Page 14 - GP Spring 2020

clear duplicates were then unscrewed from Following bar completion, the case was to be immeasurable. With her trust restored
the mouth, placed on the verified master tried in again to confirm the accuracy of the in our profession, she returns for recare
casts, and sent to the lab for articulation and bar’s fit and final prosthetic approvals by visits on a regular basis and has become a
set-up. the patient. With all confirmations and ap- voice to others in our practice that are deal-
provals completed, the case was sent to the ing with a terminal dentition.
lab for final processing and finishing. The
completed prostheses were then delivered, *Image not part of Maxine’s case. Figures
minor adjustments to the occlusion were 5, 6, 7, 8, 12, 13 were taken from similar
completed, and torqueing of the prosthetic cases from our patients and were incorpo-
screws was confirmed. (Figures 15 and 16) rated with this case presentation to illus-
trate procedural steps.

Dr. James C. Burden is a
1999 graduate of Temple
University Dental School
Figure 13 – Occlusal registration* in Philadelphia, PA. Upon
completing his D.M.D. de-
Following lab set-up, a wax try-in was com- gree, Dr. Burden complet-
pleted. Try-in of the set-up included verifi- ed a GPR at Virtua Health
cation of occlusion, midline, occlusal plane, Systems in Camden, NJ. In
gingival exposure, shade, and tooth shape. 2007 he received his Fellowship of the Acad-
During this try in, a midline discrepancy Figure 15– Final prosthesis – full smile. emy of General Dentistry. During his train-
was noted. (Figure 14) A photograph was ing at Temple Dental and Virtua Hospital, Dr.
sent to the lab to communicate any required Burden became passionately interested in the
emerging field of microdentistry. Dr. Burden
has published articles for the Journal of the
NYSAGD and Dentistry Today. Dr. Burden is
currently working to complete his Mastership
with the AGD - a goal he hopes to attain in
2021.

Figure 16 Final prosthesis – retracted view.

Figure 14 – Wax try-in. For Maxine, what had started out as a dis-
eased smile, has been converted into one
changes. Additionally, the lab was instruct- that is esthetic, highly functional, durable,
ed to fabricate the custom, milled bar that and on a healthy and stable platform. The
would support the final prosthesis for each changes in her confidence and life continue
arch.

www.nysagd.org l Spring 2020 l GP 14