B is a young entreprenaurer in his 30s who is unhappy about gaps between his teeth. Even when he lost his baby teeth, some permanent teeth never grew. He was thinking about bridges to fill these gaps. After lengthy discussion, we have decided for combination of orthodontic treatment (braces) and dental implants.
Treatment sequence:
Orthodontic treatment
Space planning with bonding
Dental implants
Veneers
Treatment duration: 30 months
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Center line of the upper front incisors did not match the lower.
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Gaps are visible when he smiles.
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Note missing teeth and gaps of the upper jaw. There is a retained baby tooth.
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Generally his teeth are small. We realized that veneers are needed to increase the width of his front teeth.
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Braces were put on both upper and lower teeth to move teeth. It took 24 months.
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Generally his teeth are small. We realized that veneers are needed to increase the width of his front teeth.
As teeth have moved to the desired position, we use composite bonding to widened the teeth temporarily and to secure the position.
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Once the final position of teeth confirmed, upper braces was taken out to allow implant placement.
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Upper left side before implant placement.
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Implants ready for exposure.
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When the bone has grown around implants to become firm, temporary posts were put on to make temporary teeth.
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Upper front teeth restored with veneers.
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Side view after completion of treatment.
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The final implant crowns and veneers appeared natural.
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Three dental implants were placed in the upper jaw.
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The lower jaw did not need implants because the orthodontist managed to close all the gaps.