Lewis as I said is 35 years old. He had a
bicycle accident as a teenager that resulted in endodontic procedures in his upper right,
lateral and central incisors. He lost that lateral, to external resorption
about 4 years prior to me seeing him. Umm, had an implant placed and then a crown done
on top of the implant. About two and a half years after that, he
lost the upper right central to external resorption. And the oral surgeon friend, down the hall
placed an implant for him in that position and he’s been wearing a flipper since that
time. The bridge in the upper left posterior is
sensitive, and he’d like to have that replaced. And as I mentioned, he knows he grinds at
night and says that it’s sporadic and usually when he’s under stress.
Lips at rest photograph, and a big smile. Teeth together, and teeth apart. Lateral shots
– you can see the bridge on the left side. It was placed after the tooth had been missing
for quite a while. This is a photograph of the models in a buccal
position. Occlusal images – you can see very clearly all of the wear and breakdown
in the posterior teeth. Panoramic. Full mouth series. And the set.
In this particular module, we’re going to spend some time on the process of facially
generated treatment planning. We’re going to look at esthetics, function,
structure and biology. Since frequently this module is one of the earlier modules that
our clubs do, we’re going to go into a little bit more detail on each of the steps than
we might in subsequent modules.