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Full Mouth Rehabilitation

CASE 1 - Extreme Makeover

Extreme makeover:
Case 1 – The patient came to the clinic with badly mutilated teeth. The anterior teeth needed to be restored. Some teeth were root canal treated and some were restored otherwise. Screw posts were put, core build up was done and teeth were prepared to receive full-ceramic crowns. Removable prosthesis was placed to replace the posterior teeth.

  • Cosmetic Screwpost followed by core build up
  • Teeth were prepared and Full ceramic crowns were placed
  • Patient opted for removable prosthesis for lower posterior
  • Patient came with badly mutilated teeth
  • After restoring - Upper teeth
  • After Restorative treatment
  • Beautiful smile
  • Happy patient
  • Before treatment - Upper anteriors
  • Before treatment -Upper arch - Occlusal view
  • Before treatment - Lower anteriors
  • Before treatment - Lower arch - Occlusal view
  • Teeth were cleaned and root canal treated

CASE 2 - Extreme Makeover

Case 2 – A case of extreme makeover

Overdentures
Dentures replace the missing teeth
They can be of the following types:
–  Complete dentures – Replace the whole dentition
–  Removable partial dentures – Replace a few missing teeth
– Overlay dentures or overdentures – Different from partial and complete dentures as they take the support of implants or natural teeth. Please click here to read about overdentures or overlay dentures.

CASE 3 - 85 Year Old Lady

Case 3 – 85 year old lady with old anterior prosthesis. With thorough planning, her smile was made nice with aesthetic crowns and removable partial prosthesis.

  • Teeth were prepared and Full ceramic crowns were placed
  • Intra-oral Photo Showing Fiberpost used for Reinforcement
  • Reinforcement of endodontically treated teeth with screwpost
  • Radiograph of Right Lateral incisor
  • Core Build-up around the screw post
  • Reconstruction of the teeth with composite after reinforcement
  • Photograph of lower incisors for matching shade
  • Final Restoration With Aesthetic Crowns
  • Happy young patient of 85 years
  • R.V.G. Of Central incisors
  • Periapical Cyst in Left lateral Incisor under the fixed prosthesis
  • Left central incisor is relatively spared from caries
  • Left Lateral Incisor is symptomatic. Proximal caries on the canine
  • Cosmetic Screwpost followed by core build up

CASE 4

Case 4 – A gentleman of 58 years of age came to our clinic with complaint of pain in the upper right central incisor. On examination, we found pus coming out on the palatal side (pic 2). The tooth had about 1.5mm bone support (pic 5). He was suffering from periodontitis and had suffered a generalized bone loss and gingival (gum) recession. Due to severe bone loss, the teeth had migrated and were misaligned. On the lower arch, 2nd molars and incisors were missing (pics 7, 8). The patient had a deep bite along with abnormal over jet and required an increase in bite for a good healthy masticatory function and look. There were a few teeth which required root canal treatment and a few which needed to undergo repeat root canal treatment. Microendodontics was performed on the respective teeth. The main treatment consisted of scaling, root planning, flap surgery along with grafting of sterile alloplastic bone in the presence of Platelet Rich in Growth Factors (PRGF) (seen in pic 6) in the complete upper arch and the anterior region of lower arch. Two Frialit-2 implants were placed in the lower central incisor region (pic 9, 10, 11 & 12). A few months after healing, cosmetic treatment and prosthodontic rehabilitation (using precious metal fused to ceramic) was performed (pic13). The teeth have been aligned (pic 14). The gum and bone healed rapidly because of use of PRGF and good oral hygiene (pic 16). Restorations over the implants in the lower anterior region and lower posterior region enable good bite.

  • Bone grafting along with PRGF
  • Lower arch
  • Lower front teeth - place where 2 implants came later
  • Grafting
  • Bone grafted along with PRGF
  • 2nd Stage surgery- Placement of healing abutments
  • Impression taking for implant prosthesis
  • After implant prosthesis and performing restorative treatment on other teeth
  • Notice the alignment of teeth after treatment
  • Upper arch after treatment
  • Restorations over the implants in the lower anterior region
  • Smile after treatment
  • Notice the crooked alignent of teeth due to periodontitis and malocclusion
  • Periodontal flap surgery
  • The pus was removed and it is seen that the tooth has got approximately 1.5mm bone support
  • Before treatment
  • Upper arch - note the pus coming out at the upper right central incisor

Some people require major cosmetic and functional changes in most or all teeth. Full Mouth Rehabilitation is a complex procedure which requires

1. Complete Diagnosis which includes
-Communication with patient
-Facial Analysis
-Dentolabial Analysis
-Phonetic Analysis
-Tooth Analysis
-Gingival Analysis
2. In depth Treatment planning may include
–Tooth fillings
–Root Canal Treatment
–Gum Treatment
–Extractions
–Crowns and Bridges
–Implants
–Orthodontic Treatment
–Complete Dentures
–Implant Supported Dentures
3. Perfect Implementation of the Treatment Plan
4. Regular checkups and Maintenance

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