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3.5 Algorithm of aesthetic aftertreatment

We offer the algorithm of aesthetic aftertreatment including 7 consecutive stages (fig. 23).

1. Formrovanie three-dimensional model zubodesnevogo a complex of the patient

Instruments: a series of digital pictures zubodesnevogo a complex, the software and corporation Autodesk resource.

The purpose: the analysis of an aesthetic condition.

2. Measurement of individual parametres of a biological zone.

Instruments: the device transgingivalnogo the intubations, the formalized card for bracing of indications.

The purpose: the obtained data will be, to be considered at creation design of the project.

3. Manufacturing design of the project regional parodonta taking into account wishes of the patient and biological expediency

Инструменты:3-D Model zubodesnevogo a complex of the patient, program Autodesk 3ds MAX, indicators of measurements of parametres of a biological zone.

The purpose: planning of aesthetic aftertreatment.

4. Realisation design of the project on diagnostic models

Instruments: diagnostic models, modelirovochnyj wax.

The purpose: the wax model serves as a matrix for creation of a surgical gauge and silikonovogo an index.

5. Manufacturing of a surgical gauge and silikonovogo an index

Instruments: a thermovacuum plate, the apparatus for vacuum-forms, base silikonovyj a material.

The purpose: reception of the navigating apparatus for surgical correction.

6. Manufacturing provizornyh designs and their stage-by-stage relocation

Instruments: silikonovyj an index, a polymeric material for time designs, zhidkotekuchy a composit material, temporary cement, dentalnye threads.

7. Manufacturing and bracing of definitive designs

Instruments: definitive designs, constant cement, dentalnye threads.

The purpose: end of aesthetic aftertreatment of the patient.

Drawing 23 - the Scheme of algorithm of aesthetic aftertreatment

For practical demonstration of a method of creation and realisation three-dimensional design of the project regional parodonta, we will present clinical examples of complex orthopedic treatment.

Clinical example № 1

Patient N has addressed with complaints to an unsatisfactory aesthetic condition of a smile: short clinical crowns, a denudation desnevogo edges at conversation. The given situation, from its words, delivers it the expressed discomfort at dialogue with associates. Prosthetics of the patient is carried out 3 months ago.

Drawing 24-initial clinical situation of patient N.

Drawing 25-clinical picture after prosthetics, without taking into account

Aesthetic locating regional parodonta.

Drawing 26 - Expressed desnevaja a smile of patient N, after the spent prosthetics.

For scheduling of aesthetic aftertreatment the three-dimensional model of an individual has been received. Also gaugings of a biological zone of incisors and canines of the top jaw are made. Patients have been presented some kinds design of projects regional parodonta and ways of their realisation are explained.

The compounded project was vystlan on e-mail. Then in dentitechnical laboratory according to 3 D to the project the wax has been executed

Modelling of a regional gum also are made a surgical gauge by a thermovacuum method and silikonovyj an index, for manufacturing provizornyh crowns.

Drawing 27-series of pictures for reception of three-dimensional model.

Drawing 28-three-dimensional model zubo-desnevogo a complex of patient N.

Drawing 29-wax modellings of a regional gum and a surgical gauge of patient N.

Then have made putting off of the previous designs, surgical correction regional parodonta and are imposed provizornye crowns of 1 th order.

Drawing 30 - provizornye designs of 3rd order. Spaces for more expressive formation desnevyh papillas are generated.

After definitive formation regional parodonta, definitive prosthetics on the basis of zirconium dioxide on technology Procera has been made.

Drawing 31 - Total result of aesthetic aftertreatment.

Drawing 32 - Total result of aesthetic aftertreatment (a photo of the person).

With end result of the patient it was happy and, the most important thing, result for it was absolutely predicted, at the expense of presence design of the project.

Clinical case № 2. Patient E has addressed with complaints an unsatisfactory aesthetic condition of a smile: a high locating of contact points (is closer to cutting edge) were the reason inharmoniously extended desnevyh papillas.

Drawing 33 - Patient E, prevalence of "a red component» smiles,

Initial clinical situation.

After the spent analysis of three-dimensional model the design the project regional parodonta has been made, considering the sizes of a biological zone and aesthetic wishes of the patient, was found out what to reach desirable result probably without what or a surgical intervention, it is enough to change the anatomic form of a coronal part of a tooth, to change level of contact points and a regional locating of a free part of a gum time designs.

Drawing 34 - Patient E total result (a photo of a teeth)

Drawing 35 - Patient E total result (a smile photo).

Prosthetics is carried out with use of dioxide of zirconium on technology Procera and ceramic vinirov.

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Scientific source Grivkov Alexey Sergeevich. the CLINICO-FUNCTIONAL SUBSTANTIATION of the METHOD of CREATION And REALIZATION THREE-DIMENSIONAL DESIGN of the PROJECT REGIONAL PARODONTA AT AESTHETIC PROSTHETICS. The DISSERTATION on competition of a scientific degree of the candidate of medical sciences. Great Novgorod - 2014. 2014

Other medical related information 3.5 Algorithm of aesthetic aftertreatment:

  1. INTRODUCTION.