PMC3970072_01
Photograph showing the missing teeth.
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On examination it was observed that the patient had lost maxillary central and lateral incisors on both sides (Figure 1).
Posterior occlusal interference on mandibular lateral movement.
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Occlusion evaluation showed the protrusive and nonworking side contacts on left side (Figure 2).
Diagnostic wax-up for the missing teeth.
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Both abutments were prepared as full veneer porcelain fused with metal retainers (Figures 3 and 4).
Photograph exhibiting prepared abutment teeth.
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Both abutments were prepared as full veneer porcelain fused with metal retainers (Figures 3 and 4).
Provisional fixed partial denture in patient mouth.
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The provisional restoration was critical to evaluate esthetics and phonetics and get patient perspective on planned fixed partial denture (Figure 5).
Customised incisal table made according to provisional restorations.
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The alginate impression was made with provisional restorations, poured in dental stone, and mounted on the articulator with the face bow transfer. The customized incisal guidance table was fabricated with autopolymerizing acrylic on the semiadjustable articulator (Figure 6). The working dental cast was made from additional silicone impressions of the prepared abutment teeth.
Final definitive porcelain fused with metal prosthesis in patient mouth.
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The final porcelain fused with metal restoration was cemented over the glass-ionomer type I luting cement after requiring occlusion refinements (Figure 7).