Occlusal rehap with composite, all zirconia single crowns and screw retained posterior implants
This 50+ year old female had a loose three unit upper right bridge that she wanted me to recement. It turned out to be a fractured-decayed abutment that could not be predictably restored. I made her a provisional 4 unit bridge and began to evaluate her entire mouth. She also asked me if I knew what could be done with her lower ill- fitting valplast partial so she could eat better. Realizing that this was a full mouth rehabiitation situation, we took photos and mounted study casts, diagnostic wax up and began to have several conversations about her condition, her wants, needs and expectations about future treatment. Her upper arch had already been restored but was compromised by ill fitting C & B, suspect post/ cores and endo. I gave her a plan and we began with her lower arch.
Composite build ups, screw retained implant and single crowns have been finished and her old C & B has been equilibrated to attenuate a more stable occlusion. Now her upper arch can be phased.