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Jonathon Schofield

Bath, United Kingdom

Clinical case description:

The patient was a 42 year old female. She had recently fallen over and sustained a blow to her upper left central incisor (UL1). The upper left central incisor tooth was an abutment for a four-unit bridge. The other abutment tooth was her upper left first premolar (UL4). The bridge had two pontics at the upper left lateral incisor site (UL2) and the upper left canine site (UL3).

 

Patient Complaints

The patient was in pain from her UL1.

She did not like the appearance of her upper right lateral incisor (UR2).

 

Notable factors about the patient assessment

The patient had an uneven, high smile line (Kourkouta 2011).

The clinical crowns of her bridge (UL1-UL4) appeared longer than the clinical crowns on the other side.

UL1 had a fractured root and was not savable

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<p>Pre-surgery, a four unit bridge in situ with abutments UL1 and UL4 and pontics UL2 and UL3</p>

Pre-surgery, a four unit bridge in situ with abutments UL1 and UL4 and pontics UL2 and UL3

<p>Surgery, use of autogenous block grafts along with additional Geistlich Bio-Oss<sup>®</sup> protected by Geistlich Bio-Gide<sup>®</sup>.</p>

Surgery, use of autogenous block grafts along with additional Geistlich Bio-Oss® protected by Geistlich Bio-Gide®.

<p>The definitive screw-retained PFM bridge on implants at sites 21 and 23. Definitive PFM crowns have been provided on teeth 12 and 24.</p>

The definitive screw-retained PFM bridge on implants at sites 21 and 23. Definitive PFM crowns have been provided on teeth 12 and 24.

<p>A comparison of the patient’s smile before and at the end of treatment.</p>

A comparison of the patient’s smile before and at the end of treatment.

Pre-surgery


					<p>Pre-surgery, a four unit bridge in situ with abutments UL1 and UL4 and pontics UL2 and UL3</p>

Surgery


					<p>Surgery, use of autogenous block grafts along with additional Geistlich Bio-Oss<sup>®</sup> protected by Geistlich Bio-Gide<sup>®</sup>.</p>

Outcome


					<p>The definitive screw-retained PFM bridge on implants at sites 21 and 23. Definitive PFM crowns have been provided on teeth 12 and 24.</p>

Follow-up after at least 6 months


					<p>A comparison of the patient’s smile before and at the end of treatment.</p>