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  • #3303 Reply

    drnewitt
    Spectator

    Well this is one of my biggest posts. took lots of pics but damn if I can get them all without blur. This is a lady who we were prepared to do open flap with osseous after original GV but found that there was plenty of room for BW. I hope I am correct on that. I did probe, no picture of that as they were really blurred close ups, but I will get one next visit.

    She was missing laterals since birth. We did dx wax ups with Osseous re-contour taken into account. She knew it would not be perfect due to the size of the space we were trying to fill and she did not want 6 teeth done. I was very happy with result of GV and lack of bleeding. She was VERY happy with the results at Temp stage.

    Corine1-4.jpg

    Corine5-8.jpg

    Corine9-12.jpg

    Corine13-14.jpg

    Can’t believe the Full shots are blurred. I think I needed more light. still learning.

    #10027 Reply

    Glenn van As
    Spectator

    Phenomenal case and wonderful pics. I never thought the final would look so nice in the temps as I thought there would be too much space only doing 4 but you really did a beautiful job.

    I noticed two great things.

    1. THe tissue after the GV removal made the teeth look so much better, it shows how focussing on the PINK makes the WHITE look better.

    2. THe final result in temps is escellent so make sure that you take the impression of the temps for her.

    Paul , you should be darn proud of the results, the layou and your treatment……..

    Clap clap clap

    Glenn

    #10029 Reply

    Vince C Fava
    Spectator

    Real nice Paul.

    When you sounded to bone, what were your numbers? Low crest patient I assume.

    Thanks.

    Vince

    #10020 Reply

    drnewitt
    Spectator

    Thanks Glenn. appreciate the kind comments.

    Vince – that is what surprised me. I had my 15 blade and sutures all ready to go. Finished up the GV and sounded to bone. 3mm from repositioned hieght of gingivae. I checked again, put the #15 back in its package and said. hmm.

    She is happy with Temps and doesn’t mind staying in them for a time to see healing. I will see her again next week for follow up.

    #10026 Reply

    Dan Melker
    Spectator

    The patient must have freaked out over the beautiful provisionals!
    Great documentation.
    Danny

    (Edited by Dan Melker at 10:45 am on Mar. 4, 2005)

    #10021 Reply

    drnewitt
    Spectator

    Thanks Danny

    I was thinking of you when I first sat down with this case. Made sure I was well prepared for the open flap osseous. That’s one area I would really like to improve my skill level.

    Interestingly this patient came back for a follow up, Custom shade session with my lab tech, and told us that the only person who had noticed that there was a change was her roommate. And get this, her roommate said she thought her teeth were much cuter before tx! Glad the room mate it not a patient!

    #10028 Reply

    N8RV
    Spectator

    Kudos on the great case! When you have both Glenn AND Danny patting you on the back, you have ARRIVED! 🙂

    Someday …

    — Don

    #10023 Reply

    whitertth
    Spectator

    Paul,
    Nice stuff and great case….just curious what program did u use to do the case presentation, and pictures?
    Nice stuff!!

    #10022 Reply

    drnewitt
    Spectator

    Thanks guys

    I should have follow ups very soon as she is in at the end of the week for a bisque try in. I will get some non-fuzzy photos.

    Ron, I transfer the photos into iPhoto and from there they link directly to my image ready program where I set up the slides. I based these 4 up slides on Glenn’s posts as I really like his presentation. I optimize the images to drop the file size after I have placed the background and text.

    The image sizes are 800×565 pixels and the total file size is 88kb after optimization. these are jpeg images at high resolution 60%. The font is Neuropol. Hope that helps.

    #10024 Reply

    ASI
    Spectator

    Hi Paul,

    Great post! Very good documentation and pics and handling of the case.

    You might consider raising the gingival level to the first premolars though as these will mimic as canines. They may involve osseous relief if the sulcular depth is shallower than the anteriors for optimal BW purpose. You might get your chance for a flap after all….

    The gingival display may not warrant this especially if the patient chooses not to undergo another procedure….

    Good stuff, Paul.

    Andrew

    #10025 Reply

    Dan Melker
    Spectator

    <a href="http://www.dentaltown.com/idealbb/view.asp?topicID=34301&forumID=10&catID=10&search=1&searchstring=&sessionID={8C71EF4D-D4EA-4421-853E-AFD568A7C7C2}

    The” target=”_blank”>http://www.dentaltown.com/idealbb&#8230;.}

    The above thread is how to change a bicuspid into a cuspid and a cuspid into a lateral.
    As Andrew suggested.
    Danny

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