The patient is a late 50’s male whose chief complaint is wanting to chew in his molar area where some teeth are missing. In explaining to a patient about treatment, using casts is more persuasive than without them. As a general practitioner, I can use all kinds of skills I have, such as implant, gum surgery, bone augmentation surgery, and orthodontic treatment, which makes me feel what a rewarding job! I have to be discreet and patient until the end of treatment.
Study Casts before treatment. His right first molar was fractured and extraction was unavoidable. Lower left molars were missing. Left upper ones protruded and were suffering from severe periodontitis. The 1st and 2nd molars needed extraction. Zig-zag arrangement in lower front teeth needs orthodontic treatment.
Set-up model simulating a final goal of treatment, including implants and orthodontic treatment to correct teeth arrangement.
The patient’s right side, before treatment (above), during treatment (below). After extraction of hopeless upper molars, orthodontic procedure using implants as an anchor is on going.
Bird’s eye views of just after setting an orthodontic wire (left) and 3 months after (right). Front teeth arrangement is being corrected.