This clinical case report describes the oral rehabilitation of an adult female patient diagnosed with hypoplastic amelogenesis imperfecta with inadequate, deteriorated restorations of anterior teeth, inadequate clinical crown heights of posterior teeth due to severe attrition of hypoplastic enamel. Treatment included extraction of teeth with poor prognosis, root canal treatment and crown lengthening of severely worn out teeth & full coverage porcelain-fused-to metal fixed restoration of entire dentition. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function and eliminate the teeth sensitivity. These treatment objectives were successfully met by sequential fixed prosthodontics treatment using Pankey-Mann-Schuyler philosophy of complete occlusal rehabilitation. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life.
The loss of anterior teeth can be hurtful to the patient both psychologically and socially. In adolescent patients, temporary replacement of the teeth can minimize these concerns. Many approaches have been described for this temporary replacement. This article presents an alternative approach for oral rehabilitation of the preadolescent male who has edentulous space including median palatine suture in the anterior maxilla. High expectations regarding esthetics by the patient were successfully met by utilizing a glass fiber reinforced composite temporary removable partial denture. Restoration remained intact, with no discoloration or deterioration at 12 months recall.
Perform the border molding on 2 or more regions depending on convenience and expertise. 10. Follow proper infection control procedures for the water bath, and to prevent cross-infection, do not reuse the tubes.
Context: Clinically acceptable marginal fit of crowns has been the focus of various investigations. There is limited literature comparing marginal accuracy CAD-CAM zirconia, SMLS Co-Cr, Pressable Lithium Disilicate, and cast Ni-Cr copings.Aim: Evaluate and compare marginal accuracy of CAD-CAM zirconia, SMLS Co-Cr, Pressable lithium Disilicate, and cast Ni-Cr copings.Methods and Material: Forty copings were fabricated (Ten each in Group I -CAD-CAM zirconia, Group II -SMLS Co-Cr, Group III -lithium disilicate, and Group IV-cast Ni-Cr copings) on a standardized stainless steel model with long chamfer finish line. Four areas around the tooth surface namely mesial (M), distal (D), buccal (B) and lingual (L) surfaces were digitally analyzed for marginal fit under the stereomicroscope.
Stastical Analysis:Comparison between groups was done by using one-way ANOVA test followed by a Post Hoc Tukey-Kramer multiple comparisons test.
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