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

The integration of a maxillary allceramic 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 FPDreplacing the maxillary first premolar(24) and supported by the canine (23) and second premolar(25).The problems found were a reduced prostheticocclusal height(POH) due to hypertrophy of the edentulous ridge, a reduced coronal height and a poorly aligned freegingival margins. The decision was to make a new allceramic 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.