Dr. Ranieri Dario

17/10/2021

𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧 𝐟𝐫𝐨𝐦 𝟑.𝟔, 𝟑.𝟕, 𝟐.𝟓, 𝟐.𝟔, 𝟐.𝟕

The patient (female, 20 yo.) attended to the clinic to restore the posterior teeth.
The posterior zones presented a severe reduction of the vertical dimension due to the loss of the teeth. [Fig. 1]
Unfortunetely the patient didn't have the economic resources for a full rehabilitation of the mouth.
After explaning the compromise of the treatment to the patient, we choose to restore just one side.

It was performed endodontic treatment of 2.5 and 2.7; crown lenghtening was performed on both of the elements. [Fig. 2]
Two implants were inserted in position 3.6 and 3.7, following the proper prosthesic guide. [Fig. 3]
It was possible, through this treatment to gain enough space for the prosthesis working just on one side of the mouth.

Eventually it was performed full crown restoration of 3.6, 3.7, 2.5, 2.6, 2.7. Zirconia crowns with ceramic stratification (5 – multilayer zirconia waffle (Blu Zirkon) 600/1200 MPa, the ceramic layer through MiYO® Liquid Ceramic System).
The cementation was obtained with Panavia V5. [Fig. 4 - Fig. 5]

11/04/2021

𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧 𝐟𝐫𝐨𝐦 𝟏.𝟐 𝐭𝐨 𝟐.𝟑
The patient (female, 50 yo.) attended to the clinic to change the frontal upper teeth.
The examined teeth presented old restaurations on 1.2 and 1.1; endodontics treatments on 2.1, 2.2 and 2.3; there's loss of soft tissue (especially interproximally) and not alligned shape [Fig. 1].

It was performed full crown restoration on 1.2, 1.1, 2.1, 2.2, 2.3 and through gengivoplasty the rearrangement of the gums.
Zirconia single crowns with ceramic stratification (5 – multilayer zirconia waffle (Blu Zirkon) 600/1200 MPa, the ceramic layer through MiYO® Liquid Ceramic System).
The cementation was obtained with Panavia V5.

13/03/2021

Online the case report! 😊

Scientific Archives of Dental Sciences (SAODS) provides an international forum for the quality publication of original and current research work on all the vital issues of Dental Sciences.

07/03/2021

𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧 𝐟𝐫𝐨𝐦 𝟏.𝟑 𝐭𝐨 𝟐.𝟑

The patient (female, 48 yo.) attended to the clinic to change the frontal upper teeth.
The examined teeth presented mobility of III grade of 2.1; old crowns of 2.2, 2.3, 1.3; old restaurations of 2.1, 1.1, 1.2; also the lost of the architecture of the soft tissue was important [Fig. 1].

Opt was performed to investigate.
The exam demonstrated the lost of the element 2.1; decay of 1.1 and 1.2. The elements 2.2, 2.3 and 1.3 were presenting stable endodontic treatments [fig. 2].

It was performed the extraction of the 2.1 and replacement of the element with implants in the same position.
The maximum diameter of the osteotomy was 3.2 mm, 1 mm less than the diameter of the implant. Titanium implants (Avenir) 4.2 mm of diameter and 13mm of length and with conical shape were inserted. It was reached a high torque of 80N.
It was performed endodontic treatment of 1.1 and 1.2. It was performed also a remodelling of the shape of the gum to restore the architecture of the soft tissue. Finally were prepared the provisionals [Fig. 3].

After three months of conditionating it was prepared the final work; zirconia single crowns with ceramic stratification (5 – multilayer zirconia waffle (Blu Zirkon) 600/1200 MPa, the ceramic layer through MiYO® Liquid Ceramic System).
The cementation was obtained with Panavia V5 [Fig. 4].

The final opt [Fig. 5].

For sure the result is not perfect; but totally acceptable considering the starting point. The patien can eat and smile properly now!

15/02/2021

𝐄𝐩𝐢𝐭𝐡𝐞𝐥𝐢𝐮𝐦 - 𝐜𝐨𝐧𝐧𝐞𝐜𝐭𝐢𝐯𝐞 𝐭𝐢𝐬𝐬𝐮𝐞 𝐠𝐫𝐚𝐟𝐭

The treatment of gingival recession is becoming more and more part of dentistry day routing due to its aesthetic impact, even if is not always easy to manage.
The follow up is 4 years after the surgery.

▫️Patient female, 40yo
▫️Poor oral hygiene
▫️Smoker
▫️Probing depth 4mm
▫️Bone level saved

20/01/2021

𝐅𝐮𝐥𝐥 𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧

The patient attended to the clinic for a full rehabilitation of both arches. According to his needs and economics possibilities have been made two mobile full arch prosthesis.

Through an accurate evaluation and misuring of the biometric of his face (the right DV, the centring, etc..) have been made prosthetis that are respecting his aestetics and in the same time are ristoring his occlusion.

Aestetics walks within the function!
Happy to see him smile again!

12/01/2021

𝐑𝐞𝐬𝐭𝐚𝐮𝐫𝐚𝐭𝐢𝐨𝐧 𝟏.𝟑

An 18-year-old female patient attended at the clinic because of a tooth mobility (5.3). The physical examination showed a deciduous tooth at the place of a permanent tooth (1.3). The examined tooth presented mobility of II grade and its shape did not allow correct development of a proper canine guide on the right side. The deciduous tooth colour was significantly brighter that the rest of the teeth and created an aesthetic dental arc [fig. 1].

Cone beam computed tomography was performed. The exam demonstrated absence of the element 1.3. Also, it confirmed the deciduous tooth roots reabsorption. During the exam, quantity and quality evaluation of the bone was performed [fig. 2].

The deciduous tooth was extracted and performed the immediate insertion of the implant. It was reached a high torque of 80N.
After the surgery was connected a standard Peek abutment (h. 3,5) and roughly prepared with a diamond burr within the patient's mouth then finished outside the mouth [fig. 3].

The extracted tooth was emptied from the inside to create space for the abutment.
The 5.3 was placed on the abutment and, once the right position for the occlusion was found, the acrylic addition was performed intraorally. The provisional was removed from the patient's mouth, and the margins of each abutment/provisional interface were refined for a smooth, crisp seat on each Peek abutment. In this way was created an instantaneous provisional. It was finishing and polishing and screwed on the implant [fig. 4].

During the control visit of the end of the third month the soft tissue was fully preserved and the implant osteointegration reached. It was made a zirconia – ceramic crown [fig. 5]. The crown was made from 5 – multilayer zirconia waffle (Blu Zirkon) 600/1200 MPa, the ceramic layer through MiYO® Liquid Ceramic System. The cementation was obtained with Panavia V5.

07/01/2021

𝗥𝗲𝘀𝘁𝗮𝘂𝗿𝗮𝘁𝗶𝗼𝗻 𝟭.𝟮

The patient (female, 27yo.) attended to the clinic because of dyschromia of 1.2 due to a previous endodontic treatment.

It was performed a gingivoplasty to create a proper line of the gum and a crown of lithium disilicate.

03/01/2021

𝐑𝐞𝐬𝐭𝐚𝐮𝐫𝐚𝐭𝐢𝐨𝐧 𝟏.𝟑 𝐚𝐧𝐝 𝟐.𝟑

The patient (male, 33 yo.) attended to the clinic because of mobility of 5.3 and 6.3.

The examined teeth presented mobility of II grade and their shape did not allow correct development of a proper canine guide [Fig. 1].
Cone beam computed tomography was performed.

The exam demonstrated absence of the element 1.3 and 2.3 . Also, it confirmed the deciduous teeth roots reabsorption. During the exam, quantity and quality evaluation of the bone was performed [fig. 2].

It was performed the extraction of the 5.3 and 6.3 and replacement of the elements with implants in position 1.3 e 2.3.

The maximum diameter of the osteotomy was 3.2 mm, 1 mm less than the diameter of the implant. Titanium implants (Avenir) 4.2 mm of diameter and 13mm of length and with conical shape were inserted. It was reached a high torque of 80N [Fig. 3].

Immadiate impressions were taking with Honigum (putty and light) one stage technique [Fig. 4].
The provisionals were delivered in 24h with personalised abutments [Fig. 5].

Tissues after three months [Fig. 6].

The crowns were made from 5 – multilayer zirconia waffle (Blu Zirkon) 600/1200 MPa, the ceramic layer through MiYO® Liquid Ceramic System [Fig. 7].
The cementation was obtained with Panavia V5.

It was checked the occlusion forces, the canine guide, the movements of protrusion and laterality, and contact points. The patient was instructed for home oral hygiene [Fig 8 - 9].