Dr. Amr Ghonaim
ALL CLINICAL CASES
A female patient was complaining from an old bridge in the upper anterior teeth ( upper left central, lateral,and canine), after diagnosis and x ray it has been found that there was severe leakage under the bridge which lead to recurrent caries in the central incisor and canine, and she has two fallen crown on the upper right canine and first premolar with recurrent caries, also she had an old amalgam restoration in the upper left first premolars with recurrent caries beneath the restoration.
Treatment plan:
Removal of the old bridge
Periodontal treatment
Composite restoration for the upper left central and canine
Root canal treatment for the upper right lateral incisor, canine, and first premolars with unimetric post in each tooth and restoration with resin modified glass ionomer(riva).
Root canal treatment for the upper left first premolars with unimetric post and restoration with resin modified glass ionomer (riva).
Fixed bridge with ultratranslucent zircon was made from upper right canine to upper left canine
Single crown on upper left first premolars
Cantilever bridge on the upper right first premolar holding the upper right second premolar as the Pontic is distally placed.
The patient asked for A1 color shade as she will make bleaching or veneers for the lower teeth later on.
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