Multidisciplinary approach

Complete loss of tooth
,
Dental caries limited to enamel
,
Dental caries penetrating into dentin
,
Erosion
,
Excessive attrition
Courtesy of Dr N. Kinariwala, 2023
Highlighted picture of treatment

Treatment Summary

Patient Information

  • Age: 52
  • Gender: female

Diagnosis

  • Dental caries limited to enamel on 1.2 (UR2), 3.5 (LL5)
  • Dental caries penetrating into dentin on 4.6 (LR6), 4.7 (LR7), 3.7 (LL7)
  • Excessive attrition on 1.6 (UR6), 1.7 (UR7), 2.3 (UL3), 2.4 (UL4), 2.5 (UL5), 2.6 (UL6), 2.7 (UL7), 4.1 (LR1), 4.2 (LR2), 4.3 (LR3), 4.4 (LR4), 4.5 (LR5), 4.6 (LR6), 4.7 (LR7), 3.1 (LL1), 3.2 (LL2), 3.3 (LL3), 3.4 (LL4), 3.5 (LL5)
  • Erosion on 1.1 (UR1), 1.2 (UR2), 1.3 (UR3), 2.1 (UL1), 2.2 (UL2)
  • Complete loss of tooth on 3.6 (LL6)

Total Treatment Visits

  • 10

Treatment planning

  • Appointment 1: Following consultation, an iTero scan along with intraoral photographs were taken and vertical dimension at rest was measured. Digital wax-up was performed using exocad and sent to lab to to fabricate the provisionals
  • Appointment 2: Oral prophylaxis was completed
  • Appointment 3: Caries removal and composite restorations in teeth #35, #37 and #46 was done
  • Appointment 4: Caries removal and indirect pulp capping with calcium hydroxide followed by GIC and composite restoration in tooth #47 was performed
  • Appointment 5. Removal of existing prosthesis from teeth #14 and #15 followed by crown lengthening in tooth #31, #32, #33, #34, #35, #41, #42, #43, #44, #45, #11, #12, #13, #14, #15, #21, #22, #23, #24, #25 was carried out
  • Appointment 6: Teeth preparation for full ceramic full coverage restorations for teeth #31, #32, #33, #34, #35, #37, #38, #41, #42, #43, #44, #45, #46 and #47 and provisionals for mandibular teeth with increased vertical dimension were delivered
  • Appointment 7: Teeth preparation for full ceramic full coverage restoration in teeth #11, #12, #13, #14, #15, #21, #22, #23, #24 and #25 and temporisation of maxillary teeth was done
  • Appointment 8: Occlusion was adjusted on the following visit and iTero scan was taken to fabricate the final prosthesis
  • Appointment 9: Cementation of final prosthesis was completed
  • Appointment 10: Follow up was done

Images

Initial and final

InizialeFinale
Before picture of treatment
After picture of treatment
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iTero Scans

Iniziale
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Progress Images

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