Planning for success and aesthetic predictability while managing an aesthetic failure in the anterior zone represents a great challenge for the dental team. The natural appearance and aesthetic outcome of the tooth restoration depends ultimately on the execution and understanding of the team participating in the different treatment phases. The goal to create a harmonious “esthetic” outcome around failing teeth that mimics the surrounding dentition and soft-tissue condition as well as morphology is indeed difficult to create and maintain long term. The presentation focuses on the different clinical criteria, sequencing/timing and current surgical-prosthetic techniques for maximizing optimal aesthetics in conjunction with orthodontics a critical element for achieving gingival integration and aesthetic success involving complex natural teeth failures.
The aim of the presentation is to identify the difficulty when planning the rescue of a failure case: timing, sequencing and case presentation to patient acceptance.