Correction of Multiple Missing Teeth with Ceramic Bridge and Flexible Dentures
Patient Clinical Profile
- Gender: — Female
- Age: — 65 Years
Issues Faced by the Patient
The patient consulted at Al Salam Health with the following concerns:
• Appearance Concerns:
The patient had concerns about the appearance of her teeth due to multiple missing teeth in the upper and lower jaws.
Attending Doctor: Dr. Sonia Bhat, Specialist Prosthodontist
Before Treatment (Initial Assessment)
A dental evaluation was performed to review the condition of the remaining teeth and the number of missing teeth in both jaws.
Assessment Included:
Clinical dental examination
Evaluation of missing teeth in the upper and lower jaws
Bite assessment
Photographic documentation
Intraoral Images: — (Before-treatment images)
Consultation & Advanced Diagnostics
During consultation, the patient’s concerns regarding chewing ability and dental appearance were reviewed. The remaining teeth and the vertical dimension of occlusion were examined to determine a suitable restorative approach.
Diagnostics Used:
Clinical dental examination
Occlusal analysis
Photographic analysis
Additional Records:
- Intraoral photographs
- Extraoral photographs
Clinical Findings:
The examination showed the following:
Teeth 8 and 9 were non-vital and distally rotated, with increased overjet and midline diastema
Tooth 7 was missing
Teeth 10 and 11 had large restorations
Bilateral canine cusp tip attrition was present
Multiple posterior teeth were missing: 1, 2, 3, 4, 5, 12, 13, 14, 15, 18, 19, 28, 29, 30, 31
Reduced vertical dimension was observed
Treatment Procedure
Treatment for Multiple Missing Teeth with Ceramic Bridge and Flexible Dentures
Treatment Approach: Anterior ceramic fixed partial denture combined with removable flexible partial dentures.
Phase 1: Initial Dental Treatment
Endodontic treatment was completed for teeth 8 and 9
Oral prophylaxis was performed before starting the restorative procedures
Phase 2: Vertical Dimension Adjustment
A posterior waxed-up denture try-in was performed to determine the vertical dimension. The vertical dimension was increased by 2 mm using a semi-adjustable articulator.
Phase 3: Anterior Ceramic Bridge Placement
A six-unit all-ceramic fixed partial denture was placed in the upper anterior region. The prosthesis improved tooth alignment, spacing, and shade selection.
Phase 4: Replacement of Posterior Missing Teeth
Upper and lower flexible partial dentures were provided to replace the missing posterior teeth and improve chewing ability.
Phase 5: Final Occlusal Adjustment
Final occlusal equilibration was performed to support proper bite balance.
The treatment was provided under the care of Dr. Sonia Bhat, Specialist Prosthodontist, with 16 years of clinical experience.
Post-Treatment Instructions
Maintain proper oral hygiene
Avoid excessive force on the prosthetic teeth
Regular dental check-ups
After Treatment (The Result)
After completion of treatment, the patient showed:
Improved dental appearance
Replacement of missing teeth
Better chewing comfort
Improved bite balance and vertical dimension
After-treatment images
Patient Feedback
“Before the treatment, I was unhappy with the appearance of my teeth because several teeth were missing. After the treatment with Dr. Sonia Bhat, my teeth look much better and the gaps have been corrected. The overall appearance of my teeth now looks much more balanced and natural.”