Giulia Gallo
THIS PATIENT WAS TREATED IN THE UNIVERSITY OF SIENA, AT THE MASTER OF PROSTHODONTICS SCIENCE.
ANAMNESIS
–MEDICAL HISTORY
HARMFUL HABITS: No smoker
PARAFUNCTIONAL HABITS:
teeth grinding, no tmj symptoms
CURRENT DISEASE: No
CURRENT MEDICATIONS: No
–DENTAL HISTORY
LAST PROPHYLAXIS: 4 months ago
DENYAL TREATMENT RECEIVED:
endodontic and prosthetic treatments
REASON FOR TOOTH LOSS: Caries
— ORAL HYGIENE HABITS
Manual tooth brush, frequency tooth brush: 2 x day, floss: yes, inter proximal cleaning: yes, No chemical supportive agent
–ORAL COMPLAINT
sensitivity to cold: sometimes
DIAGNOSIS
–PERIODONTAL DIAGNOSIS
No periodontal disease
–OCCLUSAL DIAGNOSIS
-FUNCTIONAL
no signs and symptoms of tmj
-ANATOMICAL
occlusal abrasion of 3.3, 3.2, 3.1 4.1, 4.2, 4.3, old crown and prosthetic bridge:1.1×2.3 with exposed edge, absence of 3.6 and 4.6., presence of overwhelming filling: 2.6, bone loss on 2.2
PROGNOSIS
good general prognosis, favorable teeth: all ,no extractions need
TREATMENT PLAN
Full arch fixed prosthetic rehabilitation on upper and lower arches with vertical dimension increase, surgical crown lengthening (3.3×4.3)
dental impressions to realize study models, recording of RC, diagnostic wax, upper and lower temporaries prosthesis, prosthetic preparation of upper and lower arches and cementation upper and lower arches temporary, cementation of second temporary of 3.3X4.3, definitive upper and lower impressions, bake monolithic zirconia trial, cementation upper and lower definitive crowns and bridges. Final X-ray status.
Hygiene maintenance and control follow up every 6 months.
