Smile Re-Designing Prosthetic Bridge Change
Chief Complaint
- The patient is concerned about protruding upper teeth and wants dental correction for the same.
- Getting married in 10 days.
History
The patient underwent extractions followed by a metal ceramic bridge 2 years ago for:
- Space closure
- To reduce anterior proclination
The patient wants further improvement of:
- Proclination
- Aesthetics
Extra Oral Examination
- Skeletal Class II
- Profile Convex
- Bulky anterior bridge
- Increased proclination
- Opaque
- Shade discrepancy
- Discolored canines
Out of Arch Alignment
Treatment Plan
Option 1
Surgical correction (BIMAX) followed by prosthetic rehabilitation
Option 2
Dental correction only
The patient was informed about the need for surgery for complete correction of skeletal defect
The patient preferred dental rehabilitation-only due to time constraints (wedding in 10 days)
The patient was informed about the possibility of:
- Improvement in aesthetics.
- Minimal improvement in proclination Written consent obtained.
- Bridge Removal
- Recontour Crown Preps in Laterals (Reduce Proclination)
- Involve Canines to Improve Aesthetics
- Arch-form Continuity
- Improved Retention
- Discoloration of Canines
Final Bridge Cementation
- Bulkiness reduced
- Proclination reduced
- Teeth brought into arch-alignment
- Reduced proclination excellent contouring (Dentcare)
Duchenne’s Smile
- Well contoured prosthesis
- Excellent emergence profile