case_images: PMC9445565_01
case_images: Initial clinical situation - Abraded lower teeth and incorrect occlusal plane.
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case_images: PMC9445565_01_f1000research-10-137676-g0000.jpg
case_images: f1
case_images: The distal available teeth were medialized ( Figures 1 and 2). Upper frontal teeth covered completely the lower frontal teeth in central occlusion ( Figures 1 and 3).
case_images: Upper jaw at initial presentation.
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case_images: PMC9445565_01_f1000research-10-137676-g0001.jpg
case_images: f2
case_images: The distal available teeth were medialized ( Figures 1 and 2).
case_images: Central occlusion shown on initial presentation.
case_images: f1000research-10-137676-g0002.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0002.jpg
case_images: f3
case_images: Upper frontal teeth covered completely the lower frontal teeth in central occlusion ( Figures 1 and 3).
case_images: CBCT visualization - right and left TMJ.
case_images: f1000research-10-137676-g0003.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0003.jpg
case_images: f4
case_images: The left TMJ did not show deviations from the norm ( Figures 4 and 5).
case_images: Right TMJ condition with osteophyte.
case_images: f1000research-10-137676-g0004.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0004.jpg
case_images: f5
case_images: The left TMJ did not show deviations from the norm ( Figures 4 and 5).
case_images: Digital design - increased VDO.
case_images: f1000research-10-137676-g0005.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0005.jpg
case_images: f6
case_images: The stage was completed with digital optimization and determination of the working position of the lower jaw ( Figures 6 and 7).
case_images: Digital design - crowns.
case_images: f1000research-10-137676-g0006.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0006.jpg
case_images: f7
case_images: The stage was completed with digital optimization and determination of the working position of the lower jaw ( Figures 6 and 7).
case_images: Clinical situation after upper preparation with increased VDO.
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case_images: PMC9445565_01_f1000research-10-137676-g0007.jpg
case_images: f8
case_images: Briefly, transfer of the morphological planning for the upper dentition (crown strategy) and for the lower dentition (digital wax up strategy, pontics) was performed ( Figures 8 and 9).
case_images: Digital design on both jaws.
case_images: f1000research-10-137676-g0008.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0008.jpg
case_images: f9
case_images: Briefly, transfer of the morphological planning for the upper dentition (crown strategy) and for the lower dentition (digital wax up strategy, pontics) was performed ( Figures 8 and 9).
case_images: PMMA crowns on a model.
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case_images: PMC9445565_01_f1000research-10-137676-g0009.jpg
case_images: f10
case_images: TempML), which was cemented with temporary cement ( Prevision (Kulzer)). This construction was intended to remain in the patient's mouth throughout the period of adaptation and, if necessary, to be optimized ( Figures 10 and 11).
case_images: PMMA crowns cemented in the mount.
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case_images: PMC9445565_01_f1000research-10-137676-g0010.jpg
case_images: f11
case_images: TempML), which was cemented with temporary cement ( Prevision (Kulzer)). This construction was intended to remain in the patient's mouth throughout the period of adaptation and, if necessary, to be optimized ( Figures 10 and 11).
case_images: New position of the lower jaw.
case_images: f1000research-10-137676-g0011.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0011.jpg
case_images: f12
case_images: The splint was designed occlusively with balanced extended surfaces to maintain the occlusion, respectively the joint, in a stable position ( Figures 12- 15).
case_images: Splint design - lateral protrusion.
case_images: f1000research-10-137676-g0014.jpg
case_images: PMC9445565_01_f1000research-10-137676-g0014.jpg
case_images: f15
case_images: The splint was designed occlusively with balanced extended surfaces to maintain the occlusion, respectively the joint, in a stable position ( Figures 12- 15).