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Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report.

Seol HW, Koak JY, Kim SK, Heo SJ - J Adv Prosthodont (2010)

Bottom Line: And also, proper diagnosis and treatment sequencing is critical to obtain a successful results.Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.

Case description: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described.

Clinical implication: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

No MeSH data available.


Related in: MedlinePlus

After surgical crown lengthening procedure.
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Figure 5: After surgical crown lengthening procedure.

Mentions: The patient was referred to the department of periodontology for surgical crown lengthening procedure, and visited our department 2 months after operation. The planned amount of crown length was gained enough (Fig. 5). The walls of the anterior teeth were prepared as parallel as possible. The individual trays were fabricated. One sheet of baseplate wax (Dae-dong industry, Daegu, Korea) was covered for relief and tray resin (Quicky, Nissin Dental Products Inc., Kyoto, Japan) was adapted to the cast. By using the individual trays, functional impressions were registered both in maxilla and in mandible. Maxillary wax rim was fabricated as a general method. The vertical dimension of the patient and the amount of anterior exposure were maintained equal to previous old denture. Mandibular recording base and wax rim were fabricated, and then the resin cap made of DuraLay resin (Reliance Dental Mfg. Co., Worth, IL, USA) was attached to the recording base for stabilization during interocclusal registration, as described by Chang et al.9 (Fig. 6). Facebow transfer was followed by mandibular teeth wax up, coping fabrication and porcelain-fused-to-gold crown fabrication. After the mandibular anterior teeth were delivered to the patient, mandibular functional impression was taken. Framework and wax rim were fabricated as a general method. Interocclusal record was taken again, and artificial teeth were arranged to have a scheme of bilateral balanced occlusion. The definitive denture was delivered to the patient without any problem (Fig. 7). Implant placement was recommended again, but the patient hesitated over for economic problem. However, she had agreed to recall check for every six months. After 4 months, on the recall check, the gingiva and periodontum were healthy (Fig. 8). She had been satisfied with the prostheses for esthetic and functional aspects.


Full mouth rehabilitation of partially and fully edentulous patient with crown lengthening procedure: a case report.

Seol HW, Koak JY, Kim SK, Heo SJ - J Adv Prosthodont (2010)

After surgical crown lengthening procedure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2984518&req=5

Figure 5: After surgical crown lengthening procedure.
Mentions: The patient was referred to the department of periodontology for surgical crown lengthening procedure, and visited our department 2 months after operation. The planned amount of crown length was gained enough (Fig. 5). The walls of the anterior teeth were prepared as parallel as possible. The individual trays were fabricated. One sheet of baseplate wax (Dae-dong industry, Daegu, Korea) was covered for relief and tray resin (Quicky, Nissin Dental Products Inc., Kyoto, Japan) was adapted to the cast. By using the individual trays, functional impressions were registered both in maxilla and in mandible. Maxillary wax rim was fabricated as a general method. The vertical dimension of the patient and the amount of anterior exposure were maintained equal to previous old denture. Mandibular recording base and wax rim were fabricated, and then the resin cap made of DuraLay resin (Reliance Dental Mfg. Co., Worth, IL, USA) was attached to the recording base for stabilization during interocclusal registration, as described by Chang et al.9 (Fig. 6). Facebow transfer was followed by mandibular teeth wax up, coping fabrication and porcelain-fused-to-gold crown fabrication. After the mandibular anterior teeth were delivered to the patient, mandibular functional impression was taken. Framework and wax rim were fabricated as a general method. Interocclusal record was taken again, and artificial teeth were arranged to have a scheme of bilateral balanced occlusion. The definitive denture was delivered to the patient without any problem (Fig. 7). Implant placement was recommended again, but the patient hesitated over for economic problem. However, she had agreed to recall check for every six months. After 4 months, on the recall check, the gingiva and periodontum were healthy (Fig. 8). She had been satisfied with the prostheses for esthetic and functional aspects.

Bottom Line: And also, proper diagnosis and treatment sequencing is critical to obtain a successful results.Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue.

Case description: This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described.

Clinical implication: An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

No MeSH data available.


Related in: MedlinePlus