male patient age 27 complains of bucally proclined teeth wrt 11 bt hav pus duscharge wit periapical abscess,no top no mobilty ,presence of bone loss upto middle 3 rd of the root,presence of supernumerary tooth between 11 and 21 couldnot tag xray as patient need xray kinfly giv suggestions

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dr.bharat nice case to chat on.. my suggestion is patient's perio status(oral hygiene) is very poor n in such condition smile designing is most tricky job to do. anyways my recommendation will be: - extraction of 11 & mesiodens - crown prep for 4unit bridge from 12--->21 (note: 12 must be modified as canine & add an extra lateral with central into the empty space) - thorough scaling & regular follow ups every 6mths Hope this will satisfy his esthetics demand..!

dis sounds more gud doc
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It sounds good of Wat dr.suyog described . But I doubt if we can coincide the midline. So, extract as the plan . Do a mock wax up of intended prosthesis design n work out accordingly if it's looking good . Thank u

it's case of aggressive periodontitis (?) do RCT

Aggressive periodontitis Root canal treat ment Fpd

extract the diseased 11 and if mesiodense is mobile then it too and then a nice aesthetically pleasing FPD from 21 to 12 with lil diastema for more natural look.

bt doc i feel teeth wil b large in size dan usual,more space s der so wnt luk gud
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Tricky but simple. Well if u really wana make him luk bright n hes willing tu spend for it u need tu remove the centrals and minimally prepare the laterals and give him a crown with slightly bulbous laterals and proportionate centrals. It will du the job.

hw abt supernumerary tooth dr
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remove the mesioden..do rct in 11 if periodontally healthy. and then give appropriate zirconia crowns on 12 11 21 to redesign the aesthetics...keep a note of checking the overjet and overbite.u might encounter some problem there

Take an impression and prepare a mock model with laterals prepared and the centrals and a mesiodens out. Then u can obtain the patient consent if he agrees and then proceed. Jus make sure the bite isnt tuu deep if it is dunt attempt

I would suggest extract mesiodens do RC with respect to 11 n if patient can afford do rc of 12, 21, 22 n give crowns...better make a mock model n see ...

not crown but bridge... sorry
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I think u should go for extraction of 11 and mesiodens then give fpd.

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