Case Of Total Oral Rehabilitation

Attended By

Dr. Kirit A. Bharwada
Dr. Tushar K. Bharwada

Bharwada Dental Clinic
3, “Prabhuta”, Sarela Wadi, Ghod-Dod Road, Surat – 395001
Tele : +91-261-2668752


Surgical Phase Taken Care By

Dr. Jigish D. Shah

Prosthetics Prepared By

Span Dental Lab - Surat

Case History

• Mrs. Sushilaben Patel
• Female
• Age : 54
• Systemic Condition – NAD
• Oral Hygiene – Good

On Examination

• In Maxilla – Bilateral posterior Missing 16, 17, 18, 25, 26, 27, 28
• Root Remaining 15
• Cavity With Pulp Involvement in 14,13
• In Mandible – Unilateral Posterior Missing 35,36,37,38
• Deeply Carious With RCT & Supra Eruption 46
• Mobile & Supra Erupted 48





Treatment Plan

1. Extration of 15, 46,48
2. Placement of Implant at 15, 17, 25, 27, 35, 37, 45, 47
3. SV RCT in 13,14
4. Porcelain JC on 13,14
5. 3 Unite Porcelain Bridge at 15, 16, 17
6. 3 Unite Porcelain Bridge at 25, 26, 27
7. 3 Unite Porcelain Bridge at 35, 36, 37
8. 3 Unite Porcelain Bridge at 45, 46, 47

Execution of Treatment Plan

Phase I – Surgical

• Extration of 15, 46,48
• Placement of Implant at 15, 17, 25, 27, 35, 37, 45, 47

Phase II – Clinical

• SV RCT in 13,14
• Tooth Preparation of 13 For Porcelain JC
• Tooth Preparation of 14 For Porcelain FCC
• Rubber Base Impression For Final Prosthesis
• Alginate Impression For Temp on 13,14 & Special Tray

Phase III – Laboratory

• Temp Acrylic JC Preparation on 13,14
• Acrylic Special Tray Preparation with holes for implant Heads

Phase IV – Clinical

• Fixation of Temp JC & FCC on 13,14
• Vertical Height Registration With Special Tray & Wax
Bite Blocks

Phase V – Laboratory

• Preparation of All The prosthesis – JC 13 / FCC 14
• 3 Unite Bridge At – 15, 16, 17 / 25, 26, 27
35, 36, 37 / 45, 46, 470

MAKE SURE THAT LAB WILL MAKE ALL THE PROSTHESIS OF PREMOLAR SIZE AND ASK FOR THE BISC TRYAL

Phase VI – Clinical

• Try In For All Prosthesis & If Necessary Please Do The
Occlusal Adjustment By Use Of Articulating Paper





Phase VII – Laboratory

• Final Preparation of All The prosthesis – JC 13 / FCC 14
• 3 Unite Bridge At – 15, 16, 17 / 25, 26, 27
35, 36, 37 / 45, 46, 470

MAKE SURE THAT LAB WILL NOT MAKE ANY CHANGES IN VERTICAL HIGHT

Phase VIII – Clinical

• Fixation of All Prosthesis One By One
• If Necessary Please Do The Occlusal Adjustment By
Use Of Articulating Paper
• Explaining The Use of Interdental Brush For Proper
Oral Hygiene care
• Instructions
After Implant Placenent


Open Bite Due to Implant Head touching So Implant Head has to be Reduced according to Requirements

Implants In Position

Heads For All The Implants Are Of 15 Degree Angulated For Easy Path Of Incrustation With Head Angulated Towards The Natural Teeth

Post Operative Orthopentomogram




Impression






Working Cast With Acrylic Special Tray

Hole For Implants

Working Cast With Bite Registration







All Prosthesis on Final Cast




All Prosthesis in Mouth



Post Treatment Facial Profile