented with resin cement and a secondary impression was taken for the crown

fabrication. A zirconia reinforced all-ceramic crown is fabricated and cemented.