Prosthodontic Management of Severely Proclined and Mobile Dentition with Spacing Using Digital Smile Designing: A Case Report

Abstract

“A Captivating Smile Showing an even row of natural gleaming white teeth is a major factor in achieving that elusive dominant characteristic known as Personality – Dr. Charles Pincus”. An aesthetic smile has always been an attractive element and it plays a significant role in overall psychology and confidence level of an individual. The digital smile design (DSD) has been used as a tool for esthetic dentistry that improves predictability of rehabilitation procedures.

This case report aimed to present an integrated planning related to functional, esthetic and emotional requirements from the patients based on digital design parameters.

A 66 years old lady was presented with chief complaint of spacing in her upper and lower anterior teeth which were grade I mobile due to trauma from occlusion. A diagnostic scanning was done using fine intraoral scanner and digital smile designing was done using an Exocad software. Intentional RCT followed by tooth preparation from canine to canine both in maxillary and mandibular arch was done. Crown root ratio was changed to 1:1 to reduce the mobility and   Group function occlusion was given on both the sides.

Final restoration was done using zirconia premium and cementation was done using resin cement.