Case of the Month – Cirilo Lopes

Cirilo Lopes

Age - 40

Country - France

Clinical Case Description

The patient presented himself at the clinic with a quite deteriorated oral health condition. Several teeth were missing, particularly posterior teeth, as well as fractured teeth and teeth with several carious lesions, infiltrated and maladjusted fillings with loss of verticality. The few teeth remaining in the oral cavity showed no viability to recover, nor long-term guarantees in terms of treatment success.

The patient sought our help to improve his masticatory abilities and, at the same time, to provide him with an aesthetic solution aligned with his age, giving him a young and healthy smile suiting his age and lifestyle.

TREATMENT STEPS:

1^st – Clinical assessment and complementary diagnostic tests
2^nd – Implant placement surgery and placement of a temporary dental structure fixed to the implants
3^rd – Follow-up appointment to verify the healing process and conduct a and postoperative assessment.
4^th – Appointment for the definitive molds.
5^th – Appointment for the aesthetic tests of the final work.
6^th – Final work delivery and photographic record.

IMPLEMENTATION:

1^st – When the patient visited CERO for the first time, a thorough study of the patient was conducted with the support of clinical study models, Panoramic Radiography and Computed Tomography and clinical photographs taken in the studio for an aesthetic analysis.

2^nd – This is the big treatment day, or the day when the implant placement surgery is conducted. We extract all teeth, do the cleaning and bone shaping, and place the respective implants and prosthetic components. After surgery, we will print the respective implants to create some temporary teeth at our lab, which will be fixed to the implants, 4 to 6 hours after surgery.

3^rd – Postoperative reassessment appointment 2 days after surgery, only to control the patient’s bite (occlusion), as well as evaluate the healing process.

4^th – Four months after the surgery day, our patient Cirilo returned to Portugal for a week to do his final teeth. At this point, both bone and gum healing were completed and we verified the 100% success of the implants and indicated the final treatment stage.

5^th – At this stage, the patient went through to the treatment process during which he chose the shape and color of the teeth, while assessing the dental mounting and his final smile, through a lab-made model, a simulation of the final work and where, along with the patient’s opinion, we conducted the necessary modifications to attain the patient’s dream smile.

LAB:

During the surgical stage, our dental technicians, after receiving the implant molds, outline, in a four to six-hour period, a temporary structure fixed to the implants, which was the dental structure that followed the patient during the healing period (4 months), from December 2018 to March 2019.

In the final rehabilitation stage (after the healing period), our dental technicians will be fully focused on a dental structure with proper aesthetics, symmetry, harmony and the integration ambitioned by our patient Cirilo. Throughout this whole stage, there was a tight quality control in each step, until we reached his dream smile. In this patient’s case, he tested his chosen teeth, we performed adaptation tests for the metallic structure and its passivity, using control radiography and registering the color and characterization of gums to make the dental structure as close as possible to its natural state.

Final Result

AFTER

BEFORE

Dr. Tiago Ribeiro

Graduated in Dental Medicine in 2007 at the I.S.C.S.E.M. – Monte de Caparica – Portugal

Registered in the O.M.D. – Portugal (the Portuguese correspondent with the British General Dental Council) since August 2007

Private Practice in Oral and Aesthetic Complex Rehabilitation (Implants and Teeth)

Clinical Director of the Center for Aesthetics and Oral Rehabilitation of Lisbon – C.E.R.O. – Almada

Responsible for the Department of Oral Rehabilitation of the Center for Aesthetics and Oral Rehabilitation, Lisbon and Almada

Plastic –Esthetic Periodontal and Implant Surgery – University Complutense Madrid

Orthodontic and dental-facial Orthopedics – International Institute of Medical & Dental Science

Guest monitor of Biophysic in Dentistry Course in ISCS – Egas Moniz in years 2005/2006 and 2006/2007.

Advanced course in Botulinum Toxin (Botox) and Hyaluronic acid injections – Med – Estetic Madrid

Clinical Review in Occlusion Assessment

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