Mike Skramstad Here is a fun case I just completed today that shows you the great power of 4.4 Biojaw in the anterior.
This patient had a very old Maryland Bridge Replacing #8 with metal wings on the lingual of 7 and 9... and an old PFM with RCT on #10. Her main concerns were:
- spacing below pontic (blackness)
- Dark hue on 7 and 9 from metal showing through
- Overall shape and symmetry of all anterior 4 teeth
- Unesthetic PFM on #10
I first thought of placing an implant in the #8 spot and then restoring 7,9, and 10... However, as you can see from the Implant Planning...that was going to be very difficult without extensive grafting (which she did not want to do).
I then thought of doing a new maryland bridge with veneers on the facial of 7 and 9... but then thought smarter and decided not to make my life tremendously difficult... so we prepped for a conventional bridge 7=9 and new crown on 10
I wanted to try Biogeneric/Biojaw... so no Biocopy or waxup here.
Here is my initial proposal (which would have taken forever to get right!!!)
I then went back to Biojaw and used this unadapted design:
Which gave me the new proposal... after redrawing the baseline of the pontic to match the other central (and some other tweeking)... got a quick final design
I decided just to temp with Teliocad (milled) so I could spend more time on the final....
And here are the finals today:
