SMILE MAKEOVER CASE STUDY WITH DR. APA
The Challenge
Our patient, a finance professional from Switzerland, faced a unique dental challenge. He was congenitally missing his lateral incisors, a condition that significantly impacted his smile and overall dental aesthetics. As someone actively involved in starting a fund and raising money, he desired a solution that would not involve the lengthy and often uncomfortable process of wearing braces. After consulting with multiple doctors and orthodontists, he reached out to our clinic, seeking a creative solution to his problem.
Understanding the Case
When the patient presented himself at our clinic, it was evident that the absence of his lateral incisors had altered his smileÕs appearance. The primary goal was to create a natural-looking smile that compensated for the missing teeth. This required careful planning and consideration of several critical factors, including space management and the alignment of his dental and facial midlines.
Space Management
One of the first steps was to evaluate the space where the lateral incisors should have been. Proper space creation is essential to ensure that the final restorations look natural and function correctly. Our approach involved using Emax bridges with pink ceramic to create the necessary tissue contour, mimicking the appearance of natural teeth.
Evaluating and creating the necessary space involved several detailed steps. First, we had to determine the exact dimensions and positioning of the missing teeth. This required precise measurements and a thorough understanding of the patientÕs existing dental structure. We used advanced imaging techniques to map out the area and plan the space creation meticulously.
Midline Alignment
Aligning the dental midline with the facial midline is crucial for aesthetic harmony. We measured the patientÕs facial midline and planned to create a three-unit bridge that would include a lateral incisor and transform the adjacent canine into a proper tooth. Midline alignment is not just about aesthetics; it also plays a significant role in the patientÕs overall dental health. An improperly aligned midline can lead to bite issues and other dental complications. This meticulous planning ensured that the final result would be visually appealing and functionally sound.
The Procedure
To address the patientÕs dental needs comprehensively, we undertook the following steps:
Creating the Bridge: We designed a three-unit bridge to replace the missing lateral incisor and convert the adjacent tooth into a canine. This bridge was crucial for creating the necessary space and alignment.Creating the bridge involved several stages. Initially, we crafted a detailed mold of the patientÕs teeth to design the bridge. We then used Emax, a high-quality material known for its durability and aesthetic appeal, to construct the bridge. EmaxÕs strength and translucency made it an ideal choice for this procedure, ensuring that the final restoration would be both functional and visually appealing.
Raising the Bite: The patientÕs bite was collapsed, necessitating an adjustment. We decided to work on ten upper teeth, from the first molar to the first molar, and fourteen lower teeth. The lower teeth preparation was mostly prepless, except for softening the edges. We had to ensure that the new bite would be comfortable and functional for the patient. This involved adjusting the height and alignment of the teeth, creating a balanced and harmonious bite. The process was intricate, requiring precision and attention to detail.
Using Emax Bridges: The bridges and restorations were created using Emax, a highly durable and aesthetically pleasing material. Emax bridges with pink ceramic helped us achieve the desired tissue contour and natural appearance. The use of Emax bridges was a critical aspect of this procedure. EmaxÕs properties allowed us to create restorations that closely mimicked natural teeth, both in appearance and function. The pink ceramic used in conjunction with Emax helped create a natural-looking gum line, further enhancing the overall aesthetic.
About Company:-
Ubicados en el Barrio de Salamanca, junto a Castellana (Madrid), somos una cl'nica dental de referencia en alta estética y rehabilitaciones completas, ofreciendo un enfoque exclusivo para pacientes que buscan la máxima calidad y un servicio totalmente personalizado. Dirigidos por el Dr. Alejandro Prieto, reconocido a nivel internacional en implantolog'a avanzada, rehabilitaci-n oral completa y dise-o de sonrisas, nuestro equipo combina la última tecnolog'a con la excelencia artesanal para lograr resultados naturales y personalizados según las facciones de cada paciente.
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