USE OF LITHIUM DISILICATE VENEERS AND CROWNS IN ELDERLY PATIENTS:CASE REPORT

Resumo

Introduction: Dental planning is fundamental in complex rehabilitations, restoring function and aesthetics through fixed metal-free restorations. Objectives: The objective of this study was to report an aesthetic and functional biological approach to a complex clinical case, restoring function and aesthetics, reestablishing the vertical dimension of occlusion by replacing tooth loss and an integrative review of the literature. Case report: Patient GEF, 70 years old, male, was admitted to the Dental Prosthesis clinic - Funorte, and his main complaint was “my teeth are small and worn out”. After undergoing clinical evaluation and carrying out complementary imaging exams (panoramic radiography), the following plan was proposed: upper wax-up; lower removable partial denture (RPD) – increase and restoration of the vertical dimension of occlusion (DVO); single crowns made on dental elements 14, 15, 21, 22, 23, 24 and 25 and Fixed Partial Prosthesis with 3 elements on teeth (11 to 13) Installation of fiberglass posts on elements 13 and 14; Filling and preparation core for full crown and inter-occlusal registration, impression with dense addition silicone followed by fluid addition silicone, wax try-in and cementation. Conclusion: Dental planning is essential to achieve favorable results, increasing OVD can be carried out successfully, as long as there is correct diagnosis and planning, the use of metal free prostheses have excellent aesthetic properties, which allows achieving a more natural result .