the case of a total dental reconstruction with a host of pitfalls and concomitant orofacial problems

Treatment planning and reconstructive prosthetic

management of TMD patient.

Preprosthetic dental therapy, surgery,

implantology, temporary prosthetics, control of

jaw relation stability in TMD patient, jaw models

rearrangement and check-up of the result

Dr. Budovsky Alexander Saint Petersburg

Состояние на момент обращения

profile left

oblique

frontal

profile rightoblique right

Multiple clefts and

erasibility on the

upper frontal dental

bridge - space

deficiency.

Fierce teeth

destruction and

erasibility.

Excessively flattened

cuspids of the crowns

Destruction and loss of lower teeth. The areas of

strong teeth erasibility in the front segment

Cephalometric analysis. Schwarz craniometrics

analysis

The fragment of disrupt disc

Ricketts analysis

Excessive destruction of dental hard tissues, caries relapse

Frontal teeth crowding

All frontal crowns are single

Defects of teeth hard tissues in a

relation to the pulp chamber

Space deficiency on the palatal surface to create

functional movements

Isthmus defect

The sketchy location of inlay and pin

Comparison of the location in a relation to preparation area, crown axis and upcoming axis

of a future crown

The tooth is before preparation to inlay. Crown preparation. After that root canals are handled with the root bores, largo№ 3 is maximum.

Then sharp and thin margins are cropped and smoothed over.

The criteria of interroot area preparation is excision of caries, old restorative

material removal and enough thickness of a tooth sides. Also sharp margins must be

smoothed over

Твёрдые ткани зубов сильно поражены и истончены в процессе предыдущего лечения и кариозного поражения. Наличие микротрещин в дентинеTooth hard tissues are extremely destructed and attenuated after

previous treatment and caries. Microclefts in a dentin

Microprosthetics

Clinical crown lengthening planning

Estimation of gingival margin correction according to post-resection root length and existence of vestibular cortical bone

Dentoalveolar elongation, generalized periodontitis and the area

of upcoming correction

Relation between gingival margin and old temporary crowns

Finished work in the oral cavity

Control occlusion 2 weeks after fixation of crowns

– the testprotocol interference contacts

Thank you very much!