How to Rehabilitate the Anterior Using the New Celtra Press and Celtra Ceram

The inherent challenge was to create a restoration with esthetic quality and sufficient strength to guarantee stable, long-term results. 

Dental Team: Joris Kloster, Dentist, and Markus Stork, MDT, from Wiesloch and Braunschweig, Germany respectively.

Restorative Challenge: A 33-year old patient presented with periodontitis. A few years earlier, tooth #24 had become mobile, had to be extracted and a bridge was placed on teeth #23-25. This bridge loosened repeatedly and frequently had to be re-bonded. There was a ceramic implant on tooth #12, and all four quadrants included posterior teeth with ceramic inlays or partial crowns as well as composite fillings. Horizontal bone loss due to persistent chronic periodontal disease in the posterior region was evident radiographically. 

Tooth loss in the anterior mandibular region can be a challenging situation. To ensure stability...