Dr. Nicholas Dovey, DMD
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Anterior 6 Unit Bridge

8/23/2017

 
Uncontrolled diabetic came in for tooth pain on lower front. Perio involved. class II mobility. Blood glucose tested 312 mg/dl. sent off for med consult and then extracted 23-26. delivered immediate resin rpd. Then hygiene and caries control. 3 months later diabetes is well controlled with daily average BG under 100 mg/dl. Preps, final impression and provisional fabricated in 1 appointment. FPD design: ovate pontics, 1mm metal margin for hygiene and beneath smile line so esthetically not an issue.  Good outcome for a great patient who has a new lease on life with her oral & systemic health now under control. 
Anterior crowding and super eruption
Bisacryl Temp
Preps #22 & 27
shade guide
final prosthesis (not her actual bite)

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