Dr.Manoj Kumar.S MDS-Prosthodontics, DABOI/ID, Fellow AAID, Board Certified Dentist-Canada

 Anterior esthetic zones are challenging. It requires proper planning and execution. In this case we see an endodontically treated 11 that fractured. 11 has a non esthetic PFM crown. The case was planned for an immediate implant with GBR and delayed loaded prosthesis. After the extraction and immediate placement, the jumping distance was grafted with Allograft cortico cancellous bone  Osteo-oss and primary closure achieved with an RTM Collagen barrier used. After 5 months tissue training was carried out with a provisional screw retained temporary. Once the desired esthetic profile was achieved, final definitive Itero Scan was performed using scan body and Custom staining and shade match was done to match and achieve the desired esthetics. This case was carried out by me at Eastview Dental, Barrie, Ontario

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 th...

Case 49: A case of Digital Smile Design and Dental Implants in esthetic zone- Complete case When your patient is highly demanding in esthetics, Its a tough case and a challenging case always until you satisfy the patient's expectation. This case was an example, demanding high esthetics. Patient has had an accident and lost few of her maxillary anterior teeth along with a bony defect and underwent a 5-unit FPD which was not esthetically pleasing. On analysing using a 2D smile designing done with Adobe Photoshop, The smile curve and symmetry was not in place to achieve the esthetics. Additionally the patient wanted implanted in the anterior edentulous site. After CBCT assessment and clinical examination, it required necessary bone augmentation procedures before implantation. But patient declined the treatment and insisted on  other options. The bone was adequate for a narrow implant with additional grafting during the procedure and hence two implants were planned for the missing...