This presentation discusses the three fundamentals required to accomplish a pleasing, functional, and long-lasting esthetic outcome: effective treatment planning, team collaboration, and understanding of restorative materials. Myriad factors affect the esthetic and functional outcome of complex cases. Properly addressing these factors facilitates the achievement of a predictable and successful prosthetic rehabilitation. Factors that significantly improve functional and esthetic outcomes include proper preoperative esthetic and functional analysis, correct data transmission to the laboratory regarding the occlusal plane orientation and inclination, and the definition of an appropriate incisal edge position. A close collaboration is also needed between the surgeon and the restorative dentist during the treatment of natural dentition or dental implants, especially in challenging clinical situations such as patients with a high smile line. Material selection plays a fundamental role in the management of complex rehabilitation cases. This presentation also illustrates how to select and optimize the use of metal-free ceramic materials, even in full-mouth rehabilitations.
Mauro Fradeani, MD, DDS, is a visiting associate professor in prosthodontics at Louisiana State University in New Orleans and a past president of both the European Academy of Esthetic Dentistry and the Italian Academy of Prosthetic Dentistry. He runs a private practice limited solely to prosthodontics on natural dentition and implants in Pesaro and Milan, Italy, and is an active member of The American Academy of Esthetic Dentistry. Dr Fradeani also serves as a member of the editorial boards for Practical Periodontics and Aesthetic Dentistry and the Journal of Estehtic and Restorative Dentistry and has written numerous articles and books that have been translated into many languages and published throughout the world.