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2. General Data 魏先生 04/25/1943 retired teacher Chief Complaint: I lost front bridge due to decay several days ago, I wish to have my teeth fixed.

5. Extra-oral Clinical FIndings Facial symmetry Convex profile Retruded chin without mentalis strain Adequate facial height and proportion No TMJ problem and clicking sound No palpable mass at head and neck region No mouth opening limitation No gummy smile

7. Intra-oral Clinical FIndings

8. Occlusal Analysis Vertical overlap (overbite) : 2mm (right premolar) Horizontal overlap (overjet) : 2mm (right premolar) Angle class I molar relationship at both side No opening deviation Mandibular midline on incisive papilla Stable centric occlusion Shallow overlapping in left maximum intercuspation Acceptable anterior ( right canine) and posterior vertical stop, Lost of anterior guidance Cross-bite at left canine area and open-bite at left first premolar area Group function at both side in lateral excursions

9. Centric Occlusion

10. Potrusion

11. Right Working, Left Balancing

12. Right Balancing, Left Working

13. CO RW, LB LW, RB Ｐ

15. Radiographic Findings Missing teeth #11,12,16,22,46 OD #34, 35, 37 Post-endodontically treated #13, 21, 23, 25, 26, 27, 36, 47 Incompleted endo. #26,27 Osseous pathological lesion noted in the apex of #15 No major periodontal supporting tissue lost

16. Diagosis Missing teeth #11,12,16,22,46 Retained root #13,23 Chronic apical periodontitis suspected #15 Incompleted edno #26,27 Ill-fitted prostheses: #15-x-17, #25-26-27, #45-x-47 Attrition #31, 32, 33, 34, 35, 47, 41, 42, 43, 44 Improper OD #34,35,37 Gingivitis

17. Problem List Lost of maxillary anterior teeth traumatically Ill-fitted prostheses Mild gum disease Possible pulpal problem Attrition of natural dentition Improper OD

18. Tentative Treatment Planning Oral prophylaxis including oral hygiene instruction, full mouth scaling Removal of ill-fitted FPD and evaluation of abutment teeth OD, RCT and ext. if necessary Temporization Follow-up and re-evaluation for definite prostheses

19. Treatment Goal Treat and control gum disease Clarify and treat #15, #26 and #27 pulpal problem Evaluation of occlusion and VDO, Re-set if necessary Restore the maxillary anterior teeth and back teeth with ill-fitted FPD to fulfill esthetic and function demands

25. Rehabilitation Phase

26. Diagnostic Wax-up

37. Full wax pattern

38. Cut-back wax pattern

39. Metal copping CO RW RB

40. Metal copping try-in CO RW, LB LW, RB

41. RW; LB RB; LW P

42. Post-treatment X-ray

44. Centric Occlusion

45. Protrusion

46. Right Working, Left Balancing

47. Right Balancing, Left Working

48. CO RW, LB LW, RB Ｐ