Smile Restoration of a Dental Anxiety Patient Using Same-Day Chairside CAD/CAM and Esthetic Zirconia
Source: Compendium/06.25.26
Patients with a history of dental trauma often shy away from discussing their smile goals due to anxiety and a belief that improvement is unattainable.1,2 The advent of same-day chairside CAD/CAM technology and esthetic zirconia has revolutionized dental restorations, making remarkable smile transformations possible while preserving tooth structure.3-5 This case study presents the successful restoration of an adult patient with severe dental anxiety, multiple cavities, discoloration, and a fractured tooth using a minimally invasive approach and esthetic zirconia restorations. Utilizing the zirconia material would enable the preservation of tooth structure while allowing esthetic and functional outcomes to be achieved.6,7 The implementation of CAD/CAM dentistry facilitated same-day restorations with exceptional marginal fit, supported by precise digital intraoral scanning.8-10
The patient, a 33-year-old woman, presented with complaints of several cavities, tooth staining, and discoloration around old restorations (Figure 1). She also said she had significant dental anxiety. She reported a pain level of eight out of 10 in tooth No. 14, which had undergone previous endodontic treatment with suspected fracture. The patient's dental history included recurrent childhood cavities with unidentified sources. Because of her anxiety, she requested sedation for all dental procedures.