1. All ceramic (metal free) restorations
Patient is concern about her unattractive smile, showing too much gums and wear (thinning) on the teeth.
Before treatment photos
After treatment photos
Patient is very happy with the treatment results. Treatment with metal-free restorations along with gum surgery (crown lengthening). Ideal esthetics and occlusion achieved.
2. Amalgam (mercury) filling replacement with full coverage restoration and cast gold inlay
3. Tooth angle correction with restorations
Patient presented with unsatisfied appearance of two lateral incisors, labial veneer and all ceramic crown.
Alignment of the teeth were able to be corrected with the prosthetic treatment approach.
4. Cast gold restorations
Despite they are not tooth colored, I still believe that cast gold restorations will serve the functions, excellent marginal integrity, and maintain tooth structure integrity in the long run with conservative tooth preparation.
5. Combination of fixed and removable partial dentures.
Poor marginal integrity caused caries under right gold crown. A surveyed porcelain fused-to-metal crown was fabricated in corrected occlusal plane. Maxillary Complete Denture and Mandibular Removable Complete Denture upon completion of treatment.
6. Fixed Partial Dentures (Bridges)
Patient is dissatisfied with the black gum line on existing bridge. New bridge replacement with improved esthetics.
Fixed partial denture (fixed bridge) on the lower right.
7. Root canal treated tooth
Tooth # 20 (second left premolar) was root canal treated due to irreversible pulpitis/sub-acute peri-radicular periodontitis.
Tooth was prepared for a gold cast post core and full coverage restoration. Provisional in place, tooth with cast post core seated, and final restoration in place.
8. Temporo Mandibular Joint (TMJ) and Bite corrections
Due to worn dentition no occlusion in centric and protrusive movements.
Periodontal crown lengthening and 6 anterior metal-free restorations restore this patient’s functions and appearance.
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