Female patient presented to our practice and requested to have her ‘’mouth reconstructed’’.
Medical history included radio-therapy as adjunctive treatment to malignant tumor on larynx (10 years back). Ever since no other malignant findings occurred.
Xerostomia i.e limited saliva was spotted.
Dental findings:
failed teeth and prostheses, severe periodontitis, mal-occlusion due to over-erruption of left teeth as a result to osteoarthritis on her left Temporomandibular joint.
Treatment
Referring specialist surgeon proceeded with tooth extractions and simultaneous placement of 5 implants on upper jaw (immediate placement and loading).
Assessed high-risk as she was due to her medical history, immediate loading was done with reinforced temporary bridge in 2 days. On her temporary aesthetics was enhanced as her front teeth were skeletally protruding (they sticked out). Modifications on her temporary bridge helped reduce that protrusion and served as a guide to fabricate her final bridge after 6 months
Almost simultaneously orthodontic treatment was launched on her lower native teeth to correct severe mal-occlusion (cross-bite)
Female patient presented to our practice and requested to have her ‘’mouth reconstructed’’.
Medical history included radio-therapy as adjunctive treatment to malignant tumor on larynx (10 years back). Ever since no other malignant findings occurred.
Xerostomia i.e limited saliva was spotted.
Dental findings:
failed teeth and prostheses, severe periodontitis, mal-occlusion due to over-erruption of left teeth as a result to osteoarthritis on her left Temporomandibular joint.
Treatment
Referring specialist surgeon proceeded with tooth extractions and simultaneous placement of 5 implants on upper jaw. Patient was immediately restored with reinforced temporary bridge (metal-acrylic).
As several complexities were to be treated, final zirconia bridge had to wait a trial period of six months before placement.
During this period orthodontic treatment was launched on her lower native teeth (braces) to help correct severe mal -occlusion (cross bite)
Additional modifications on her temporary upper dentition were done: protrusion was corrected and prosthetic teeth were moved slightly inward to give a pleasant outcome
Final prosthesis
With state-of-the-art intraoral scanner TRIOS by 3Shape position of her implants was scanned and zirconia framework was cut in milling machine (CNC).
Challenge was to provide smooth tooth contacts due to severe mal-occlusion.
Patient reviewed her prosthesis as fully satisfactory. Hew lower jaw issues are still on hold due to financial impediments
