Full Mouth Rehabilitation Case Study
Full mouth rehabilitation is the reconstruction and restoration of the worn-out teeth which helps in maintaining overall hygiene of oral mucosa, tongue, gingiva and lips. In a full mouth rehabilitation one should re-establish functional and biological efficiency state where teeth , periodontal structures , muscles of mastication and mechanisms of TMJ all function together in synchronization.
Aesthetics play an important role in full mouth rehabilitation. Aesthetics in full mouth rehabilitation comprises of multiple crowns, bridges, implants along with gum surgeries and other minor surgeries. Aesthetic rehabilitation includes smile beautification, aligning mal-posed teeth, whitening of discoloured teeth, closure of spacing, gingival augmentation, restoration of fractured teeth due to trauma.
Smile designing in Full mouth rehabilitation
Smile designing is done to improve the appearance of teeth and to enhance the smile. Important factors such as form , shape, colour, size, proportion of teeth and their relation with gums, lips , oral cavity, side profile of face depend upon age , sex of an individual. Fabrication and designing of crowns and bridges are done. Study models, radiographs , photos, software analysis aids in comparing pre and post treatment outcomes.
Adding Gingiva in Full mouth rehabilitation
Various gingival augmentation procedures are undertaken to smile beautification. Not all patients require gingival augmentation. Some people have gummy smile along with small crowns. To correct such cases gingivectomy or gingivectomy with crown lengthening procedure is needed. While undertaking this procedure teeth contours, form, size, shape is taken into consideration.
Aligning protruded or crooked teeth
Aligning malposed teeth or correction of malposed teeth can be done by buccal or lingual or proximal reduction for minor cases. For major corrections along with reduction veneers are placed over the front surface of teeth to improve the appearance of teeth and enhance the smile. In severe malposed teeth orthodontic treatment can serve as a best option . Intentional RCT along with full crowns and bridges are used for correction of malposed teeth.
Full mouth dental implants
Implant placement- Implants are placed to replace missing teeth and crowns are given over it. Regenerative surgeries are undertaken if there is less bone available for implant placement.
Closing Gaps in teeth for full mouth aesthetics
Closure of spacing (diastema) or generalised spacing is achieved by fabricating full mouth upper and lower bridges. Various materials such as resin crowns, HIPC Crowns, Multicom crowns, ceramic crowns, Porcelain fused to metal crowns, full zirconia crowns are used. It comes in various shades . Composite restorations can also be used to correct minor spacing.
Full mouth Teeth whitening
Whitening of discoloured teeth- teeth develops stains due to certain foods, smoking, trauma, drugs like tetracycline. In such cases bleaching of teeth, placing veneers , full crowns can be done.
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