case_images: PMC5030409_01
case_images: Initial smile.
case_images: CRID2016-5720851.001.jpg
case_images: PMC5030409_01_CRID2016-5720851.001.jpg
case_images: fig1
case_images: However, the patient exhibited a slight asymmetry of the gingival margins on the upper right and left first premolars, with excessive overall gingival display (Figure 1).
case_images: Initial intraoral panoramic view.
case_images: CRID2016-5720851.002.jpg
case_images: PMC5030409_01_CRID2016-5720851.002.jpg
case_images: fig2
case_images: The patient underwent a comprehensive clinical examination (Figure 2), as previously described.
case_images: Design of new teeth and gingival combined contour in DSD-based planning phase.
case_images: CRID2016-5720851.003.jpg
case_images: PMC5030409_01_CRID2016-5720851.003.jpg
case_images: fig3
case_images: The width and length of the central incisor were 8.9 mm and 8.3 mm, respectively, with a ratio of 107% (Figure 3).
case_images: DSD-based diagnostic wax-up.
case_images: CRID2016-5720851.004.jpg
case_images: PMC5030409_01_CRID2016-5720851.004.jpg
case_images: fig4
case_images: Intraoral try-in of an acrylic template based on the DSD diagnostic wax-up.
case_images: CRID2016-5720851.005.jpg
case_images: PMC5030409_01_CRID2016-5720851.005.jpg
case_images: fig5
case_images: The DSD diagnostic wax-up (Figure 5) was used to generate the surgical template that guided the initial incisions and to determine the dimensions of the new clinical crown from the upper right second premolar to the upper left second premolar.
case_images: Completed crown lengthening surgery and suture.
case_images: CRID2016-5720851.006.jpg
case_images: PMC5030409_01_CRID2016-5720851.006.jpg
case_images: fig6
case_images: Finally, the flaps were repositioned and sutured (Figure 6).
case_images: Retracted gingiva and finished teeth preparation.
case_images: CRID2016-5720851.007.jpg
case_images: PMC5030409_01_CRID2016-5720851.007.jpg
case_images: fig7
case_images: The gingiva was adequately retracted, the sulcus was dry, and the margins of the preparations were clearly visible (Figure 7).
case_images: Design of the restorations in CAD/CAM software.
case_images: CRID2016-5720851.008.jpg
case_images: PMC5030409_01_CRID2016-5720851.008.jpg
case_images: fig8
case_images: PW1114PA, Dhpro Rhadartrade Comercial Importadora de Pecas LTDA, Paranagua, Parana, Brazil) and polishing disks (Sof-Lex Extra-Thin XT disks #2382SF and #2382F, 3M ESPE Dental, St. Paul, MN, USA) to optimize smooth surfaces for scanning and adhesive cementation (Figure 8). No design modification was made in any of the samples (Figures 8, 9, 10, and 11).
case_images: Design of the restorations in CAD/CAM software (lateral view).
case_images: CRID2016-5720851.009.jpg
case_images: PMC5030409_01_CRID2016-5720851.009.jpg
case_images: fig9
case_images: No design modification was made in any of the samples (Figures 8, 9, 10, and 11).
case_images: Design of the restorations in CAD/CAM software (lateral view).
case_images: CRID2016-5720851.010.jpg
case_images: PMC5030409_01_CRID2016-5720851.010.jpg
case_images: fig10
case_images: No design modification was made in any of the samples (Figures 8, 9, 10, and 11).
case_images: Design of the restorations and occlusal contacts in CAD/CAM software.
case_images: CRID2016-5720851.011.jpg
case_images: PMC5030409_01_CRID2016-5720851.011.jpg
case_images: fig11
case_images: No design modification was made in any of the samples (Figures 8, 9, 10, and 11).
case_images: Immediate postoperative intraoral panoramic view.
case_images: CRID2016-5720851.012.jpg
case_images: PMC5030409_01_CRID2016-5720851.012.jpg
case_images: fig12
case_images: The margins were finished and polished as needed with diamond burs, rubber points, and diamond polishing paste (Figures 12, 13, 14, and 15).
case_images: Immediate postoperative intraoral lateral view.
case_images: CRID2016-5720851.013.jpg
case_images: PMC5030409_01_CRID2016-5720851.013.jpg
case_images: fig13
case_images: The margins were finished and polished as needed with diamond burs, rubber points, and diamond polishing paste (Figures 12, 13, 14, and 15).
case_images: Immediate postoperative intraoral lateral view.
case_images: CRID2016-5720851.014.jpg
case_images: PMC5030409_01_CRID2016-5720851.014.jpg
case_images: fig14
case_images: The margins were finished and polished as needed with diamond burs, rubber points, and diamond polishing paste (Figures 12, 13, 14, and 15).
case_images: Final smile.
case_images: CRID2016-5720851.015.jpg
case_images: PMC5030409_01_CRID2016-5720851.015.jpg
case_images: fig15
case_images: The margins were finished and polished as needed with diamond burs, rubber points, and diamond polishing paste (Figures 12, 13, 14, and 15).