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Comprehensive rehabilitation for malocclusion, TMJ dysfunction, and aesthetic concerns

The patient presented with the following concerns:
  • misaligned teeth;
  • temporomandibular joint (TMJ) pain;
  • discomfort while eating;
  • aesthetic imperfections of the smile.
This clinical case required a comprehensive approach combining restorative, orthodontic, and prosthetic treatment to restore proper function of the stomatognathic system and achieve a harmonious smile.

Doctors

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Gnathologist, Orthopedist
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Therapist, Surgeon, Endodontist
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Orthodontist, Orthodontist-gnathologist

Treatment process

01
Therapeutic stage An initial consultation was conducted, and an individualized treatment plan was developed. Complete oral rehabilitation was performed, including professional dental cleaning, cavity treatment, and root canal therapy. This stage eliminated sources of infection and prepared the teeth for subsequent phases of treatment.
02
Orthodontic stage Following comprehensive diagnostics, the optimal orthodontic treatment approach was selected. A self-ligating ceramic braces system was placed, and orthodontic treatment was initiated to correct tooth alignment and bite relationships. After one and a half years of treatment, the braces were removed, and a fixed retainer was bonded to maintain the achieved result.
03
Prosthetic stage To plan the final rehabilitation, the centric relation was determined. Digital impressions were taken, the teeth were prepared for future crowns and veneers, and the shade of the restorations was selected. A wax-up try-in was performed to evaluate the future smile design. Following fabrication, the prosthetic restorations were tried in and permanently cemented.
Result:
  • TMJ pain and discomfort were eliminated;
  • tooth alignment and bite were corrected;
  • chewing function was improved;
  • a harmonious jaw relationship was achieved;
  • the shape, color, and aesthetics of the smile were enhanced;
  • a stable functional and aesthetic outcome was achieved.

DENTART — we create smiles where health, function, and aesthetics work together as one.
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