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. 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