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MaryJane wanted her "crowns finished" in her upper arch. She had severely crowded and over-erupted lower interiors, loss of keratinized tissue in some areas and reluctance to restore her teeth she thought were already "done"
Cornelia broke several front teeth and was concerned others would break as well. She was also diagnosed with GERD but has lesions which are not completely consistent with GERD. She had gingival levels which were unesthetic.
Chris presented with a chief complaint of very sensitive front teeth. The case is a severe anterior wear case secondary to parafunction and a deep bite. He is bimaxillary protrusive, although with a marginal skeletal discrepancy. The case was beautifully treated with an orthodontic and a restorative solution although the discussion of orthognathic surgery is valid for this case.
This is a case that is easily treated by most GP's with some advance planning and partnering with an orthodontist. The restorative discussion revolves around the pre-case planning, using composite to make the orthodontic treatment easier and more predictable, and when the final restorations need to be completed.
Chris has provisional composites that were never converted to porcelain because he moved away.
Delanie is a 15 year-old with multiple missing permanent teeth. She hates her smile and her parents are concerned about her social development and self-confidence. She currently wears a removable appliance that she doesn't like.
This is an interdisciplinary treatment planning challenge that will need input from multiple specialties.
Unfortunately, there are no longer any pre-treatment models available but everything to work through the case is in the resources for this learning module
Implants have helped us restore situations that were not easily restorable in the past.
However, with over 30 years of retrospective knowledge of implant dentistry, we now know more than ever about what works long term.
In this module, Frank discusses five cases where a decision to remove and place an implant or to retain a questionable tooth is the immediate concern, and then shows the long-term results of the decisions.