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.

1. Bridge Removal

2. Recontour Crown Preps in Laterals (Reduce Proclination)

3. 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