Bridge
,
Multidisciplinary approach

Complete loss of tooth
,
Excessive attrition
Courtesy of Dr M. Darda, 2021
Highlighted picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: male

Diagnosis

  • Excessive attrition
  • Complete loss of tooth on 4.1 (LR1), 3.1 (LL1)

Total Treatment Visits

  • 8

Treatment planning

  • Invisalign Moderate plan with goal of true intrusion of upper anterior and closure of upper anterior space , create space distal to upper lateral incisor for prosthetic replacement and open vertical space in anterior region for replacement of lower missing teeth
  • Crown 1.1 and 2.1
  • Prosthetic replacement on space distal to upper laterals with zirconia layering ceramic bridge.
  • Prosthetic replacement of lower anterior space 3.1 and 4.1 with zirconia layering ceramic bridge.
  • Removable night guard to prevent further attrition of posteriors and counseling session with patient and advised follow up after 6 month.

Comentarios

  • Patient had high bruxism, severe attrition, and short clinical crown - implant option discouraged here due to high chance of instability in future .
  • The zirconia with ceramic layering crown and bridges were chosen to improve crown heights and improve canine and anterior guidance for long term stability.

Images

Initial and final

InicialFinales
After picture of treatment
Before picture of treatment
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iTero Scans

Inicial
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Radiografías

Inicial Finales
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Progress Images

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