Desafio estético frente a diferentes substratos – relato de caso

Abstract

Achieving aesthetic and functional result is a major challenge in oral rehabilitation, as the constant search for a harmonic smile raises patients level of demand and expectation. Restoring anterior teeth with aesthetics and predictability is one of the greatest challenges in contemporary dentistry and to know how to select the most suitable ceramic system and to have knowledge, controlling the variables at the time of adhesive cementation such as treatment of dental substrate surfaces and ceramic restoration will define the longevity and success of the restorative treatment. Therefore, the present article describes a rehabilitation with ceramic restorations on upper anterior teeth, seeking smile harmonization. It was emphasized clinical applicability in face of aesthetic challenge for different substrates, how to achieve predictable results with ceramic laminates associated with the lithium disilicate crown, and a crown with zirconia coping and laminate on it to mask the implant. This material presents excellent reproduction of dental structure optical properties in addition to high fracture resistance. A very pleasant aesthetic result was achieved, and also aesthetic harmonization of the rehabilitated teeth, restoring not only the aesthetic and saturation of the substrate, but promoting patient well-being associated with masticatory function and longevity for this clinical situation.