Restoration of anterior guidance is a major challenge to the clinician in the planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort, and phonetics. Anterior guidance should be established with extreme caution while restoring anterior teeth as even a slight error in this regard can have detrimental effects on the entire stomatognathic system. This article describes the anterior rehabilitation of a 50-year-old patient who met with a road traffic accident and lost his upper anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customized incisal guide table and permanent restorations were fabricated accordingly. Although the patient presented for the replacement of the fractured prosthesis, a comprehensive evaluation determined that a customized incisal guide table was needed to correct an array of dental issues. The treatment plan dramatically improved overall esthetics, comfort, and function.
Prosthetic rehabilitation of a completely edentulous patient no longer confines to only replacement of missing teeth. Patients are increasingly demanding improvement in esthetics at the end of treatment. Aging leads to a high impact on external facial esthetics resulting in slumped cheek leading to undesirable facial esthetics. Cheek plumper is a commonly used prosthesis to enhance the support of sunken cheeks providing better esthetics. This clinical report describes a novel technique to fabricate detachable cheek plumber to improve support for sunken cheeks retained with a ball bearing and a new commercially available material.
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