Occlusal rehap with composite, all zirconia single crowns and screw retained posterior implants

35 Rating(s).


Posted on By Jeffrey Sims In Occlusion

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.

pre op
compsite build ups

implant #30
implants #19, 20 & composite #21


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4 Comments

This is exactly how a dentist should handle this case.
All of my full mouth rehabs are first done in resin which establishes CR, vertical, the correct incisal edge position and ideal plane of occlusion.
The case is then converted to a simple C & B case in a stress free manner. This also allows treatment to be completed over several years without compromising any of the fundamentals of the case.
You are excellent in your treatment planning.
Will you be in Fl next week?
Regards,
gerald


Reply

Thank you for your kind words Gerald. I will not be in FL unfortunately.


Reply

You did it again, Jeff! Really nice result and great planning.


Reply

Thank you Dr. Goldstein!


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