Oleksandra

Comprehensive dental rehabilitation with functional and aesthetic enhancement

The patient presented with the following concerns:

temporomandibular joint (TMJ) pain;
missing teeth;
difficulty chewing food;
aesthetic imperfections of the dentition.

This clinical case required a comprehensive approach involving the replacement of missing teeth, correction of the bite height, and establishment of a stable functional jaw relationship.

Doctors

Yuliia Ptychkina

Implantologist, Maxillofacial surgeon

Viktor Tiurmenko

Gnathologist, Orthopedist

Kateryna Panurina

Therapist, Endodontist

Treatment process

Surgical stage An initial consultation, comprehensive diagnostics, and individualized treatment planning were carried out. Dental implants were placed in the regions of teeth 36, 37, 46, and 47, with simultaneous extraction of teeth 38 and 47. At a subsequent stage, the wisdom teeth 18 and 48 were removed.

Prosthetic stage The centric relation was determined to plan the full-mouth rehabilitation. At the same appointment, tooth preparation and digital impressions were performed for the fabrication of temporary restorations at the new vertical dimension of occlusion. Following the adaptation period to the new functional bite height, digital scans were taken again, and the shape and shade of the future restorations were selected. Permanent prosthetic restorations were then fabricated, followed by a try-in appointment and final fixation.

Therapeutic stage Professional oral hygiene.

Result:

TMJ pain and discomfort were eliminated;
the integrity of the dental arches was restored;
chewing efficiency was significantly improved;
a harmonious jaw relationship was achieved;
the shape, color, and aesthetics of the smile were enhanced;
a stable, long-lasting functional and aesthetic outcome was achieved.

DENTART — we restore not only missing teeth, but also the harmony of the entire stomatognathic system, giving patients back comfort, function, and confidence.