Smile Designing Mild Fluorosis | Mohit

Chief Complaint

• Patchy discoloration.

• Gaps between his teeth.

• Dull unaesthetic smile.

Intraoral Examination

• Mild flourosis.

• Brown and white flecks were noted.

• Pitted enamel.

• Midline and lateral diastema.

• Squarish teeth.

• The long axis of teeth is palatally inclined.

Pre – OP (Flash)

Pre -OP (Natural Light)

Intraoral Examination

Treatment Plan

• Advised nil intervention patient was insistent.

• Advised veneers are not willing.

• Wanted full coverage crowns for upper and lower teeth.

• Wish we had done veneers overjet was very minimal not an ideal case.

• Endo 14-24, 34-44.

• Crowns: 14, 24, individual crowns in lower anterior.

• Bridge: 13-23.

Endodontics

 

• File fracture in the buccal root of 14 (2mm short).

• To keep under observation.

• Rushed endo lowers had 2 canals.

• Difficult mouth opening short of apex.

Crown Preps

Post OP

• Good marginal adaptation.

• Tight proximal contacts.

• Bridge IRT 13-23.

• Individual crowns IRT 14, 24.

• Good marginal adaptation.

• Tight proximal contacts.

• Individual crowns in relation to teeth 34 and 44.

Excellent Aesthetics (Dentcare)

Before After Comparison

Pre – OP Vs Post – OP Comparison