PMC5523549_01
Intraoral frontal view before orthodontic treatment shows generalized diastema.
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A 23-year-old male patient with generalized diastema between the anterior teeth was referred to the Department of Prosthodontics (Figure 1).
Intraoral view with fixed orthodontic appliance showing missing teeth and diastema. (a) Right side. (b) Left side.
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Unfortunately, in the final stage of fixed orthodontic treatment, unequal spaces were available in the maxillary and mandibular first premolars (Figures 2(a) and 2(b)).
Panoramic view indicating root proximity between canines and second premolars in left side after orthodontic treatment.
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The panoramic radiography revealed inadequate space in order to insert implant between the apices of canines and second premolars in maxillary and mandibular left sides (Figure 3).
Final restorations for implants.
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The metal-ceramic crowns were temporarily cemented with zinc-oxide-eugenol cement (Temp-Bond, Kerr, USA) (Figure 4).
Intraoral digital impressions and interocclusal record.
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Digital impressions and inter-arch-records were made using 3shape intraoral scanner (3shape, Denmark) (Figure 5).
Resin-bonded-restorations delivery view.
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The RBFPDs were cemented using resin cement (Panavia, Kuraray America, Inc.) (Figure 6).
PMC5523549_02
Intraoral view with removable orthodontic appliance showing missing teeth and diastema. (a) Right side. (b) Left side.
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In the maxilla, orthodontic removable retainer was used to eliminate the diastema by providing 3 mm spaces in the canine areas (Figures 7(a) and 7(b)).
Final restoration delivery view.
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Partially group-function occlusion was given to the patient (Figure 8).
Panoramic image after two years of follow-up.
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