Patient's full mouth smile prior to treatment showing bulky bridge on upper right.		Patient's final Class I smile with pleasing esthetic result.
Patient's upper arch after treatment		Lower quadrant after restoration with Arizona Crown bridge and Targis™99 onlays.

"This 65-year old patient was unhappy with her smile, primarily due to the bulky upper right bridge. At the same time, she also mentioned that her partial lower denture was causing her some discomfort. Chewing was arduous. Upon examination, her lack of comfort and difficulty in chewing appeared to be due to overclosure. Previous sporadic restorative treatments had created an unesthetic, poorly functioning dentition.

After discussing the situation with the patient, the decision was reached to treat the entire dentition. This would involve opening the vertical dimension and returning her to an anterior Class I while also improving the esthetic appearance of her smile. Treatment started with a splint to open the vertical. We then completed a full mouth reconstruction including an Arizona Crown Bridge in the lower anterior to replace the partial denture, IPS Empress®2 bridges to replace the upper bicuspids, IPS Empress® veneers in the upper anterior and Targis™99 on the upper sevens. The patient was ecstatic with the final result."

- Dr. Richard Sorgini

Richard Sorgini, D.D.S., graduated as Gold Medallist from the University of Western Ontario in 1981. A past graduate of the Las Vegas Institute's Advanced Anterior, Posterior and Leadership programs, Dr. Sorgini is in private practice in Midland, ON emphasizing both anterior and posterior advanced cosmetic dentistry.