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Contemp Clin Dent. 2010 Apr;1(2):98-102. doi: 10.4103/0976-237X.68601.

Full-mouth rehabilitation of a case of generalized enamel hypoplasia using a twin-stage procedure.

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ITS CDSR, Ghaziabad, India.


The dilemma confronting many dentists today is that innovations and well-defined specializations have greatly enlarged the treatment realm for tooth preservation as well as tooth replacement. The objectives should be preservation of the remaining tooth structure, restoration of optimum function, esthetics with least invasive procedures, cost effective, and short treatment time. The number of remaining natural teeth is one of the most widely used method for evaluating oral health and the prosthetic treatment of patients with a mutilated dentition. Though the treatment of these patients can be complex, but there are some important principles applicable in most cases. This case report demonstrates a satisfying full mouth rehabilitation using the Hobo and Takayama twin-stage procedure for a patient with esthetically and functionally compromised dentition. The final prosthesis with this twin-stage technique ensured a restoration with a predictable posterior disclusion and anterior guidance in harmony with the condylar path.


Canine-guided occlusion; cusp angle; diagnostic wax-up; twin stage

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