Journal of Multidisciplinary
Dental Research

Abstract

Anterior tooth decay presents significant aesthetic and functional challenges, particularly in young adults where smile confidence plays a crucial role in psychological well-being. The integration of modern dental technologies with traditional prosthodontic principles has revolutionized the approach to anterior rehabilitation, making it possible to achieve predictable and aesthetically pleasing outcomes. A 20-year-old female patient presented to the Department of Prosthodontics and Crown & Bridge with the chief complaint of unaesthetic appearance due to extensive carious involvement of maxillary anterior teeth. Following comprehensive treatment planning and patient consent, a multidisciplinary approach was implemented involving intentional root canal treatment of the affected teeth and inclusion of vital maxillary canines for optimal prosthetic stability. The treatment sequence included intentional endodontic therapy of carious teeth, followed by tooth preparation of maxillary central incisors, lateral incisors, and canines bilaterally. The digital workflow incorporated intraoral scanning for CAD/CAM fabrication, complemented by conventional polyvinyl siloxane impressions. After milling and polishing, bisque trial was conducted with evaluation of phonetics and incisal guidance before final prosthesis delivery. The patient received six zirconia crowns providing comprehensive anterior rehabilitation. The final prosthesis demonstrated excellent marginal adaptation, optimal emergence profiles, and superior aesthetic integration. This case demonstrates the effectiveness of combining intentional endodontic therapy with modern prosthodontic techniques for extensive anterior rehabilitation. The use of zirconia crowns provided superior strength, biocompatibility, and aesthetic properties essential for anterior restorations in young patients. The comprehensive treatment approach, incorporating both digital workflow and traditional prosthodontic principles, resulted in optimal biological and psychological outcomes. This case emphasizes the importance of comprehensive treatment planning that addresses both functional requirements and psychological impact, ultimately restoring patient confidence and oral health. The predictable outcomes achieved through this multidisciplinary approach support its application in similar clinical scenarios requiring extensive anterior rehabilitation.

Keywords: Zirconia crowns, Anterior rehabilitation, Intentional root canal treatment, CAD/CAM technology, Aesthetic dentistry, Digital dentistry