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34-Year-Old Female Initial Presentation February 2010 Introduction and Background © 2014 Seattle Study Club, Inc.
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.
No contraindications for dental treatment. Medical History © 2014 Seattle Study Club, Inc.
Routine recall cleanings. Prior to initial presentation she was resigned to the aesthetics of her mouth. Dental History © 2014 Seattle Study Club, Inc.
Right Lateral View of Smile
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
Reasonable facial profile. Symmetrical. High lip line. Extra-Oral/Facial Findings © 2014 Seattle Study Club, Inc.
Teeth nos prepared for crowns. Provisional bridge on teeth nos 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.
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.
Maxillary Periodontal Charting Slight inflammation noted in maxillary left quadrant. Pocket depths within normal limits. Fairly good oral hygiene. © 2014 Seattle Study Club, Inc.
Mandibular Periodontal Charting © 2014 Seattle Study Club, Inc.
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.
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.
Treatment Planning Treatment Planning Workshop © 2014 Seattle Study Club, Inc.
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