The aesthetic predictability of a dental rehabilitation can be complicated by utilizing mixed media or different restorative materials on adjacent teeth. This patient came to me with a desire to restore function and improve the appearance of his smile, which was an important motivator for treatment.

Pre-operatively the patient presented existing failing restorations, missing teeth #14 and 15, along with aggressive anterior wear. In developing a comprehensive treatment plan with a focus on function, we opted to phase this patient’s treatment by completing the lower arch with a laboratory that didn’t quite meet my aesthetic demands for contour and anatomy with this case. After consulting with Gold Dust regarding the second phase of the rehabilitation, we developed a plan to restore the #6-10 with Ivoclar’s IPS Empress, #11 with Lava and custom gold abutments, and InLine PFM restorations on 3-5, 12, 13 and implant PFM’s on #14, 15. I’m very pleased with the result and the integration of a variety of materials that blend and offers the vitality that I was looking for in this case, with the strength and function that meets my patient’s needs.