Combining different ceramic systems and periodontal microsurgery in maxillary esthetic areas: a case report.

Oral rehabilitations in esthetic regions may be challenging when different prosthodontic modalities must be combined with interventions on gingival tissues to create a harmonious smile for the patient. This case report describes the treatment of a 36-year-old man with an esthetically compromised maxillary anterior region by means of periodontal microsurgery, an implant-supported dental prosthesis, and tooth-supported crowns. Combined esthetic-functional planning based on clinical and radiographic examinations, photographs, and a diagnostic wax-up led to correction of the gingival contour and thickness by means of periodontal microsurgery; customization of an implant-supported zirconia abutment with the application of feldspathic porcelain; fabrication of a lithium disilicate ceramic infrastructure to mask darkened substrate; and fabrication of lithium disilicate ceramic definitive restorations.

Effect of beverage solutions and toothbrushing on the surface roughness, microhardness, and color stainability of a vitreous CAD-CAM lithium disilicate ceramic.

Statement Of Problem: Computer-aided design and computer-aided manufacturing (CAD-CAM) has enhanced the physicomechanical stability of ceramics. However, various factors in the oral cavity may impair the longevity of restorations by negatively affecting their properties. Appropriate surface treatments such as glaze application or mechanical polishing are necessary to diminish these effects.

The Effect of a Continuous Mechanical Polishing Protocol on Surface Roughness, Biofilm Adhesion, and Color Stability of Acrylic Resin Artificial Teeth.

Purpose: Acrylic resin properties are susceptible to change over the duration of use, thereby decreasing prosthesis longevity. To make the material less susceptible to the action of external agents such as stain-causing liquids and cleaning solutions, polishing procedures are recommended. A specific mechanical polishing procedure performed regularly was evaluated regarding the biofilm adhesion, surface roughness (Ra), color stability (ΔE), and mass changes in acrylic resin artificial teeth.