A Milled-Provisional Crown with Attachment: A Novel Prosthodontic Design to Facilitate Orthodontic Treatment

Background: This case report addresses the challenges of integrating orthodontic and prosthodontic treatment, particularly in clear aligner cases. The study introduces a novel milled-provisional crown with attachment (M-PCA) technique designed to enhance treatment efficacy and reduce orthodontic attachment debonding, a common issue in clear aligner therapy. Case Report: This is a case report that presents a 49-year-old female patient seeking orthodontic treatment for Class III malocclusion along with periodontal and prosthodontic challenges. The treatment plan involved a multidisciplinary approach, including using M-PCA for temporization during clear aligner therapy. Conclusions: The M-PCA approach demonstrated promising results, with no reported complications such as orthodontic attachment debonding throughout the treatment period. This innovation offers a significant advantage in managing orthodontic cases requiring provisional crowns, ensuring retention, and facilitating orthodontic treatment.