Modified porcelain-fused-to-metal restorations and porcelain laminates for anterior aesthetics.

Since the late 1950s, porcelain-fused-to-metal (PFM) restorations have remained a standard modality for rehabilitation of anterior dentition. This article discusses recent modifications to improve aesthetics, using clinical cases to present the multifaceted potential of this type of restoration. Color and contour are discussed. The use of a combination of laminate veneers and PFM restorations is presented in cases where the crown restorations of the adjacent teeth are not necessary, but color and contour require enhancement to achieve an aesthetic result. The learning objective of this article is to review the utilization of the improved porcelain laminates and the modified PFM crowns.