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This report describes the esthetic and prosthetic oral rehabilitation of a patient with excessive gingival display using a digital guided workflow. As per this digital workflow, the patient’s photographs, three-dimensional radiographic images, and a diagnostic digital intraoral scan were obtained. Preoperative digital case planning and designing were followed by the fabrication of surgical guides, printed casts, and matrices to accurately execute surgical esthetic crown lengthening and reproduce the digital design in the subsequent prosthetic rehabilitation.

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This review identified research related to the survival and complication rates of all-ceramic resin-bonded fixed dental prostheses (RBFDPs) and ranked them according to their quality of research. An electronic search in PubMed, MEDLINE, Science Direct, complemented by a manual search was done. Only clinical (in vivo) studies on all-ceramic RBFDPs with a mean follow-up period of at least two years or more were included. The critical appraisal skills program (CASP) was used to evaluate the papers and to put emphasis on their results. Among 140 screened articles, 1 randomized controlled trial (RCT), 4 prospective and 3 retrospective cohort studies were included in this review. The CASP evaluation showed high-quality for four studies with calculated quality scores, ranging from 90-102.5. The other four studies showed a low-level of calculated scores, ranging from 57.5-70. The overall survival rate for all-ceramic RBFDPs was calculated as 94.2%. The calculated annual failure rate was estimated at 1.12%. De-bonding and framework fracture were the most common complications. Additionally, all included studies reported all-ceramic RBFDPs in the anterior area and were more frequently designed with a cantilever design bonded to one abutment tooth and the polycrystalline ceramic (zirconia) framework material shows good clinical outcomes. To conclude, all-ceramic RBFDPs seem to work best and last longest in the anterior area, the framework material of choice is zirconia which works better with a cantilever design.