Full-Mouth Reconstruction — Monolithic Zirconia.

dental-before-and-after

Presentation: An adult male presented with compromised function and an unaesthetic , globally worn dentition. Clinical findings included generalized incisal and occlusal wear, chipping, irregular incisal edges, spacing, mild rotations and malalignment, and generalized discoloration. Loss of appropriate tooth proportions and smile symmetry contributed to a worn and aged appearance, indicating the need for comprehensive rehabilitation.

Chief Complaint: The patient desired to restore both function and aesthetics.

Treatment: A full-mouth reconstruction was completed using full-coverage monolithic zirconia crowns in shade A1. The workflow included comprehensive diagnostic records, smile design, shade selection, full-coverage preparation of both arches, and provisionalization to evaluate aesthetics, phonetics, occlusion, and patient comfort. The definitive restorations were delivered with careful attention to the dental midline, incisal-edge position, tooth proportions, gingival harmony, and the establishment of a stable, balanced occlusion.

Outcome: Treatment improved tooth proportions and smile symmetry, established a harmonious incisal plane, closed the existing spaces, and created a brighter, more balanced smile. Functional occlusion was re-established, and the patient reported being highly satisfied with both the aesthetic and functional outcome.

Discussion Points for Colleagues: The use of monolithic zirconia in full-mouth rehabilitation; management of the vertical dimension of occlusion (VDO); preparation a nd cementation protocols; selection of the occlusal scheme; material durability; and long-term maintenance, including night-guard protection.