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Orthodontic preparation for implants and prosthetics

Created an aesthetically pleasing smile and a functional bite when several teeth are missing.

Treating doctors

Orthodontist

Dentist-orthopedist

3 years 7 months

Patient request

The patient presented with complaints of uneven teeth.

The results of the diagnostics revealed:

  • Missing incisors (12,22), premolars (14,24) and molars (16,26) on the upper dentition
  • Missing premolars (35,45) and molars (46,47) on the lower dentition
  • A baby tooth in area 35
  • Distal bite
  • Deep traumatic occlusion

What was done

Step 1: Orthodontic treatment

The bite was corrected using a Damon Clear ceramic bracket system. Temporary restorations were used in the area of the missing front teeth for the period of orthodontic treatment. In addition, a micro-implant was used.

The period of orthodontic treatment — 3 years 5 months.

Stage 2: Bone grafting and dental implants

Implants were installed on the upper jaw in the area of incisors (12,22) and premolars (14,24) on the upper jaw.

Performed bone regeneration surgery prior to implant placement on the mandible because bone volume did not allow for implantation.

The implants were placed according to the surgical template exactly in the position in which they had been planned in advance by the orthopedic surgeon on the virtual model.

Step 3: Placement of veneers and crowns

On the upper dentition, ceramic crowns and veneers of author's aesthetics were placed on 10 front teeth.

On the lower row, crowns of increased aesthetics and complexity were placed on implants in place of tooth 45,46,47 and 35.

That's what we got

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