case_images: PMC4983345_01
case_images: Initial smile of this patient.
case_images: CRID2016-9728593.001.jpg
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case_images: fig1
case_images: Anterior disclusion and laterality were absent (Figures 1 and 2).
case_images: Close-up view of frontal (a) and lateral (b) anterior teeth showing worn and stained composite resins. (c) Image of right disclusion showing contact of canine as well as lateral and central incisors.
case_images: CRID2016-9728593.002.jpg
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case_images: fig2
case_images: Anterior disclusion and laterality were absent (Figures 1 and 2).
case_images: Final diagnostic appearance.
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case_images: fig3
case_images: After 7 days, a wax model was developed for diagnosis (Figure 3).
case_images: Mock-up made with bis-acryl resin.
case_images: CRID2016-9728593.004.jpg
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case_images: fig4
case_images: A Protemp 4 (3M ESPE) was inserted into the silicon from the wax-up, and a mock-up was made to assess the size and form of the wax model (Figure 4).
case_images: Wear guide made with addition of silicone over wax (a) and on teeth (b) during wear of composite resins to assess thickness of the restoration material.
case_images: CRID2016-9728593.005.jpg
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case_images: fig5
case_images: After removal of the resin from each tooth, the vestibular space needed for the ceramic was estimated using a wax wear guide (Figure 5).
case_images: Teeth immediately after preparation. Note gum inflammation caused by the resins.
case_images: CRID2016-9728593.006.jpg
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case_images: fig6
case_images: To complete the preparation, the teeth were finished and polished with diamond points using a speed multiplier (W & H Dentalwerk, Burmoos, Austria; Figure 6).
case_images: (a)-(d) Model with die in position for creation and ceramic finish to allow for an extremely precise and conservative restoration.
case_images: CRID2016-9728593.007.jpg
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case_images: fig7
case_images: Tambore, Brazil) was used to make the ceramic laminates (Figure 7). The cervical and proximal finish was performed using stones and ceramic rubber (Zzag, Curitiba, Brazil).
case_images: PMC4983345_02
case_images: Teeth after removal of temporaries. Note the improvement in papillae after removal of the resins that were causing inflammation.
case_images: CRID2016-9728593.008.jpg
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case_images: fig8
case_images: At this time, we could already see an improvement in the appearance of the gingiva after removal of the resins that were causing inflammation (Figure 8).
case_images: PMC4983345_03
case_images: (a)-(c) Ceramic laminates after cementation. Note the disclusion due to the reestablished canine.
case_images: CRID2016-9728593.009.jpg
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case_images: fig9
case_images: An occlusal adjustment with ceramic rubber was prepared and checked against the anterior disclusion and laterality guides (Figure 9).
case_images: (a)-(b) The final smile achieved for this patient.
case_images: CRID2016-9728593.010.jpg
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case_images: fig10
case_images: The final smile in this patient is shown in Figure 10 and the outcome at 18 months can be seen in Figure 11.
case_images: (a), (b), (c) Occlusal and periodontal control and esthetic stability of restorations after 18 months of follow-up.
case_images: CRID2016-9728593.011.jpg
case_images: PMC4983345_03_CRID2016-9728593.011.jpg
case_images: fig11
case_images: The final smile in this patient is shown in Figure 10 and the outcome at 18 months can be seen in Figure 11.