2 28 Personal habits 2 : No Smoking: No Alcohol: No Betel nut chewing: No Front facial view: Symmetry TMJ pain and click: No Facial profile: concave Jaw deviation: No Lip line: average Bruxism: No The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 19
Intra-Oral Examination Dentition: Midline: on Occlusion : Canine Class I, R't molar- Class I Overjet: 3 mm, overbite: 3 mm Crowding over 31~44 24 mesial-in rotation 37 mesial tilting Low gingival line and incisal plane of 13 Missing: 15, 23, 36 Ill-fitted prosthesis: 22 Provisional restoration: 12 Caries: 13, 24, 25, 26, 42, 45, 46, 47 Amalgam filling : 17, 26, 27, 37, 45, 46, 47 Resin restoration: 13, 25 IRM filling: 35 Incomplete RCT: 11, 12, 14, 21, 22, 24 Apical R/L lesion: 12, 14, 21 Root resorption: 12 X DistalBuccalMesial 17 16 15 14 13 12 11 A.L. 4 2 3 4 4 3 3 2 3 3 3 3 3 3 3 3 2 3 P.D. 4 2 3 4 4 3 3 2 3 3 3 3 3 3 3 3 2 3 P.D. 4 3 5 4 3 5 5 3 4 4 2 3 3 2 3 3 2 3 A.L. 4 3 5 4 3 5 5 3 4 4 2 3 3 2 3 3 2 3 M 0 0 0 0 1 0 F.I. P G G F G G G Palatal MesialBuccalDistal 21 22 23 24 25 26 27 A.L. 3 3 3 3 2 4 4 2 4 4 3 4 4 3 3 3 2 3 P.D. 3 3 3 3 2 4 4 2 4 4 3 4 4 3 3 3 2 3 P.D. 3 3 3 3 3 4 4 5 4 3 3 3 3 3 4 4 3 3 A.L. 3 3 3 3 3 4 4 5 4 3 3 3 3 3 4 4 3 3 M 0 0 0 0 0 0 F.I. P G G G G G G Palatal 20 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
DistalLingualMesial 47 46 45 44 43 42 41 A.L. 3 3 4 5 3 4 4 3 4 3 3 3 4 3 3 3 2 3 3 2 3 P.D. 3 3 4 5 3 4 4 3 4 3 3 3 4 3 3 3 2 3 3 2 3 P.D. 4 2 5 4 2 4 4 2 4 4 2 5 4 2 4 4 2 3 3 2 3 A.L. 4 2 5 4 2 4 4 2 4 4 3 5 4 2 4 4 2 3 3 2 3 M 0 0 0 0 0 0 0 F.I. P G G G G G G G Buccal MesialLingualDistal 31 32 33 34 35 37 38 A.L. 3 2 3 3 2 3 3 2 3 3 2 3 4 3 3 4 3 3 4 3 3 P.D. 3 2 3 3 2 3 3 2 3 3 2 3 4 3 3 4 3 3 4 3 3 P.D. 2 2 2 2 2 2 2 2 4 3 2 4 4 2 4 3 3 3 3 2 3 A.L. 2 2 2 2 2 2 2 2 4 3 2 4 4 2 4 3 3 3 3 2 3 M 0 0 0 0 0 0 0 F.I. P G G G G G G G Buccal Incomplete RCT: 11, 12, 14, 21, 22, 24 Dental caries: 13, 24, 25, 35, 42, 45, 46, 47 Chronic apical periodontitis: 12, 14, 21 Localized chronic periodontitis Problem lists Poor oral hygiene 12 radiolucent lesion about 10x10 mm. Apical root resorption was noted. 21 radiolucent lesion about 4x4 mm; casting post was found Supraeruption of 13 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 21
Oral hygiene instruction OD of 25, 26, 35, 42, 45, 46, 47 Remove 11, 14, x 16, 21, 22 PFM crowns Remove caries of 24 and re-evaluation Extraction of 12 with cyst enucleation 21 apicoectomy 11, 14, 22, 24 endodontic re-treatment 2008.6.5 removal of 11, 21 PFM crowns 2008.6.11 removal of 24 caries palatal margin subgingival for 2 mm, poor prognosis 2008.6.19 removal of 14 PFM crown vertical root fracture 2008.6.30 removal of x16 FPD Extraction of 12, 14, 24 Cyst enucleation of 12 Endo. Re-treatment of 11, 22, 25 Apicoectomy with retrograde filling of 21 OD of 25, 26, 35, 42, 45, 46, 47 16, 12, 14, 24 Definitive treatment plan I Implantation of 14, 15, 23 Implant-supported FPD of 14, 15, 23 FPDs of 11x13, 16, 21, 22, 25 22 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Definitive treatment plan II FPDs of 11x13xx16, 21 22x25 Diagnostic wax up The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 23
2008.7.18 ~ 9.15 11, 22, 25 endo. Tx. 2008.7.29 extraction of 14, 24 21Apicoectomy 2009.1.5 OPD f/u 24 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Anterior guide table fabrication Full wax pattern Cut-back wax pattern The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 25
Framework try-in soft tissue model Biscuit bake try-in 26 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
X The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 27
2 months f/u 16 months f/u X 16 months f/u W NW NW W canine guidancegroup function 28 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
1. 2. framework 1. 2. 3. Q 12 A 12crown-root ratio>1 Q 2122x25 A 2324pontic2322 23 pontic21 Q 11x13xx16long-span FPD A 1. tooth preparation taper 2. ponticconnector 3. framework modulus of elasticityyield strength 2% gold alloy 4. solder 5. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 29