Integration of a Maxillary all Ceramic Fixed Partial Denture with Zirconia Framework: A Clinical Report

The integration of a maxillary all- ceramic fixed partial denture (FPD) is esthetically, functionally and periodontally demanding. It requires careful study, correct diagnosis, appropriate decision and impeccable implementation. We report the case of a patient claiming the replacement of a defective metal-ceramic FPD replacing the maxillary first premolar (24) and supported by the canine (23) and second premolar (25). The problems found were a reduced prosthetic occlusal height (POH) due to hypertrophy of the edentulous ridge, a reduced coronal height and a poorly aligned free gingival margins. The decision was to make a new all- ceramic FPD with zirconia framework. Corrective surgery of the edentulous ridge was performed in the preprosthetic phase. Tissue healing was guided by a transitional prosthesis. A period of 6 months was required for the final maturation. The choice of the material as well as the prosthetic design made it possible to make a compromise between the biological, aesthetic and mechanical requirements.