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