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RESTORATIVE
RESTORATIVE
CROWN & BRIDGE
4-Unit Bridge

  • Patient presented with broken incised edges on #11&21, and was unsatisfied with bridge aesthetics.

  • Cement-retained bridge was removed and replaced with angled-screw retained temporaries to correct protrusive contacts and train soft tissue.

  • Final bridge included an ovate Pontic design on #11, 21 and shorter incisal edges on #12, 21.

Anterior Makeover

  • Patient had undergone increase in vertical dimension, and wanted to finish anterior make-over to complete case.

  • Wax-ups and try-ins were prior to prepping anterior teeth to accommodate new function and improve aesthetics.

  • Upper teeth were prepped and temporaries were worn untilfunction an aesthetics were optimal.

  • Final uppers were inserted, and lowers were inserted 6 month later.

#45-47 Bridge, #14 Implant Crown

  • Patient presented had extractions of teeth #47, 46, 45 due to extensive caries. Teeth were extracted and a #45-47 bridge treatment planned. Tooth #14 had vertical root fracture, and #14 implant was also treatment planned.

  • Implants were placed. 5 months later, open-tray impressions of implants were taken to fabricate bridge and single crown.

  • Final restorations were inserted at the same visit.

#12 Crown Remake

  • Patient presented with staining on. #12 crown. Had been done recently. Marginal Leakage was diagnosed.

  • Crown was removed, and tooth re-prepped to remove stained dentin layer.

  • Stump shade and custom shading was used to match colour.

  • Variolink aesthetic try-paste and cement was used at insertion to finalize colour match.

CROWN & BRIDGE
ALL-ON-X
Lower All-on-4 Planning
All-on-4 Convesion
Suturing & 2wk Post-Op
CROWN & BRIDGE
ALL-on-X
SURGERY
Congenitally Missing Laterals
2018.06.04 Pre-op Pan
Screen Shot 2019-06-05 at 4.21
Screen Shot 2019-06-05 at 4.21
2019.02
2019.02.15 GBR #12, #22 Implants (3)
2019.02.15 GBR #12, #22 Implants (1)
2019.03.01 2 wk Post-Op (1)
2019.03.01 2 wk Post-Op (3)
2019.03.01 Post-Op Pan

  • Young patient presented with congenitally missing laterals, which had been replaced with Maryland bridge and flipper. Patient wanted implant solution, without orthodontic treatment.

  • CT scan showed narrow MD spaces on #12, 22, and signifcant buccal depressions.

  • Implants & GBR were placed at same time.

  • 2 week post-op images and panoramic

  • Currently waiting for osseointegration before insertion of #12, 22 implant crowns.

  • Wax-up for #12-22 make-over will be used to plan for anterior aesthetics. 

Loose #47-45 Bridge
2019.02.13 Quad 4 Pre-op
2019.03
2019.03.13 #45, 47 2wk Post-Op
2019.03.13 #45 #47 2wk Post-op (3)
2019.03

  • Patient presented with loose #45-47 bridge. Abutment teeth showed gross decay under bridge, and poor periodontal prognosis.

  • A #45-47 bridge was treatment planned for the site.

  • Removal of bridge, extraction of teeth #47 and #45, and immediate implant placement were done in one visit.

  • 2 week follow up showed good healing and adequate KT around implant collars.

  • #45-47 implant bridge will be inserted once osseointegratrion is adequate.

SURGERY
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