Orthotown December 2014 - (Page 30)
case presentation // feature
Cases
in
WRONG PLACES
by Alan A. Curtis, DDS, MS, Editorial Director, Orthotown Magazine
T
here's nothing more rewarding than creatively coming up
with a treatment plan that achieves the goals your patient
has. For various reasons, a tooth grows into the mouth out
of the normal position, ectopic, transposed or missing altogether.
While the finished case will never look 100 percent ideal, making
the best of a bad situation is the task at hand! To quote one of my
favorite clinical faculty members (insert your best Texas accent)...
"You can't make a silk purse out of a sow's ear!" The following cases
show how creative treatment planning can help minimize or eliminate the need for costly implants, bridges and fi xed prosthodontics.
Patient 1
Diagnosis
Class I Posterior crossbite Ectopic UR3 missing upper laterals with two anomalous mesiodens. The dentist recommended
removing the mesiodens consolidating the large central incisors
and placing two lateral implants. Removing the two mesiodens
only to place two implants seemed to be a little crazy. Our treat-
30
DECEMBER 2014 // orthotown.com
ment plan included orthopedic expansion and alignment of the
four incisors. (Figs. 1a-j).
Patient 1 Result
Six to eight veneers were discussed at the start of treatment,
following orthodontics, patient declined further restorative treatment. (Figs. 1k-w).
Patient 2
Diagnosis
Class I Transposed UR3, UR4 macrodont central incisors.
While possible to resolve the transposition, periodontial and
root damage together with prolonged treatment time encouraged us to align the transposed teeth in their current locations
(Figs. 2a-k).
Patient 2 Result
(Figs. 2l-v).
http://www.orthotown.com
Table of Contents for the Digital Edition of Orthotown December 2014
Orthotown.com Highlights
Wired for Success: Orthodontics for Adults
The Future of Our Profession, a Resident’s View
Intraoral Scanners
Corporate Profile: Burleson Seminars: Cultivating Success with Proven Strategy
Creating the Win-win Incentive Plan
Case Presentation: Interesting Cases with Teeth in the Wrong Places
Does Your Message Resonate with Adult Patients?
New Products
An Arkansas Office Blast from the Past
Ad Index
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