case_images: PMC5559911_01
case_images: Initial appearance of the patient's smile from the front (a) and lateral (b) perspectives. She was dissatisfied with the shapes, sizes, and color of her teeth. Lips at rest show the excessive opacity of the prosthesis on the right side lateral implant (c).
case_images: CRID2017-8698010.001.jpg
case_images: PMC5559911_01_CRID2017-8698010.001.jpg
case_images: fig1
case_images: Radiographic examination confirmed the presence of the implant and the health of adjacent tissues (Figures 1 and 2).
case_images: Detail of anterior teeth, showing imbalance of maxillary gingival arch harmony and unsatisfactory resin restoration on the left side lateral incisor. Front (a) and left (b) details of the maxillary anterior teeth.
case_images: CRID2017-8698010.002.jpg
case_images: PMC5559911_01_CRID2017-8698010.002.jpg
case_images: fig2
case_images: Radiographic examination confirmed the presence of the implant and the health of adjacent tissues (Figures 1 and 2).
case_images: Model of diagnostic wax-up. Note the more defined and triangular contour of the buccal proximal edges.
case_images: CRID2017-8698010.003.jpg
case_images: PMC5559911_01_CRID2017-8698010.003.jpg
case_images: fig3
case_images: A diagnostic wax-up was done on the maxillary arch model (Figure 3).
case_images: Probing after the scaling and prophylaxis sessions, performed prior to the surgical treatment (a). The smile line was marked with dental floss (b). Gingival recontour with an electric scalpel on the right side (c). Appearance immediately after gingival recontour (d).
case_images: CRID2017-8698010.004.jpg
case_images: PMC5559911_01_CRID2017-8698010.004.jpg
case_images: fig4
case_images: Postoperative follow-up was done after 3 months (Figure 4).
case_images: In-office bleaching with hydrogen peroxide.
case_images: CRID2017-8698010.005.jpg
case_images: PMC5559911_01_CRID2017-8698010.005.jpg
case_images: fig5
case_images: Four weeks of home bleaching with 10% carbamide peroxide was recommended (Pola Night, SDI, Victoria, Australia) (Figure 5).
case_images: After recontouring with composite resin (Amaris) and provisional restoration with bisacrylic resin (Structur 3), the ceramic color was selected from the VITA 3D Master scale.
case_images: CRID2017-8698010.006.jpg
case_images: PMC5559911_01_CRID2017-8698010.006.jpg
case_images: fig6
case_images: Temporary restorations with bisacrylic resin (Structur 3, Voco, Cuxhaven, Germany) were made on the lateral incisors (Figure 6).
case_images: Model (a) with die. Reinforced ceramic with lithium disilicate in the BL4 color. External and internal aspects of ceramics on the microdont tooth after finishing (b and c).
case_images: CRID2017-8698010.007.jpg
case_images: PMC5559911_01_CRID2017-8698010.007.jpg
case_images: fig7
case_images: The ceramic was prepared with the E.max injected system (Ivoclar Vivadent, Schaan, Liechtenstein) in the color BL4 and applied to the ceramic for intrinsic incisal characterization (Figure 7).
case_images: Removal of temporary restorations. Note the absence of soft tissue inflammation, demonstrating adequate adaptation of the provisional restorations with bisacrylic resin.
case_images: CRID2017-8698010.008.jpg
case_images: PMC5559911_01_CRID2017-8698010.008.jpg
case_images: fig8
case_images: The material used for the cementation of the ceramics on the lateral incisors was Bifix SE self-adhesive cement (Voco, Cuxhaven, Germany) in opaque white (WO) (Figure 8).
case_images: Front (a) and left (b) detail of resin restorations combined with ceramics.
case_images: CRID2017-8698010.009.jpg
case_images: PMC5559911_01_CRID2017-8698010.009.jpg
case_images: fig9
case_images: The results can be seen in Figures 9 and 10.
case_images: Frontal and lateral views of the patient's final smile. Final view of the teeth with resting lip, demonstrating improved translucency of the prosthesis over the implant.
case_images: CRID2017-8698010.010.jpg
case_images: PMC5559911_01_CRID2017-8698010.010.jpg
case_images: fig10
case_images: The results can be seen in Figures 9 and 10.