Treating Severe Attrition - Help Gerald!!!!
80 year old healthy male desires cosmetic dentistry at the urging of his spouse. DSD, wax up and mock up were done. Guide created to assist in clinical crown lengthening. esthetic provisionals let in place for 2 months to allow healing and verification of esthetics and phonetics. Crown and Bridge using translucent Zirconia (no layering due to bruxism habit) and Panavia with 10-MDP bonding agent. Immediate implants in positions 14,15,30. Retained implants in positions 3,18,19 and re-restored. Followed with centric relation night-guard.
Marcelo Silva, DDS
Gerald Benjamin, DDS
Esthetics Dental Studio, Cypress, Texas