Fixed Prosthodontics – clinical cases from our practice
CLINICAL CASE 1: Treatment of the gum and replacing the old crown because of caries underneath
1. The patient’s state at the beginning
Caries underneath the crown, which reaches deep into the gum.
 Before removing the crown we probe the caries lesion. |
 When removing the crown, we notice that the caries extends itself deep into the gum. |
2. Treatment
The treatment took us only one week-thanks to our laser. If we had used invasive classical procedures, the patient would have needed much more time to heal and more appointments.
 The thickened gum has to be removed. |
 We remove the tickened gum with laser(Nd:YAG), which leaves some edges. |
 The final contouring of the gum with laser (Er:YAG), which smoothens the gum. |
 The removal of caries with laser(Er:YAG). |
 We had to treat the tooth because the caries lesion was deep. |
 Making the filling next to the gum. |
3. Healing
The healing is very quick, because the procedure is not invasive.
 2 days after treatment |
 6 days after treatment |
4. The final outcome
Thanks to the laser technology a great final outcome can be reached very quickly.
 Model of a metal frame and bite in CAD/CAM. |
 Trying out the frame work. |
 The outline of the bridge in CAD/CAM. |
CLINICAL CASE 2: Removal of overgrown gum and remodelling of it
1. The state at the beginning
Thickened gum, which is sometimes the consequence of clinical crown lengthening.
2. Treatment
We treated the patient with laser (Er:YAG), which is appropriate for soft and hard tissues.
 During the procedure |
 The gum isn’t bleeding at the end of the procedure |
3. Healing
The healing is very quick, because the procedure isn’t invasive.
 1 day after treatment |
 7 days after treatment |
4. The final outcome
The crown is sorrounded by healthy pink gum.
CLINICAL CASE 3: Making new crowns for all the teeth in the upper jaw
1. The state at the beginning
We needed to replace the teeth in the maxilla.
 The patient’s x-ray |
 The model of the patient’s upper teeth before treatment |
2. Treatment
We started the treatment by grinding the teeth to prepare them for the crowns. We had to additionally prepare the gums because the periodontal pockets were too deep in order to prevent inflammation and bleeding around the new crowns.
 The periodontal pockets are slightly too deep |
 After laser treatment |
3. Healing and impression
The gum heals very quickly. After 14 hours the gum is ready for the impression and provisional crowns.
 After impression (14 hours after laser treatment) |
 Gum impression(14,5 hours after laser treatment) |
 Provisional crowns |
 A picture of the grinded teeth in CAD/CAM |
 Model of the metal frame in CAD/CAM |
 Finished crowns on the plaster model |
4. Final outcome
We finished our prosthodontic rehabilitation in 19 days from the day we grinded the teeth. After the treatment the gum is a healthy pink colour.
 View from the top |
 View from the front |
 View from the side |
 View from the side |