Single crown
,
Bridge
,
Multidisciplinary approach

Complete loss of tooth
,
Gingival and edentulous alveolar ridge lesions associated with trauma
,
Gingival recession
,
Horizontal alveolar bone loss
,
Unsatisfactory restoration
Courtesy of Dr J. Milgate, 2020
Highlighted picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: male

Diagnosis

  • Gingival recession on 1.1 (UR1)
  • Gingival and edentulous alveolar ridge lesions associated with trauma on 1.2 (UR2)
  • Horizontal alveolar bone loss on 1.2 (UR2)
  • Complete loss of tooth on 1.2 (UR2)
  • Unsatisfactory restoration on 1.1 (UR1)

Total Treatment Visits

  • 10

Treatment planning

• Initial restorative and general dentistry completed including extractions of grossly carious 12 and 16 , direct composite restorations and RCT 11
• Teeth alignment and space creation utilizing Invisalign clear aligners over approximately 10 months
• Use of digitized patient models and ClinCheck software to create ideal tooth width space
• Tooth preparations performed, palatal preparation for Maryland PFM Bridge.
• Preparations scanned using iTero
• 11 inserted with luting cement, 13 maryland wing was cemented
• Post operative iTero scans taken for Vivera retainers

Comments

Financial factors not favorable for implant treatment; therefore, we selected the Maryland bridge approach.

Images

Initial and final

InitialFinal
After picture of treatment
Before picture of treatment
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iTero Scans

Initial Final
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Radiographs

Initial Final
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Progress Images

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