This young man has a history of trauma due to which his left central incisor was extracted . The bridge from right central incisor to left lateral incisor was fabricated and cemented in the U.S. There were three attempts at the same by dentists in the States since every few days the prosthesis used to get dislodged .The cause of the same was not diagnosed by them.
He visited me at my office and at his first consultation I took photographs and impressions to make study models.Fremitus test was done to check trauma from occlusion also the misalignment of the lower incisors was considered.On removal of the bridge bone loss in the pontic area was noticed with midline shift and canting.Keeping all these diagnosis in mind the best treatment plan for him was designed.
Treatment plan:The fremitus was corrected ,incisal edges and body of the lower anterior teeth were adjusted to achieve an overjet and overbite of 1.5 mm with the present situation of existing FPD.Four laminates of emax were cemented on the mandibular incisors.A bridge was fabricated in metal free empress emax with an ovate pontic after rest seat preparation to achieve natural and esthetic papilla and emergence profile.
This case was done 2 and half years back and is still going strong. I am happy to have restored this handsome boys smile justifying dentofacial aesthetics.
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