Masking a Metal Cast Post and Core Using High Opacity e.max Ceramic Coping: A Case Report

RATIONALE: Advancements in dental biomaterials have led to the introduction and application of ceramic-based restorations in dental practice. Currently, ceramic restorations are used in crowns and fixed partial dentures. The optical properties of ceramic restorations are comparable to natural teeth in terms of light scattering and transmission. However, the translucency of ceramic restorations could be a limitation if cemented over metal posts or severely discolored dentin. Therefore, accomplishing the maximum esthetic outcome mandates adequate management of severely discolored foundation. PATIENT CONCERNS: The patient wanted to improve the esthetic of his anterior teeth. DIAGNOSIS: This case report describes a clinical case in which the patient had defective restoration in his upper anterior teeth and base-metal cast post and core in his left lateral incisor (tooth #22). INTERVENTIONS: Metal-free full crowns were used in the anterior zone of the maxilla with the help of e.max HO (high opacity) coping to mask the dark core buildup of the base-metal post and core on tooth #22. OUTCOMES: The color of the substrate was masked completely. The esthetic of the anterior teeth was improved and the patient was highly satisfied with the outcome. LESSONS: e.max HO coping offers clinically acceptable masking ability.