2 occlusal planes, full arch

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Posted on By Jason Witons In Anterior/Esthetic

This guy has come in recently about 40 yo male. CC 7,8 need to be restored.

im going to let him know #9,10 need to go as well..

Im thinking implant in #10 with CT, for implant bridge 7-10

Would someone know the brands of implants?

#4 needs to go, 19 is out already, but implants 18,19, new crown to 29, NG after

any thoughts? any thoughts on the plane discrepancies?

thank you,

Jason




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2 Comments

maybe think about possible causes of failing dentition-certainly bruxism issues with possible sleep disturbance concerns
Also look at occlusal plane!


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Jason, It seems that you are looking at his problem on a tooth to tooth basis. This is eventually important and necessary but you may want to start more globally. If you don't have mounted study models I would recommend it along with more photos for complete diagnosis. I would also recommend that you get a CBCT that has a large field to include the TMJ and airway anatomy. Look at his Mallampati, Ankyloglossia Functional Classification, Epworth Score and a STOP-BANG as preliminary airway screening information. Take care Brian Mills


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