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Case 1
 

This electrical engineer had been relegated to wearing a partial denture to replace the missing teeth on her top jaw because over the years, her dentists hadn’t been able to find another solution. She had some very serious problems with spacing (i.e. her right space was less than half the size of her left space). If two implants were done, they would appear completely asymmetrical resulting in a poor result and she would still have a huge gap in front. But two bridges would also have a similar effect, because her midline was so far off (nearly three millimeters, which is enormous in dental terms). That would then create another problem in dealing with huge gap in between the two front teeth. So after careful work up with diagnostic cast and photos, I proceeded to reduce the size of her right front tooth drastically. I then performed an intentional root canal to accommodate the pulpal exposure, and followed it by laser gum surgery to move her midline to her left. Then two all porcelain bridges were made and bonded. She was delighted.

 

     
 
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