Dental prosthetics on implants with crowns and veneer placement

Since the teeth had been lost quite a long time ago (2 years earlier), anatomical changes had occurred in the structure of the jaws, and the antagonists of the missing teeth had moved downward. We suggested returning them to occlusion (bite contact) using a bracket system, but the duration of this treatment did not suit the patient, so we did not develop this treatment plan further. We then suggested depulping the upper teeth on both sides and covering them with crowns, that is, correcting the bite using a prosthodontic method. To restore the missing teeth in the lower jaw, we suggested placing dental implants (3 units), followed by ceramic crowns on them, while the missing teeth in the upper jaw would be restored with bridge-like structures supported by the adjacent teeth. The treatment plan was agreed upon, but during the process, after the dental implants were placed, the patient asked the doctor to install dental veneers. Below, we describe all stages of the treatment.

        STAGE 1
        
Examination and diagnosticsSeveral specialists from different fields examined the oral cavity. They performed 3D diagnostics and identified the existing problems.

        STAGE 2
        
Creating the treatment planTwo ways to solve the patient's clinical problem were identified, and she was informed in detail about all stages, timelines, and the cost of treatment. The faster treatment plan was chosen.

        STAGE 5
        
Scanning and modelingAfter implant placement, the patient wanted to have dental veneers placed, so the doctor scheduled a clinic visit for planning and digital scanning of the jaws. The future veneers were modeled digitally, the shape and shade of the teeth were determined, and a template was made for the initial trial fitting.

        STAGE 6
        
Trial fitting of the future veneersA composite material was transferred into the oral cavity using a previously made mock-up model. The shape and shade of the teeth were finalized with the patient.

        STAGE 7
        
Preparing the teeth for prosthetic treatmentThe endodontically treated teeth were prepared for dental crowns and bridges, and the partially healthy teeth were prepared for veneer fixation.

        STAGE 8
        
Fabrication of veneers, dental crowns, and bridgesThe digital impressions of the jaws were sent to the laboratory to fabricate all-ceramic dental restorations on a milling machine. After the machine stage of fabrication was completed, the dental technician applied special stains and glaze to give the teeth an even more natural appearance.

        STAGE 9
        
Fixation of veneers, dental crowns, and bridgesAll finished dental restorations were transferred into the oral cavity and fixed with dental cement. 1.5 months after implant placement, dental crowns were placed on the implants.

Dental prosthetics on implants

Maksym Makarenko

Examination and diagnostics

Creating the treatment plan

Endodontic treatment

Implant placement

Scanning and modeling

Trial fitting of the future veneers

Preparing the teeth for prosthetic treatment

Fabrication of veneers, dental crowns, and bridges

Fixation of veneers, dental crowns, and bridges

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Teeth alignment and prosthetic treatment with veneers

Dental prosthetics with crowns and veneers

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