Dental Asia Sep/Oct 2018

Behind the Scenes DENTAL ASIA SEPTEMBER / OCTOBER 2018 50 M ere knowledge is futile; it is that extra bit of spice of innovation, imagination, creativity and curiosity that can add brilliance to your work. My advice to dental practitioners is to understand the art around you and unravel the artist in you. Having said that I would like to share one of my recent cases where various improvisations had to be done considering a lot of factors in order to create life-like aesthetics. Case History A 57 year oldmale patient visited the clinic with complaints of bleeding gums and mobile lower anterior teeth. The patient also presented a history of consumption of tobacco products for many years and had refrained from the habit for six months. Chief complaint The patient wished to restore his teeth especially the mobile lower anteriors as naturally as possible. Clinical examination Oral examination revealed grade II mobility of tooth nos. 31, 32, 42 with generalised pseudo and true pockets along with gingival deposits (Figs. 1-3). Treatment PHASE 1 Sub gingival curettage were done for the lower arch along with extraction of mobile teeth 31, 32 and 42 while a routine oral prophylaxis was done for the upper arch. PHASE 2 After a week, the extracted areas were inspected for level of socket healing and was temporarily restored with an acrylic By Dr. Anand Narvekar Fig. 1 Fig. 2 Fig. 3 Figs. 1-3: Patients condition before treatment Fig. 10: Gingival retraction chords placed before final impression Figs. 7-9: Temporary restoration with an acrylic bridge Fig. 7 Fig. 8 Fig. 9 Figs. 4-6: Extraction site after a week Fig. 6 Fig. 4 Fig. 5 bridge from 33 until 43. The gingiva appeared to adapt well over the acrylic bridge (Figs. 4-9).