Soft and hard tissue management in the treatment of a discolored single tooth in the esthetic zone.

When treating the color of a single tooth in the esthetic zone, it is a complex task to achieve the same visual effect as the rest of the teeth. In addition to the problem of the clinical crown color, if the patient has a thin periodontal biotype it is necessary to manipulate both the hard and soft tissue to achieve a good esthetic result. To change the biotype, a connective tissue graft needs to be performed. The graft must be stabilized exactly where it is needed, and the recipient area modified. The tooth needs to receive an adequate preparation so as to make the restoration thick enough to naturally mask the treated tooth, while also ensuring long-term stability.

Indirect porcelain veneers in periodontally compromised teeth. The hybrid technique: a case report.

The loss of periodontal structure causes an esthetic problem for many patients, especially when the esthetic zone is compromised. Among the various types of solutions is the use of composite resins. While this procedure is not aggressive towards tooth structure, it does require the clinician to have a precise technique, and demands strict longterm maintenance. 1 Another way of treating the compromised teeth is with porcelain veneers. This procedure is especially difficult, however, if carried out on periodontal teeth, as it requires preparation along the roots. 2 The intention of the hybrid technique described in this article is to combine both of these procedures in order to obtain a less aggressive treatment with precise management of the soft tissue and an adequate esthetic outcome. The hybrid technique consists of enlarging the root portion of the teeth with composite resin to obtain a less aggressive tooth preparation, and thereafter placing porcelain veneers.