Fixed Reconstruction with Crowns and a Fixed Bridge

A patient who suffers from tooth-grinding has lost a considerable amount of tooth structure - so much that the vertical component of his lower mid-face is collapsed. Fixing this requires careful diagnosis and planning, as well as meticulous sequenced work, with excellent lab support. Not all dentists can do this, but Dr Estafan is a board-certified Prosthodontist who knows how to execute this type of treatment and get this kind of predictable result. This fixed reconstruction required porcelain crowns, metal-ceramic crowns and a fixed bridge.

Prosthodontics

Fixed Reconstruction with Orthodontics and Crowns

Crowns and veneers are not always the solution - at least alone. The teeth are heavily discolored to begin but also crowded and the gumline severely asymmetrical. In this treatment, a proper esthetic result could only be achieved with orthodontics first. This idealized the positions of the teeth and also the gumline. Once the orthodontics was completed, and then the porcelain restorative treatment. Porcelain crowns need to mask the discoloration of the natural teeth and have the vibrant bright look the patient was seeking. She never thought her smile could be so nice.

Fixed Reconstruction with Crowns

Teeth can be broken, mis-shapen, dark, stained, mis-aligned all at the same time. Restoring the patient's ability to eat and to smile without being self-conscious means creating a customized plan for each tooth as well as designing the smile and the bite to establish a harmonious result the patient can be proud of - for the first time in a long time. This treatment required some porcelain crowns and some crowns with metal support (porcelain fused to gold crowns). Can you tell which have metal in them?

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