Published in June 1987
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site
Exploitation of 4.4 and 4.5 for prosthesis
Fig. 16 The clinical crowns of the two premolars are exposed and easy to work on. Fig. 17 Following construction of the cast gold core and suitable preparation of the shoulder of both premolars coronally to the gingival attachment, prosthesic preparation of the all incisors is completed.
Fig. 18 Transfer of impressions onto the articulator and subsequent proper construction of the p.g.c. prosthesis by the Brau-Mureddu laboratory of dental mechanics). Fig. 19 Porcelain gold-platinum lower prosthesis with framework and precision attachments with attachments
Fig. 20 Detail of the appearance of gum at 4.5 and 4.6 after 26 months.
Figs. 21-22 Upper fixed gold-platinum-platinum prosthesis.
Follow-up to verify the effectiveness of the treatment.

Fig. 23 Situation of bone on graph paper: on the left in May 1984 and on the right in 1986. Fig. 24 Patterns of patient's situation before and after rehabilitation: the problems of vertical dimension, gnathology and prosthesis which have been eliminated.
Fig. 25 Orthopantomography at the beginning of treatment.
Fig. 26 X-ray of upper incisors at the time of treatment, of endodontal and prosthesic treatment of 2.2, of the bone implant and finally of the result after 26 months from the beginning of treatment respectively.
Fig. 27 Top left and bottom left: the situation of 1.7 and 1.3 respectively; from left to right and from top to bottom, the situation before the operation, after 6 months, 12 months and 26 months from the beginning of treatment.
Fig. 28 X-rays before and 13 months after osteoplastics and apical repositioning of the flap.
Figs .29-30 X-rays of the bone profile of the lower incisors before and 13 months after bone remodelling.