plan2smile case report 03

Plan2smile Case report 03Treatment possibilities after loss of incisors

Dr Luc Vrielinck, MD DDSGenk, Belgium

Luc@Vrielinck.be

No 13 12 11 21 22 23

Height 16.4 16.07 14.76 17.91 16.54 15.06

Width 4.86 5.15 5.85 3.66 4.82 4.62

Situation• This patient desires a solution for missing anterior teeth

in the upper jaw• She has been wearing a removable prosthesis for

several years, the prosthesis has to be replaced• Is a fixed implant supported solution possible? • Additional data:

– Periodontal situation is satisfactorily:– Class III occlusion, dental compensated– Orthognatic surgery is not an option for the patient– Crossbite on the left side

19/12/2009: Starting situation

19/12/2009: Starting situation

19/12/2009: Starting situation

19/12/2009: Starting situation

19/12/2009: Starting situation

13 12 11 21 22 23

No 13 12 11 21 22 23Height 16.4 16.07 14.76 17.91 16.54 15.06

Width 4.86 5.15 5.85 3.66 4.82 4.62

In all the zones buccopalatal width is insufficient

Bone table analysis

With existing prosthesis.

19/12/2009: Starting situation

Without prosthesis

19/12/2009: Starting situation

With prosthesis

19/12/2009: Starting situation

Without prosthesis

19/12/2009: Starting situation

19/12/2009: Starting situation

19/12/2009: Starting situation

What would you propose to this patient ?

a. A new partial prosthesis?b. Bone reconstruction frontal and implants, followed by implant supported bridgec. A bridge on the natural teeth ?d. Other?

e. Why?