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Crowns Case

orthodontic treatment
Patient
Age: 31, Female, No Medical issues declared

Upon examination patient was advised as her laterals are small she could have veneers placed on the upper 4 anterior teeth. Options given to patient

Background Info

This patient attended clinic for a consultation and advised she had braces by cosmetic medical and she had her brackets removed in April due to her lower teeth. Patient feels she has a gummy smile and her upper anterior teeth are stained as are dead due to previous trauma. She would like veneers on her top teeth to produce big white teeth.

Upon examination patient was advised as her laterals are small she could have veneers placed on the upper 4 anterior teeth. Options given to patient

  • Leave and do nothing
  • Crown Lengthening
  • Whitening
  • Composite bonding or Crowns

All risks and benefits explained to patient in detail. Patient decided to go ahead with whitening and crowns

Visit 1

Dental impressions taken for the whitening trays, shade A3.5 recorded. It was explained to patient that she must wear the trays for 2 weeks and bring them back with her for her 1 hour appointment.

Visit 2

Dental impressions taken for the whitening trays, shade A3.5 recorded. It was explained to patient that she must wear the trays for 2 weeks and bring them back with her for her 1 hour appointment. Enlighten Teeth whitening was used.

Visit 3

Patient attends clinic for her crown preparation, shade recorded B1. Articaine local anaesthetic was placed and 12, 11, 22, 21 and 26 prepped. Discussed different types of crowns and she chose Emax. Pre-op silicone impressions taken

Visit 4

Patient attend for crown fit, reports no problems since last visit. Crowns tried in and it is a good fit, shade and occlusion are good as well. Patient is happy to proceed to have it fitted with cement. Crowns cemented Relyx, excess cement removed from contact points and occlusion checked. Patient happy with result.

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