Pacient have a rapid progresive periodontal disease,  maintained by dental calculus, bacterian plaque and a ineficient dental higiene.

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After a 7 -10 days  from ultrasonic calculus removal, rooth planing, Air Flow and dental higiene, a improving of periodontal status can be observed.

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You can observe that #9 is a little longer than #8 .

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This are appear because in protruzion only #9 have contact with inferior incisors.

Due the mobility of the teeth, we make an aestethic imobilisation with a Strength Reinforcement Ribbon (Construct, Kerr) to improuve the patient confort. To correct protruzion we make a aesthetic obturation on incisal  on #8.p1110400

Isolation with the rubber dam. Demineralization with ortho-phosforic acid 37%  for 1 minute; after rinse with water

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Final aspect of  the splint – frontal view. On #8 we make a incizal edge filling to can equalize with #9. Protruzion is now balanced (on #8 and #9)

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Aesthetic smile

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