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KNOWLEDGEHUB
ASimpleRestorativeSolutiontoaDifficultAestheticCaseDr.NeilWilsonSpecialistinProsthodontics
Sharingknowledgeandstimulatingconversation
betweendentalprofessionals.
Thiscasehighlightstheneedtohaveastabilisationphaseandthennottorushtothefinal
decisionwithoutcollectingtheinformationphase.Also,implantsarenottheonly
optionwhenreplacingmissingfrontteethandsometimestherearebetteroptions
especiallywhenwehavesuchasignificantlossofbone.
Joinintheconversations
RestorativeSolutiontoAestheticCase-March2016
BACKGROUND
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Thisladyinhermidfiftieswasreferredtotheclinicbecauseofherfailedspringcantileverbridgewhichreplaces“11”using“15”and“16”assupported.Twoyearspreviouslyherteethhadbeenknockedandpushedtheponticinthe“11”region
labiallymakingitunaesthetic.
RestorativeSolutiontoAestheticCase-March2016
TREA
TMEN
T
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Thefirstphaseoftreatmentwastoremovethebridgeandassesstheretainers,whichwere“15”and“16”whichwerelinkedtogether.Onremovalofthecrownscarieswasevidentinbothretainers,butspecifically“15”,whichwasnon-vitalandroot
canaltreatmentwasundertaken.
RestorativeSolutiontoAestheticCase-March2016
RADIO
GRAPHS
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Rootcanaltreatmentwasundertaken-onthethirdradiographtherootfillingcanbeseen.
RestorativeSolutiontoAestheticCase-March2016
DIA
GNOST
ICW
AX-U
P
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Temporarycrownswereplacedon“15”and“16”andasimpledenturemadetoreplace“11”.Wethenwaxedupthemodelssowecouldseewhatcouldbedonetoimprovetheaesthetics.
RestorativeSolutiontoAestheticCase-March2016
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Dr.Wilsondecidedtotakesomeadjustmentof“21”tostraightenthetoothandalsoaddcompositeto“12”and“21”toimprovetheappearance.TheseimagesshowtheDuralayJigsusedtoadjust“21”andthepalatalmatrixusedtobuildup“12”and“21”.
DIA
GNOST
ICW
AX-U
P
RestorativeSolutiontoAestheticCase-March2016
TREA
TMEN
T
©2016 www.centralenglandreferrals.co.uk
Thenewdentureinpositionfollowingtheadjustmentof“21”andthecompositeadditionsto“12”and“21”.
RestorativeSolutiontoAestheticCase-March2016
RES
ULT
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Oncewewerehappywiththeappearanceofthecompositebuild-upsandnewdenture,anadhesivebridge
wasmadetoreplace“11”using“21”forsupport.“15”and“16”thenhadmetalceramiccrownsplaced.Theshadewastakeninthelabbecauseofthedifficultyofreplacingasinglecentralincisor.
RestorativeSolutiontoAestheticCase-March2016
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Advancedrestorative
Complexdentalimplantwork
Prosthodontics
Referra ls to Ne i l Wi l son
©2016 www.centralenglandreferrals.co.uk RestorativeSolutiontoAestheticCase-March2016
