Comprehensive Care - 1


Fig 1: A middle aged male presented with defective restorations, enamel abrasion, tooth size discrepancy and crooked teeth. It was decided that treatment would be restricted to the anterior teeth. A multi-disciplinary approach was essential in achieving a successful functional and esthetic result.


Fig 2: A golden proportion grid was used to diagnose the tooth size discrepancy and to determine the probability of achieving golden proportions. A treatment plan was established that included slenderizing, orthodontics and porcelain crowns


Fig 3: The maxillary anterior teeth were slenderized and orthodontic appliances were inserted.


Fig 4: Midway through the orthodontic treatment, the teeth were leveling and unraveling.


Fig 5: Crowns were placed on the maxillary anterior teeth to achieve golden proportions. The mandibular anterior teeth were aligned to accommodate the maxillary crowns in a normal overbite/overjet relationship.
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