Alabama Dentist - Invisalign, Crowns, Veneers, and a
Bridge
Mary Alice had several concerns: old dentistry
that did not match her natural teeth, worn and chipped teeth,
dark stains, and a loose front tooth. Dr. Beasley determined
that her front tooth # 7 was non-restorable and required
extraction. Mary Alice had also worn much of the inside
enamel away on her upper incisors plus her bite did not
permit the placement of full porcelain restorations without
first performing orthodontic corrections. She also had uneven
gingival margins on her upper anterior teeth. However, she
had a low smile line and did not reveal this upon full smile.
It was ultimately decided to first complete
Invisalign orthodontics, followed by extraction of tooth
# 7 and grafting of the extraction site by periodontist,
Dr. Paul Weeks in Huntsville, AL. After complete healing
of the # 7 area graft, the restorative phase was initiated.
Dr. Beasley used computer imaging to show
the new smile design to Mary Alice and gain her input and
approval. This imaging photo along with several smile design
records and other information was given to Mr. Krieg DeGraff
of D & M laboratory to aid in creating the diagnostic wax-up.
Using a diode laser the # 7 ovate pontic site was prepared.
Dr. Beasley and Mary Alice evaluated temporary
crowns made from the diagnostic wax-up for proper aesthetics,
phonetics, function, and comfort. Mary Alice also utilized
a Viajet oral irrigator daily during the time she was in
temporaries to aid in keeping her tissue healthy and clean
interproximally.
All together, teeth # 2 through 14 were
restored. Teeth # 4, 5, 9, 10, 11, 12, and 13 were restored
with Authentic porcelain crowns. # 6 through 8 was an Authentic-to-metal
bridge with metal reinforcement on the lingual surface only.
Teeth # 2, 3, and 14 were restored with porcelain-to-high-noble
metal crowns. All crowns and veneers were created by master
ceramist Mr. Kreig DeGraff of D & M Dental Arts, Merced,
California. Smile design and cosmetic dentistry performed
by Dr. R. Brad Beasley.
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