PMC4462446_01
Ectopic canine and frontal maxillary edentulous space (initial situation)
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Patient O.V 53 years-old, male, presents to our service for aesthetic disorders due to the maxillary ectopic canine 23 position and maxillary central incisors missing (figure 1).
Aesthetic disorders - asymmetry of the edentulous space and upper lip deformation due to 23 ectopic position
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Frontal examination of the face shows upper lip asymmetry due to the ectopic position of the canine 2 3. (figure 2).
Profile modification due to the frontal maxillary edentation
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The initial situation of the patient and the provisional removable prosthesis
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The clinical situation after canine extraction
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Fixed partial prosthesis restoring frontal space and ridge resorbtion
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Extensive preparation of the distal crown surface of the 22 and mesial crown surface of the 24 was performed to create sufficient space for the artificial symmetric canine 23 (figure 7). After canine extraction a 4 mm gingival recession is present on mesial root surface of 24 but this region is not exposed in patient smile( figure 7).
Frontal teeth visibility in discrete smile
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Final smile aspect with metalo-ceramic fixed partial restoration
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