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Figure 22: The delivered maxillary restorations and the provisionalized
mandibular arch.
Figure 23: An incisal/occlusal view of the definitive restorations on
the maxillary arch after delivery. Compare this to the preoperative
view in Figure 16. Note that the crown forms have normal anatomic
contours and incisal edge thickness even after prosthetic correction
of the original misalignment.
Figure 24: An incisal/occlusal view of the definitive restorations on
the mandibular arch after delivery.
Figure 25: A postoperative smile view of the completed case. This
patient chose A1 as the final shade of the ceramics (IPS e.max ®
[Ivoclar Vivadent; Amherst N.Y.]). Compare this to the preoperative
smile view in Figure 15. An amazing transformation in esthetics and
arch form accomplished without surgery or braces was achieved for
this patient with careful planning and precise clinical execution from
preparation and provisionalization to delivery.
are provisionalized using a rubberized urethane provisional
material and a clear plastic stent made from a diagnostic
mock-up of the case (Fig. 21).
At the following appointment, the maxillary restorations are
delivered and the mandibular arch is prepared in the same
fashion as previously described, and then provisionalized
(Fig. 22). Figure 23 shows the completed maxillary arch
from the occlusal/incisal view after delivery of the definitive
restorations on teeth #5–13. Figure 24 shows the completed
mandibular restoration from the occlusal/incisal. The completed
smile view is shown in Figure 25. Compare this final
result to the preoperative smile view in Figure 15 to see the
remarkable transformation!
Prosthetic Tooth Repositioning: A Viable Treatment Option for Select Cases61