08/17/2026
How Would You Treatment-Plan This Case?
A successful professional presented with severe tetracycline staining, extruded anterior teeth, a deep overbite, mismatched existing crowns, and growing frustration with a smile that did not reflect her confidence.
The final transformation is dramaticโbut the real value of this case lies in the decisions that made the outcome possible.
Before seeing the treatment sequence, consider:
What would be your first diagnostic priority?
Would you begin with the gingiva, tooth position, occlusion, or restorative design?
How would the deep overbite affect your preparation and provisionalization strategy?
Would you correct the extruded anterior teeth restoratively, orthodontically, surgically, or through a combined approach?
How would you mask severe tetracycline discoloration without creating restorations that appear opaque?
What records would you require before committing to treatment?
Where could this case failโeven if the final crowns look beautiful?
There is rarely only one way to approach a complex case. The most valuable discussion begins when experienced clinicians explain why they would choose one sequence over another.
Post your treatment plan in the comments, challenge another perspective, and join us for the complete case discussion in our study club.
Comment โCASEโ or send us a direct message with โSTUDY CLUBโ to receive information about the next session.
Case by Dr. Castro, Georgia Prosthodontics
Laboratory collaboration with Mr. David Li, Prostho Dental Lab
