1.  34-Year-Old Female  Initial Presentation February 2010 Introduction and Background © 2014 Seattle Study Club, Inc.

2.  The patient was devastated with the existing conventional bridge that was fabricated to replace the missing teeth in the maxillary left region.  She wanted a large, broad smile with dominant white teeth. She had a picture of Jessica Simpson to communicate the type of smile she desired. Chief Complaint © 2014 Seattle Study Club, Inc.

3.  No contraindications for dental treatment. Medical History © 2014 Seattle Study Club, Inc.

4.  Routine recall cleanings.  Prior to initial presentation she was resigned to the aesthetics of her mouth. Dental History © 2014 Seattle Study Club, Inc.

5. Right Lateral View of Smile

6.  Severe wear.  Previous endodontic treatment on teeth nos. 19, 20 and 29.  Multiple missing teeth.  Crowns on teeth nos. 19, 20, 29 and 30.  Scaling biannually.  Good oral hygiene. © 2014 Seattle Study Club, Inc. Left Lateral View of Smile

7.  Reasonable facial profile.  Symmetrical.  High lip line. Extra-Oral/Facial Findings © 2014 Seattle Study Club, Inc.

8.  Teeth nos. 9-14 prepared for crowns.  Provisional bridge on teeth nos. 9-14.  Congenitally missing teeth nos. 6, 11, 19, 22, 27 & 30.  Deciduously retained canines c & h.  Altered passive eruption of maxillary dentition.  Excessive gingival display.  Missing teeth nos. 1, 16, 17 & 32. Intraoral Findings © 2014 Seattle Study Club, Inc.

9.  Within normal limits.  No history of muscle pain or soreness.  No tenderness upon palpation.  No popping or clicking noted. TMJ/Mandibular Range of Motion © 2014 Seattle Study Club, Inc.

10. Maxillary Periodontal Charting  Slight inflammation noted in maxillary left quadrant.  Pocket depths within normal limits.  Fairly good oral hygiene. © 2014 Seattle Study Club, Inc.

11. Mandibular Periodontal Charting © 2014 Seattle Study Club, Inc.

12. FMX 2010

13. Occlusal Findings  Class II left side.  Class II right side.  Overbite of 2 mm.  Overjet of 6 mm.  Moderate posterior occlusal wear. © 2014 Seattle Study Club, Inc.

14. Treatment Planning What are your goals and objectives for this patient? Will you need to sequence treatment based on the findings? © 2014 Seattle Study Club, Inc.

15. Treatment Planning Treatment Planning Workshop © 2014 Seattle Study Club, Inc.