Case Overview

The patient presented with complaints regarding poor smile aesthetics, severe discoloration of a front tooth, and compromised chewing function. The initial clinical presentation required a strict team-based approach to build a stable functional foundation before individual restorations could be placed.

Initial View

Lead Prosthodontist: Maksym Voronin
Orthodontist: Valerii Kuts
Total Duration: Approx. 2.5 years

Initial Condition:

1. Severe discoloration of the upper left central incisor due to previous root canal therapy.
2. Spacings (diastema and tremas) and misaligned dental arch proportions.
3. Multiple carious lesions, failing restorations, and cervical defects in the aesthetic zone.
4. Pathological wear on the incisal edges of the lower teeth.
5. Malocclusion and missing posterior teeth (specifically in the lower right area #45).

Treatment Steps:

Orthodontic Phase (2 years): Braces treatment by Valerii Kuts to realign the dental arches, eliminate improper spacing, correct the bite, and prepare space for the implant.

Orthodontic Stage

Surgical Phase: Placement of a premium Swiss Straumann implant in the missing tooth #45 region to re-establish posterior support.
Prosthetic Phase: Full-mouth rehabilitation with high-precision, metal-free restorations using Cercon (Zirconia). This successfully masked the severely dark front tooth and optimized the bite height.

Outcome: Achieved flawless structural symmetry, natural translucency, and life-like shade. Chewing function is fully restored, delivering a healthy, confident smile.

Final Aesthetics

Case presented by Porcelain Dent: lead specialist Maksym Voronin, orthodontist Valerii Kuts.