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International Journal of Esthetic Dentistry  (English Edition)
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Int J Esthet Dent 3 (2008), No. 4     5. Nov. 2008
Int J Esthet Dent 3 (2008), No. 4  (05.11.2008)

Page 324-346, PubMed:19655545


Clinical Flexibility of the Metal Free Approach
Cortellini, Davide / Canale, Angelo
The present possibility of defining a plan for reconstructive treatment taking into consideration metal-free materials and related clinical procedures offers wider therapeutic options for the clinician and the dental technician, establishing function, esthetics and longevity in prosthetic rehabilitation.
The metal-free approach may be regarded as a new philosophy of treatment that extends beyond the solution of esthetic and cosmetic shortcomings in the anterior regions and involves a greater variety of complex clinical cases such as periodontal breakdown conditions and edentulous sites requiring implant therapies with varying degrees of difficulty. Nevertheless, as the use of new metal-free materials is such a recent introduction, there is insufficient long-term evaluation and scientific support available for these to be accepted as an established treatment option.
This article presents two complex prosthetic rehabilitations showing the applicability of the metal-free approach to different clinical conditions including, as well as healthy sites, various patterns of periodontal disease and edentulism.