PMC6488715_01
Pre-operative Extra and Intra-oral examination including simile, frontal, lateral and occlusal views.
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Erosion and attrition were noticed mainly in the posterior teeth with multiple carious lesions and old restorations (Fig. 1). Examination of periodontium indicated unhealthy gingival condition with the presence of generalized mild chronic periodontitis and excessive gingival display, calculus deposition and unsatisfactory oral hygiene (Fig. 1). Patient records were taken including chief complaint, history, photographs, and radiographs (Fig. 1, Fig. 2).
The diagnostic wax-up on mounted casts using semi-adjustable Hanau Wide-Vue whip mix articulator with the use of face bow transfer. The diagnostic wax-up on study casts mounted on semi-adjustable Hanau articulator with the use of face bow transfer.
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Mounting on semi-adjustable Hanau articulator with the use of face bow transfer (Fig. 3).
The diagnostic wax-up following the fundamental esthetic criteria; tooth axis inclination increases from the central incisors to the canines (dotted lines). Level of interdental contact (red lines). Interincisal angles (yellow lines). Smile line (white line).
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The diagnostic wax-up and mock-up were made as a visual communication tools for the patient, dentist, and the laboratory technician as well (Fig. 4).
CBCT scan evaluation for future implant #3, 19. Note, the presence of adequate bone height and width.
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CBCT scan evaluation was made for future implants placement in areas of right maxillary first molar and left mandibular first molar (#3, 19) (Fig. 5).
A. Two months follow up after the crown lengthening procedure in maximum intercuspation view. B-D. Two months follow up, smile view, right, and left side. Note, the tissues are completely healed.
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Two months later, the tissues were completely healed (Fig. 6).
Veneers preparations for the mandibular anterior teeth.
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Maxillary anterior teeth were prepared for all ceramic restorations while veneers preparations were made for the maxillary premolars and mandibular anterior teeth (Fig. 7).
Post-operative Extra and Intra-oral examination including simile, frontal, lateral and occlusal views.
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Post-operative photos and radiographs were documented (Fig. 8, Fig. 9, Fig. 10, Fig. 11).
Post-operative photo of the teeth in the maximum intercuspation.
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Post-operative photos and radiographs were documented (Fig. 8, Fig. 9, Fig. 10, Fig. 11).