This document discusses factors that determine the success or failure of full coverage dental restorations in the esthetic zone. It outlines variables such as ceramic material options, tooth transition greater than 5mm, contact area classification and modification, localized tooth size discrepancy and repair, and abutment color material choice. The ideal contact point is described as long with less than 5mm distance and a study is summarized that papilla presence is nearly 100% when the contact point to bone crest distance is 5mm or less.

4. Restoration Of The Maxillary Anterior Sextant

6. ESTHETICS & FUNCTION

8. REPAIR & SHADE MATCH

11. > Than 5mm TOOTH TRANSITION

12. CANINE TO LATERAL, Minimally Invasive

14. > Than 5mm SURFACE TEXTURE & COLOR

15. Peg Laterals PEG LATERAL TRANSFORMATION

20. Greater Than 5mm WIDTH TO LENGTH DISCREPANCY, CONTACT AREA MODIFICATION

21. > Than 5mm WIDTH TO LENGTH CORRECTION, CONTACT AREA MODIFICATION

22. Our Goal: Fully Formed Papilla’s!!!!!!!! Greater than 5mm.

23. Contact Area Classification Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY

24. Contact Area Classification Less Than 5mm. TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD

25. Less Than 5mm. TYPE 1, LONG CONTACT AREA TYPE 2, INCISAL THIRD ONLY TYPE 3, MIDDLE THIRD TYPE 4, GINGIVAL THIRD

26. The Ideal Contact Point: Long: Type 1 Less Than 5mm.

28. The results showed that: 1.When the measurement from the contact point to the crest of bone was 5 mm or less, the papilla was present almost 100% of the time. 2. When the distance was 6 mm, the papilla was present 56% of the time, 3. When the distance was 7 mm or more, the papilla was present 27% of the time or less.

29. TOOTH SIZE DISCREPANCY MICRODONTIA

32. TOOTH SIZE CORRECTION, CONTACT AREA MODIFICATION TYPE 2 --- TYPE 1

34. TOOTH SHAPE TRANSITION:TAPERED TO SQUARE CONTACT POINT MODIFICATION; ROOT COVERAGE

35. TYPE 3 TYPE 1

36. TYPE 2 TYPE 1 CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE

37. LOCALIZED TOOTH SIZE DISCREPANCY & REPAIR

40. > Than 5mm CONTACT AREA MODIFICATION, INTERPROXIMAL CONTOUR CHANGE TOOTH POSITION CORRECTION TYPE 2

41. > Than 5mm TYPE 2 EMAX TYPE 1

42. LONG CONTACT AREA Type 2 INCISAL 1/3 Type 1 GREATER Than 5mm. LESS Than 5mm.

44. ABUTMENT COLOR MATERIAL CHOICE??

46. WHAT IS THE COLOR OF THE ABUTMENT?

47. ZIRCONIUM

63. 1991 3i 3.75 3i 3.25 Gold Custom Abutment & PFM IMPLANTS IN THE ESTHEIC ZONE 6.0 6.0

64. ASTRA ZIR Astra 3.5 2005

65. Ceramic Abutment, All Ceramic Crown 2005

66. Astra 3.0 Metal Abutment, All Ceramic Crown 5.0

67. Astra 3.5

68. ADVANCED

69. Astra 3.5 Astra 4.5 Astra Zir Ceramic Custom Abutment, Ceramic Crown Metal Custom Abutment 2 Unit Ceramo-Metal Splint

75. Thank you!! QUESTIONS? [email_address] 617 492 6070