© 2016 www.centralenglandreferrals.co.uk KNOWLEDGE HUB A Simple Restorative Solution to a Difficult Aesthetic Case Dr. Neil Wilson Specialist in Prosthodontics Sharing knowledge and stimulating conversation between dental professionals. This case highlights the need to have a stabilisation phase and then not to rush to the final decision without collecting the information phase. Also, implants are not the only option when replacing missing front teeth and sometimes there are better options especially when we have such a significant loss of bone. Join in the conversations Restorative Solution to Aesthetic Case - March 2016
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©2016 www.centralenglandreferrals.co.uk
KNOWLEDGEHUB
ASimpleRestorativeSolutiontoaDifficultAestheticCaseDr.NeilWilsonSpecialistinProsthodontics
Sharingknowledgeandstimulatingconversation
betweendentalprofessionals.
Thiscasehighlightstheneedtohaveastabilisationphaseandthennottorushtothefinal
decisionwithoutcollectingtheinformationphase.Also,implantsarenottheonly
optionwhenreplacingmissingfrontteethandsometimestherearebetteroptions
especiallywhenwehavesuchasignificantlossofbone.
Joinintheconversations
RestorativeSolutiontoAestheticCase-March2016
BACKGROUND
©2016 www.centralenglandreferrals.co.uk
Thisladyinhermidfiftieswasreferredtotheclinicbecauseofherfailedspringcantileverbridgewhichreplaces“11”using“15”and“16”assupported.Twoyearspreviouslyherteethhadbeenknockedandpushedtheponticinthe“11”region
labiallymakingitunaesthetic.
RestorativeSolutiontoAestheticCase-March2016
TREA
TMEN
T
©2016 www.centralenglandreferrals.co.uk
Thefirstphaseoftreatmentwastoremovethebridgeandassesstheretainers,whichwere“15”and“16”whichwerelinkedtogether.Onremovalofthecrownscarieswasevidentinbothretainers,butspecifically“15”,whichwasnon-vitalandroot
canaltreatmentwasundertaken.
RestorativeSolutiontoAestheticCase-March2016
RADIO
GRAPHS
©2016 www.centralenglandreferrals.co.uk
Rootcanaltreatmentwasundertaken-onthethirdradiographtherootfillingcanbeseen.
RestorativeSolutiontoAestheticCase-March2016
DIA
GNOST
ICW
AX-U
P
©2016 www.centralenglandreferrals.co.uk
Temporarycrownswereplacedon“15”and“16”andasimpledenturemadetoreplace“11”.Wethenwaxedupthemodelssowecouldseewhatcouldbedonetoimprovetheaesthetics.
RestorativeSolutiontoAestheticCase-March2016
©2016 www.centralenglandreferrals.co.uk
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
©2016 www.centralenglandreferrals.co.uk
Oncewewerehappywiththeappearanceofthecompositebuild-upsandnewdenture,anadhesivebridge
wasmadetoreplace“11”using“21”forsupport.“15”and“16”thenhadmetalceramiccrownsplaced.Theshadewastakeninthelabbecauseofthedifficultyofreplacingasinglecentralincisor.
RestorativeSolutiontoAestheticCase-March2016
Click here to refer or: Call 0121 478 3770 Email [email protected]
Advancedrestorative
Complexdentalimplantwork
Prosthodontics
Referra ls to Ne i l Wi l son
©2016 www.centralenglandreferrals.co.uk RestorativeSolutiontoAestheticCase-March2016
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