Case 154 | The Award 2017 | Italy

Case 154 | The Award 2017 | Italy

Luca Lavorgna DDS and Vincenzo L’Afflitto CDT

Full mouth rehabilitation: a prosthetic and periodontal complex case.

ALL CLINICAL CASES

Treatment Plan

_1

Treatment Plan and Targets_2

Right profile of the patient _3

Left profile of the patient _4

Smiling profile _5

Frontal view _6

Frontal view: we can evidence gummy smile and uncorrect Wilson curve _7 _8 _9

Frontal view: we can evidence gummy smile and uncorrect Wilson
Laterale view: we can evidence uncorrect Spee curve _10

Maximum intercuspation at baseline _11

Upper arch at baseline _12 _13

Lower arch at baseline _14 _15

Occlusal view _16

Status Rx at baseline _17

The project: diagnostic wax up of I° sextant _18 _19

The project: mock up of I° sextant _20

I° sextant: we desire to give new harmony at soft tissue _21

We can actuate the project by means of a surgical template _22

Osseo-resective surgery of I° sextant _23

Remodelling of soft tissue: the new proportions _24

First control post-operative _25

The project: template for controlling teeth preparations _26

Teeth preparations: 1.2 and 2.3: crown; 1.3, 1.1, 2.1, 2.2: veeners _27

The impression: VPS _28

Manufact goods: layered lithium disilicate _29 _30

Posterior preparations: 1.4 and 2.5: partial crown; 2.6 and 2.7: full crown _31

The project of lower arch: diagnostic wax up and mock up _32

Preparations by means of template (mock up ) _33

The impression _34

Manufact goods: layered lithium disilicate for anterior teeth and premolars acrylic provisionals for molars _35

The project: respecting the wax up for pressing lithium disilicates _36

Manufact goods: layered lithium disilicate for anterior teeth and premolars acrylic provisionals for molars _37

Manufact goos in articulator _38

Implant surgery of edentulous sites: 1.5 e 1.6; we did sinus lifting 6 month before inserting implants _39

Screw-retained implant supported crowns: monolithic zirconia layered in the vestibular surface _40

We didn’t variate functional parameters of patient: No VDO augmentation, so we can cross each mounted model in articulator _41

Final status rx: 1 year follow-up _42

I° sextant: details _43

V° sextant: details _44

Full arches view _45

Maximum intercuspation and guidance (anterior and canine) _46

close-up: pre-op and post-op _47

12 o’ clock view _48

Extraoral view of patient _49

Our satisfaction _50

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Case 154 | The Award 2017 | Italy ultima modifica: 2017-03-01T16:18:49+00:00 da Team Zerodonto

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