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Patient 3
Patient 3
* female
* 36 years old
* no medical condition
* patients’s request:
reconstruction od her
2 upper central
incisors.
* 11 and21 have fractures
due to a trauma 4 days
ago (patient fel in the
bathroom)
Digital Facebow
Facial Analysis
Facial Analysis Lips in Repose
+/- 2 mm
Lip Dynamics low lip dynamics
Facial Analysis Full Smile
Lip Dynamics low lip dynamics
Dental Analysis
Trauma 11 and 21 21 mobile / 11 fracture
Dental Analysis
Five Diagnostic Keys
1. Relative tooth position
2. Form of the periodontium
3. Biotype of the periodontium
4. Tooth shape
5. Position of the osseous crests
Dental Analysis
1. Relative tooth position
2. Form of the periodontium
3. Biotype of the periodontium
4. Tooth shape
5. Position of the osseous crests
1. marginal tissue incisally
2. normal scallop
3. normal biotype
4. triangle
5. normal
3D imaging
Bone Sounding (screenshot from a HD-movie)
Treatmentplan
* extraction 21
* ridge preservation with implant placement 21
* provisional resin bonded bridge 21
* healing phase
* screw retained provisional restoration 21
* bonded porcelain restoration 11 and screw
retained metal base porcelain restoration 21
Minimal traumatic extraction (screenshot from a HD-movie)
Supra-periostal pouch preparation (screenshot from a HD-movie)
3D Implant Positioning
3D Implant Positioning (screenshot from a HD-movie)
Soft Tissue Graft (screenshot from a HD-movie)
osseo-intergration prosthetic
soft tissue management
1st. provisional 2nd. provisional final impression
Sequence of provisional restorations
resin bonded bridge
Ovate pontic
Buccal contour
provisional restoration and impression post
Provisionalisation / 3D-soft tissue support
Provisionalisation/ 3D-soft tissue support
ceramics
Hypochlorite
Silane
solution
Component Disinfection
Try inn ceramics
Final result
Final result
Final result

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Patient 3