Clinical case 4355

The 63 year old patient came at Dental Progress Clinic for both aesthetic and functional reasons. The right upper side presented a prosthesis cemented on 2 teeth. The teeth under the prosthesis had extensive apical reactions with an about 10-12 mm substantial bone loss. The teeth under the prostheses of the lower sides had advanced decays which lead to the extraction of a few of them. After the extractions of the teeth with major decay infections or lesions the patient remained edentulous on both upper and lower lateral sides. The patient wished for fixed prostheses, excluding the removable dentures option. So we made the placement of 10 dental implants and 11 fixed crowns cemented on implants. Because the patient wanted an aesthetic change we also replaced the prosthesis of the upper front area. If at first the patient had prosthesis on 6 teeth, the new prosthesis was made of separated crowns for a complete aesthetic, but also for an accurate oral hygiene. We wanted to save what we could save of the remaining teeth on the upper front side. After the removal of the prosthesis we have observed the existence of multiple decays that had seriously affected the teeth. In order to save those teeth and also for aesthetics and an ideal biocompatibility we have decided for 6 zirconia corono-radicular restorations.

Considering that the patient wished for wither teeth we have chosen the teeth whitening procedure for the lower arch so at the end she declared herself very pleased with the result from both aesthetic and functional points of view.