Jesus Fernando Medina
Treating “The Anterior Open Bite “
By Dr. Fernando Medina (Mexico)
Dr. Arturo Godoy Lab Technician.( Mexico)
62 years old female patient.
Chief complaint:
Head Aches; Muscle Soreness; Difficulty chewing food; Posterior crowns came off.
Treatment Plan:
Phase 1:
4-8 weeks Occlusal Appliance Therapy
Phase 2 :
Remove Old Restorations on tooth numbers : 2,3,6,7,8,9,10,11,13,14,15,18,19,20,30
Phase 3:
Periodontal Gingivectomy
Phase 4:
Root Canal and Core Build Up on tooth numbers: 2,15,18,19,20,27
Phase 5:
Full Mouth Preps and PMMA Provisional Restorations from 4-8 Weeks to evaluate Occlusal Stability
Phase 6:
Upper and Lower Impression: Doble cord technique, using a Perforated Metal Tray from Zhermack. Two Step Impression using Putty and light viscosity PVS material
Bite Record in CR/Facebow
Phase 7:
Bonding of Lithium Disilicate Restoration Using complete isolation and Dual Cure Resin Cement system from Variolink Esthetic Ivoclar Vivadent.
Occlusal Adjustment using Leaf Gauge from Great Lakes Co.
Phase 8 :
Anterior Bite Plane to protect Ceramic Restorations due to Bruxisim. Using it no more than 8 hrs daily
Phase 9:
Intraoral and Facial Pictures
