plan2smile case report 03
DESCRIPTION
Patient with loss of central incisors and canines in the upper jaw. What would you do ?TRANSCRIPT
Plan2smile Case report 03Treatment possibilities after loss of incisors
Dr Luc Vrielinck, MD DDSGenk, Belgium
No 13 12 11 21 22 23
Height 16.4 16.07 14.76 17.91 16.54 15.06
Width 4.86 5.15 5.85 3.66 4.82 4.62
Situation• This patient desires a solution for missing anterior teeth
in the upper jaw• She has been wearing a removable prosthesis for
several years, the prosthesis has to be replaced• Is a fixed implant supported solution possible? • Additional data:
– Periodontal situation is satisfactorily:– Class III occlusion, dental compensated– Orthognatic surgery is not an option for the patient– Crossbite on the left side
19/12/2009: Starting situation
19/12/2009: Starting situation
19/12/2009: Starting situation
19/12/2009: Starting situation
19/12/2009: Starting situation
13 12 11 21 22 23
No 13 12 11 21 22 23Height 16.4 16.07 14.76 17.91 16.54 15.06
Width 4.86 5.15 5.85 3.66 4.82 4.62
In all the zones buccopalatal width is insufficient
Bone table analysis
With existing prosthesis.
19/12/2009: Starting situation
Without prosthesis
19/12/2009: Starting situation
With prosthesis
19/12/2009: Starting situation
Without prosthesis
19/12/2009: Starting situation
19/12/2009: Starting situation
19/12/2009: Starting situation
What would you propose to this patient ?
a. A new partial prosthesis?b. Bone reconstruction frontal and implants, followed by implant supported bridgec. A bridge on the natural teeth ?d. Other?
e. Why?