Esthetic Rehabilitation of a Severely Compromised Anterior Area : Combined Periodontal and Restorative Approach

The complete oral rehabilitation of patients demanding a beautiful and attractive smile, involves a multidisciplinary approach that includes the change of both the morphological aspect of the teeth and the architecture of gum tissues. This clinical report describes a successful inter-disciplinary approach for the treatment of an esthetically compromiseddentition. In a first phase, the periodontal plastic surgery was performed for root coverage and, in particular, it was decided for the execution of a coronally advanced flap for the treatment of multiple recession defects. Once complete healing of soft tissues was obtained, six lithium disilicate veneers were placed over the anterior maxillary teeth. Lithium disilicate is a glass-based ceramic which presents excellent aesthetics and allows the passage of light without creating unnatural reflections. This feature has made possible to recreate a natural aspect of teeth that in combination with the harmonic architecture of soft tissue has permitted to obtain a beautiful and pleasant smile.