(1) Gingival inflammation is an ongoing challenge in tooth-supported fixed restorations, especially when the prosthetic margin does not consider the supracrestal tissues of patients. This case report aimed to present the case of a patient who was periodontally compromised due to a previous invasion of the supracrestal tissue attachment with fixed restorations and evaluate the healing response of periodontal tissues to a vertical edgeless preparation technique: bleeding upon probing (BOP), periodontal probing depth (PPD) and clinical attachment level (CAL). (2) After tooth preparation, the new restorations were adapted, this time without invading the supracrestal space of the patient, and CAD/CAM monolithic zirconia crowns were fabricated. (3) Optimal maturation of the soft tissue was observed, achieving correction of the marginal contour of periodontal tissues and improvement of periodontal indexes. (4) It can be concluded that the BOPT technique combined with a full digital workflow is a valid option for the correction and remodeling of gingival architecture.
Background/Objectives: The increasing use of digital manufacturing techniques in prosthodontics has raised concerns regarding the long-term esthetic performance of provisional restorations. This in vitro study aimed to compare the color stability of provisional restorations fabricated by additive (3D-printed) and subtractive (milled) manufacturing techniques after immersion in common staining beverages. Methods: Eighty polymethyl methacrylate (PMMA)-based specimens (16 × 1 mm) were fabricated and divided into two groups: additive (n = 40) and subtractive (n = 40). Each group was immersed in coffee, red wine, green tea, or cola for 60 and 120 h at 37 °C. Color measurements were recorded using a spectrophotometer in the CIE LCh* system, and color differences (ΔE00) were calculated using the CIEDE2000 formula. Data were analyzed using repeated-measures analysis of variance (ANOVA) and Tukey post hoc tests (α = 0.05). Results: Additively manufactured specimens showed significantly higher color change (ΔE00) values than subtractively milled specimens across all immersion media and time intervals (p < 0.05). Red wine and coffee caused the greatest discoloration, whereas cola produced the least effect. Conclusions: Within the limitations of this study, additive manufacturing resulted in lower color stability than subtractive fabrication. Subtractive PMMA materials exhibited superior optical behavior, suggesting their suitability for long-term provisionalization in esthetically demanding clinical situations.