Monday, April 28, 2014

Post your observatios regarding these pictures. Case 2

 Pic 1
 Pic 2
 Pic 3
Pic 4

9 comments:

  1. I would like you to note beautiful wax up, the gingival roll, festooning and the stippling. This is the type of definition you sould try to duplicate and maintain in your processed denture.

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  2. The lateral incisor 1.2 should be lowered more and the 4.3 canine should be lowered as well. The 1.3 maxillary canine must be lowered as well and the neck must be pushed slightly inwards.

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  3. I would suggest a slight distal incline on the maxillary first (2.4) and second premolars (2.5). The maxillary right canine (1.3) cusp tip should be pushed toward the lingual to enhance the broadened neck (neck to be brought out). I also agree that 1.3 should be dropped slightly (0.3mm). The maxillary right first premolar (1.4) should also be slightly inclined toward the distal so that the long axis of the tooth could follow the inclination plane created by the opposing canine. A transverse malrelation between the upper and lower ridges is evident from the anterior aspect in Pic.2. A slight bilateral posterior crossbite (occlusion in an abnormal buccolingual relation with antagonists) is present on the patient's right. Mandibular right first premolar and first molar necks are not in line. An anterior crossbite is also present. Beautiful festooning. The frenae are well incorporated and artistically developed into the wax-up.

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  4. Beautiful set-up with some few changes that Ms Watson mentioned. In the case of wax-up and festooning I partially like the way it is done because when it is in the patients mouth anyone can see it clearly that this is a denture. The aim of festooning and stippling is to try and make a replica of the same gingival roll and root effects with the natural tissue. Therefore sometimes too much of the festooning and stippling does not have to be done.

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  5. The neck of the maxillary first premolar (1.4) must be pushed slightly distal because the tooth is leaning mesially. The maxillary canine (1.3) can be lowered slightly. The neck of the canine (2.3) can be pushed in slightly.

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  6. I wouldn't change a single thing on that setup, its absolutely AWESOME, who cares that a tooth might be slightly tilted to whichever side and maybe could be dropped in certain places, dentures should not be defined in lines and angles. look at ANY natural dentition out there....none are perfectly straight...!!AWESOME setup...change nothing!!!

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