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The Magic of Christmas!!!

The Magic of Christmas!!!. Clinical Considerations. DHY 114, Week # 10. Fusion or Gemination. Case 1: CB, 7 – 9 yrs. old. Prognathic Profile. Case 2: JW. Form, Shape, and Arrangement. Normal Eruption. Between the roots of deciduous molars. Lingual and apical in anterior.

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The Magic of Christmas!!!

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  1. The Magic of Christmas!!!

  2. Clinical Considerations DHY 114, Week # 10

  3. Fusion or Gemination

  4. Case 1: CB, 7 – 9 yrs. old Prognathic Profile

  5. Case 2: JW Form, Shape, and Arrangement

  6. Normal Eruption Between the roots of deciduous molars Lingual and apical in anterior Brand and Isselhanrd. Anatomy of Orofacial Structures, Seventh Edition. Mosby.2003. p. 290.

  7. Ectopic Eruption Form, Shape, and Arrangement

  8. Case 3: LE • Attrition

  9. Case 4: MH Periodontal disease: results when plaque rests on gingiva or bone Mirrored image on lingual

  10. Case 5: JB • Consideration: Rough margins • Treatment: Polishing the restoration or replacing restorations

  11. Case 6: KK • Pits and grooves: Occlusal of maxilla Mirrored image From underneath

  12. Case7: LB • Pits and Grooves: Occlusal Surfaces of Maxillary and Mandibular Teeth

  13. Overhangs Viewed Radiographically • Consideration: Overhangs • Treatment: Removal and replacement of restoration

  14. Case 8: KM • Consideration: Pits and grooves caused by attrition

  15. Case 9: AB Consideration: Roughness of the tooth surfaces (enamel and cementum) Treatment: Scaling and Root Planing (SCRP)

  16. Case 9: Enlarged Intraoral View

  17. Case 9: Enlarged Intraoral View

  18. Case 10: PS Consideration: Excess cementum or roughness on tooth surfaces Treatment: SCRP, polish restorations

  19. Case 11: RW Consideration: Premature or no contact of opposing arches Mirrored image of Left lateral side Treatment: Replace teeth with implants, bridges, or partial denture Mirrored image of Right lateral side

  20. Case 12: JJ Consideration: Height of Contour Treatment: Maintain tooth shape Mirrored image of Left lateral side

  21. Therapeutic Considerations • Restore original shape • Matrix band and wedge • Articulating paper • Precision of impression material • Knowledge and skill

  22. Contour With a Matrix Band http://www.columbia.edu/itc/hs/dental/operative/video/matrix5-placement.rm Torres and Ehrlich. Modern Dental Assisting. Seventh Ed. Saunders.2002.p. 794-797.

  23. Check Occlusal Surfaces Articulating paper

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