DOI: https://doi.org/10.36347/sjds.2024.v11i09.002

Pages: 111-118

Background/Objectives: Collapse in the anterior maxillary region often follows extractions, posing significant esthetic challenges. Restoring lost central incisors requires a balance of functional and esthetic results, especially in the highly visible anterior region. With advancements in CAD/CAM technology, restorative dentistry has become more precise and efficient. This study aims to explore the use of CAD/CAM technology for restoring two missing central incisors through a fixed ceramic bridge. Methods: The treatment process included the design and fabrication of a fixed ceramic bridge using CAD/CAM technology. An interim bridge with an ovate pontic was placed to shape the soft tissue and prepare the edentulous ridge. Gingivoplasty was performed using a 3D-printed guide to enhance the harmony between gingival and dental structures. The final restoration employed stratified zirconia for its natural esthetic properties. Results: The integration of digital workflows allowed precise planning and execution, resulting in improved predictability of the esthetic outcomes. The interim bridge effectively supported the soft tissue, and the gingivoplasty helped achieve a harmonious gingival contour. The use of CAD/CAM technology contributed to a functional and visually pleasing restoration of the lost central incisors. Conclusions: Digital technology, especially CAD/CAM, significantly enhances the predictability and success of complex dental restorations. It enables the seamless integration of esthetic and functional outcomes, making it an invaluable tool in modern restorative dentistry. This case demonstrates the potential of digital approaches in achieving optimal results in challenging esthetic cases.