Aesthetic rehabilitation of severely proclined maxillary and mandibular anterior teeth with spacing using metal free restoration - A simple and structured case report

Abstract

This case report illustrates the simple and structured management of excessive maxillary and mandibular anterior proclination along with spacing. Excessive anterior proclination can be managed by simple alveoloplasty and prosthetic rehabilitation instead of sophisticated and technique-sensitive treatment procedures. This is a case report of a 40-year-old female patient with excessive anterior proclination with spacing. The periodontal condition was also poor. In such circumstances, the complicated surgical procedure was the option but still, the problem can’t be tackled. Therefore, the only no-sweat procedures were extraction and Dean’s alveoloplasty, which was carried out to remove the maxillary and mandibular excess followed by prosthetic rehabilitation with metal-free restoration. Metal-free restorations are the best option for situations where the aesthetic concern is very high and also Dean’s alveoloplasty procedure enhanced the positive outcome of the treatment.Anterior proclination is the most common aesthetic concern and the situation becomes more complicated if the periodontal condition is poor. This case report elucidates how to deal with such difficult situations in simple treatment procedures.