Case 50: Full mouth rehabilitation-Digital Dentistry-Digital Smile Design of a patient with Amelogenesis Imperfecta.
Case 50: Full mouth rehabilitation-Digital Dentistry-Digital Smile Design of a patient with Amelogenesis Imperfecta.
Amelogenesis imperfecta is a developmental defect where the developement of enamel is affected. The condition may vary from simple white flecks of enamel hypoplasia to severe pitting with brown-yellow discolored teeth.
Here is a patient who was a teenager and was emotionally & psychologically affected because of his unesthetic teeth. Reason is, he had amelogenesis imperfecta which was severe involving all his teeth with yellow brown discolorations along with pitting in the posterior teeth.
Transforming smile and improving his psychological level can be achieved by first gaining the confidence and trust. This emotional dentistry can be fulfilled by Digital Smile design. As discussed in many of my cases, I use Adobe photoshop for my smile designing part. The very same day the patient walked in, photographs and videos were taken to plan the smile and re-enforce the patient's confidence. Within 15 mins his digital smile was ready and on seeing that, not only the patient, but also his parents were in tears out of joy to see the drastic transformation digitally.
This particular case is very close to my heart solely because of the fact that, I played a huge impact as a dentist or a Prosthodontist in recreating his smile. And that fulfilled my heart.
The sequence were carried out as a complete digital work up for the final crowns.
All the steps were followed by Hobo's Twin stage technique were employed till the full mouth mock up and full mouth provisionalisation. Digital Impressions were recorded using Trios-3 and the file was shared to the lab for further prosthetic work. Final crowns were fabricated and all the crowns were tried in to check the fit and occlusion as planned with Hobo's principle. Once everything was assessed final cementation was carried out using glass ionomer cement. Further night guard was given to the patient for night time wear.
This case was done by me at Parasu Dental Hospital, Chennai.
Amelogenesis imperfecta is a developmental defect where the developement of enamel is affected. The condition may vary from simple white flecks of enamel hypoplasia to severe pitting with brown-yellow discolored teeth.
Here is a patient who was a teenager and was emotionally & psychologically affected because of his unesthetic teeth. Reason is, he had amelogenesis imperfecta which was severe involving all his teeth with yellow brown discolorations along with pitting in the posterior teeth.
Transforming smile and improving his psychological level can be achieved by first gaining the confidence and trust. This emotional dentistry can be fulfilled by Digital Smile design. As discussed in many of my cases, I use Adobe photoshop for my smile designing part. The very same day the patient walked in, photographs and videos were taken to plan the smile and re-enforce the patient's confidence. Within 15 mins his digital smile was ready and on seeing that, not only the patient, but also his parents were in tears out of joy to see the drastic transformation digitally.
This particular case is very close to my heart solely because of the fact that, I played a huge impact as a dentist or a Prosthodontist in recreating his smile. And that fulfilled my heart.
The sequence were carried out as a complete digital work up for the final crowns.
All the steps were followed by Hobo's Twin stage technique were employed till the full mouth mock up and full mouth provisionalisation. Digital Impressions were recorded using Trios-3 and the file was shared to the lab for further prosthetic work. Final crowns were fabricated and all the crowns were tried in to check the fit and occlusion as planned with Hobo's principle. Once everything was assessed final cementation was carried out using glass ionomer cement. Further night guard was given to the patient for night time wear.
The concept of disocclusion and ideal anterior and canine guidance is the crux and main point in rehabilitation of full mouth rehabs. On achieving that, half success is done. Remaining rests on the patient's proper recall review and their additional hygiene measures.
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