CDEN0210

24 I I case report _ aesthetic rehabilitation _The aesthetic rehabilitation of patients with functionally compromised dentition frequently in- volves a multidisciplinary approach, incorporating several different treatment modalities. A correct aesthetic and functional diagnosis with an appro- priate treatment plan, as well as careful material selection and application, are critical factors in the successful restoration. The following case presentation demonstrates a multidisciplinary approach to recreating an aes- thetic smile in a female patient with functionally and aesthetically compromised dentition. Patients requiring prosthodontic rehabilitation often have multiple concerns (aesthetic, functional and health) and have avoided treatment for some time, owing to fear, cost and time constraints. It is the goal of treatment to provide aesthetic and functional dentition with minimal maintenance over the long term. _Treatment planning and procedures The primary objective was to recreate an aes- thetic smile and to establish a functional occlusion. This involved orthodontic, periodontal and resto- rative modalities: 1. Periodontal treatment: The patient underwent preliminary treatment that included professional oral hygiene and reinforcement of oral hygiene practices. 2. Orthodontic treatment: The tipped and drifted mandibular teeth that were a consequence of the missing teeth were corrected. 3. Diagnostic wax-up: This allows the team to pre- view the desired aesthetic appearance. The diag- nosticwax-upprovidesaguidelineforthedesired treatment and a blueprint for the final restora- tions. This wax-up also allows the manufacture ofputtykeysforprovisionalisationandreduction guides for the preparation process. cosmeticdentistry 2_2010 Provisional restorations in complex restorative cases Author_ Dr Christopher Ho, Australia Fig. 1_Smile photograph, showing asymmetry in smile, maxillary cant, slanted midline, negative buccal corridor and poor axial inclination. Fig. 2_Retracted frontal photograph. Fig. 3_Orthodontic treatment in order to upright tipped teeth and correct occlusal plane. Fig. 4_Gingival recontouring completed. Fig. 2Fig. 1 Fig. 3 Fig. 4