Students - Master in Prosthodontic Sciences

This section includes clinical cases performed and documented by the students under the supervision of the master tutors. Students will face with treatments of increasing complexity; the follow-ups will be uploaded over the Master program.

Master Prosthodontics – Students Posts

Full mouth rehabilitation – adhesive and traditional techniques

Full mouth rehabilitation – adhesive and traditional techniques

A 70-year-old woman without medical problems came to a private dental clinic to correct esthetic and functional problems. Intra-oral examination revealed collapse of vertical dimension, severely worn maxillary lower and upper cuspids and incisors, upper Kennedy class III edentulous areas. In the lower arch there were two tooth supported FDP needing replacement due to marginal infiltrations and esthetic issues . Minor signs of periodontal disease were present, with no pathologic probing depth and BOP after scaling and root planing . The patient refused any implant supported oral rehabilitation. In the preliminary stage preliminary impressions were taken, a face bow and esthetic face bow were recorded.  Centric relation recording and increased vertical dimension were achieved with Beauty Pink Extra Hard wax.The obtained casts were mounted in an articulator, using the face bow, the esthetic indications from esthetic face bow and the waxes. At this moment the technician created a wax up and made four temporary posterior bridges at the chosen vertical dimension. The temporary bridges were applied in both arches after the preparation of the upper teeth and the re-preparation of old lower bridges.

Free hand two shades layering

Free hand two shades layering

 

In this video the clinical procedures to restore two Class IV upper central incisors is describer step-by-step.

The patient had a direct trauma because a car incident, without pulp exposure. The restorations were made free hand using 2 shades layering. After using a dentin shade (GC Essentia MD), in order to improve final esthetic, cutting back was made for enamel shade GC Essentia LE). After finishing and polishing the teeth looked very natural.

10 months recall