Anterior Aesthetic Dilemmas

Anterior Aesthetic DilemmasAnterior Aesthetic Dilemmas

Cutting Edge Study GroupCutting Edge Study Group

2222ndnd May 2007 May 2007

Teresa HoTeresa Ho

Patient: Mrs G KhannaPatient: Mrs G Khanna Age: 45 years oldAge: 45 years old PMH: Arthritis (Celebrex)PMH: Arthritis (Celebrex) Chief Complaints: Chief Complaints: 1. Unhappy with colour of upper front tooth.1. Unhappy with colour of upper front tooth. 2. Would like something done about lower 2. Would like something done about lower

front teeth.front teeth.

PDH: PDH: Tooth 21 underwent RCT 18mths ago after Tooth 21 underwent RCT 18mths ago after

an accident. an accident. Missing tooth 31, lower anterior bridge made Missing tooth 31, lower anterior bridge made

>20 years ago, most unhappy with the >20 years ago, most unhappy with the discolouration and display of metal.discolouration and display of metal.

Provisional Tx Plan:Provisional Tx Plan:

Tooth 21Tooth 21

Internal bleaching Internal bleaching

Veneer/CrownVeneer/Crown

Tooth 41 and missing 31Tooth 41 and missing 31

Maryland BridgeMaryland Bridge

Zirconia cantilever bridgeZirconia cantilever bridge

Crown 41, single tooth implant for 31Crown 41, single tooth implant for 31