Clinical Attitude for Failed Fixed Restorations: An Overview

Abstract

Fixed prosthodontic failures are varied and complex. Complications associated with
conventional fixed prostheses are dental caries, need for endodontic treatment, periodontal disease.
Poor esthetic is one of the most frequent reasons for replacing failed restorations. Knowledge
regarding the clinical complications enhances clinicians to complete a thorough clinical
examination and diagnosis, and to develop an esthetic-driven treatment plan including the
selection of bleaching agent, the reconstruction type, and the ceramic material. This article
illustrates several clinical complications of full coverage restorations, and discusses different
therapeutic modalities which have to be combined and synchronized to enhance the esthetic
outcome of the final fixed prostheses.