International Dentistry - Vol. 12, No. 2 - 18

CASE REPORT

Lisi Press monolithic crowns
Karyn M. Halpern1 and Bill Marais2

Case background - Lisa

1

Karyn M. Halpern DMD, MS
Case study and technique

2

Bill Marais
Laboratory technician

Lisa was referred to my practice by my office manager Michele. She was very nervous,
having not been to a dentist in many years, and described having poor experiences
with her previous dentist.
Lisa was 49 years old at the time and otherwise healthy. Her initial clinical and
radiographic examination revealed that every tooth in her mouth was in need of some
sort of restorative treatment.
It was determined the etiology of Lisa's caries and periodontal disease was a
combination of a history of eating candy daily, occasional smoking, poor oral hygiene,
and iatrogenic dentistry.
Fortunately for Lisa, she was not in any pain or discomfort. This allowed for us to
prioritise her treatment and develop a plan that could be executed in stages using a
team approach amongst the periodontist, endodontist, hygienist, lab technician and
myself.
Lisa's treatment began with a full mouth debridement and referral to our periodontist.
The periodontist performed extractions and socket preservation of hopeless retained
roots #'s 14 & 30. Removal of failing ill-fitting PFM crowns with severe recurrent decay
on teeth #'s 15, 19, & 31 was completed and milled nano ceramic resin crowns were
placed as long term provisionals. The endodontist then completed root canal
retreatments on both #'s 19 & 30.
Lisa was educated on proper diet, hygiene, and placed on Carifree toothpaste and
CTX3 rinse. She then underwent full mouth scaling and root planing therapy. She was
educated on the importance of prevention and maintenance.
After seeing much improvement in her hygiene and periodontal health, it was decided
to proceed with creating our blueprint for her full mouth rehabilitation. This was achieved
with diagnostic impressions, diagnostic photos, occlusal analysis of mounted casts, and
completion of full mouth diagnostic wax up of all teeth to receive indirect restorations.
After consulting with
Lisa, it was decided to
proceed with the next
phase of restoring her
maxillary arch with all
ceramic crowns.
Lisa's
maxillary
anterior teeth had a
history of a mosaic of
multiple failing resin
fillings per tooth as
well as root canal
treatments on teeth #'s
7,8 & 9.

18 INTERNATIONAL DENTISTRY - AUSTRALASIAN EDITION VOL. 12, NO. 2



Table of Contents for the Digital Edition of International Dentistry - Vol. 12, No. 2

Contents
International Dentistry - Vol. 12, No. 2 - Cover1
International Dentistry - Vol. 12, No. 2 - Cover2
International Dentistry - Vol. 12, No. 2 - Contents
International Dentistry - Vol. 12, No. 2 - 2
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International Dentistry - Vol. 12, No. 2 - Cover3
International Dentistry - Vol. 12, No. 2 - Cover4
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