STEP BY STEP GUIDE

CLIENT COMMENTS

PUBLICITY

Male - Age 35

Before

Before

Final ceramic crowns & bridges

MAIN CONCERNS:

Always had poor teeth 

• Afraid of dentists  
• Continual pain, due to same teeth being restored over and  over  
• Unable to chew or bite or eat  
• Self-conscious to smile  
• No longer wants pain, hence no longer wants upper teeth  
• Patient wants all work to be done whilst sedated

ON EXAMINATION:

1. Numerous missing, fractured and decayed  teeth  
2. Numerous root abscesses due to failed root canal  treatments  
3. Impacted wisdom teeth  
4. Missing crowns on teeth  
5. Spacing between teeth  
6. Good vertical dimension, and freeway space, however closed  down  
7. Patient very anxious and apprehensive  
8. Patient not wanting orthodontic treatment to correct lower teeth  position

TREATMENT PLAN

1. Plans is to increase vertical height of teeth, hence allowing  patient to show more teeth  
2. Periodontal examination and root planning to establish bone  position and quality  
3. Upper clearance of teeth existing including roots and replacing  entire dentition with titanium implants (nine) in total  
4. Provisional crowns will be of acrylic and fixed to implants, hence  immediate load of upper implants  
5. Not less than 6 months later, provisional crowns and bridges will  be replaces mostly with segments of ceramic fixed to crowns and  bridges

TOTAL COST:         SA Rand 220 000-00, $ 23 767, £ 16 200

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