Full mouth reconstruction to restore esthetics and function

Treatment Goals: Restore proper vertical dimension of occlusion, restore proper canine guidance, establish proper gingival contours and tissue harmony, establish a stable occlusion and improved esthetics.

Prior to treatment, an occlusal splint was used to reestablish a comfortable jaw position and occlusal relationship. A diagnostic wax up was used to fabricate a guide to aid in the laser gum surgery. Gingival heights were based on esthetics and level of attachement.  The wax-up as well as the unglazed bisque crowns were tried in to verify an accepted esthetic result. The final outcome took approximately 4 months to complete. Because of limited finances, the patient chose to complete the upper and lower 10 front crowns now and the back crowns at a later time. Temporary occlusal composites were used to stabilize the back teeth until further treatment.

Before2 Before Diagnostic-wax-up gum-surgery gum-surgery2  temporary-crown temporary-crown2 upper-provisionals Wax-try-in Lab1 lab2 lab3 lab4 Upper-bisque-tryin Final-smile final-smile2 final-smile3 final4

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