A 38-year-old man visited Denty’s Kondapur with his daughter to accompany her for a routine dental check-up. We also happened to motivate him to get a dental check-up done. During his dental screening he conveyed his aspiration of getting a better smile and always wanted to change his smile from the past 10 years. He never got around getting it done because he was being advised by other dentists for surgical procedures. On clinical examination, forward placement of his upper front teeth along with spacing between them and also a missing 21 tooth with a history of trauma twenty years back. On radiographic examination root stump in relation to 21 present.
The patient was being given a treatment plan which included extraction of the root in relation to 21 and orthodontic treatment. At the age of 38 years the patient was unwilling for long term treatment and wanted treatment which could be finished with minimal dental chair side visits and also least traumatic intervention because of his busy schedules.
Smile designing was planned for the patient addressing complains of spacing and proclined teeth.
The patient being an IT professional where his work involved lot of presentations & interaction with people faced little speech difficulties which he could overcome with his confidence escalated to much higher levels due to his new found smile from Denty’s. Diagnostic casts were made and mock preparations were done on the cast to show the outcome of the treatment to the patient. The patient was very much happy with the outcome and agreed for the treatment.
In the first stage of the treatment single sitting intentional RCT was performed in relation to 11, 12, 22.
Extraction of the root stump in relation to 21 was done. Following which crown preparation was done and temporary bridge given. The temporary bridge was given with ovate pontic with the idea of more natural look; where in the pontic seem to be emerging out of the gums. The crown of choice was LAVA PREMIUM so as to get the natural translucency and texture of the teeth, great care was taken in the shade selection and shade mapping was also done with good accuracy. Bridge with Lava Premium crowns was fabricated with the same principle of ovate pontic. Try – in was done both in natural and illuminated lights. Patient was fully satisfied with the result we achieved.
The treatment was completed as per patient‘s priority of minimal dental chair side visits, correction of proclination and spacing too.
Smile design being a craft, a piece of art that, through science and technique, can create the perfect individual smile design helped the patient live life more confidently.
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