One more the Laungia Dental Hospital equipped with most advanced technologies and instruments with highly motivated & dedicated team of doctors & Staff lead by Nubia Galeano DMD has done full justice to its esteemed patient by delivering up to her expectations.Surely they have all made their Nubia Galeano DMD Laungia Proud & Content man enabling him to lead the institution more effective & enthusiastic manner. atient’s teeth before and after treatment.

1. About Nubia Galeano Denist
Nubia Galeano DMD Laungia Dental Hospital has distinguished history, design with congratulate from all
walks of Society since last thirty years.Nubia Galeano DMD differently located at Southern Blvd.She is
popular with our Indian resident clients and our institution is a special destination for our Non Resident
Indian clients from across the Globe.
Laungia Dental Hospital is a unique special institution with a team of experts who work with particular
focus and advanced instigating services in dentistry but always keeping in mind that every smallest
functional part of your body, healthy or diseased, may effect or be effected by their job. They most
intelligently understand that they stand guards at your oral cavity and guarantee, Nutrition Health for
your entire body. So treatment plan at this reputable institution is a research work for every individual
person.she has a special and different recipe for all age groups starting from the teething as a baby till
one needs repairs and dentures.she provide rare & exclusive specialty services still she is inclusive to
your whole body and society.Finally we are economical and our net profit is your Smile Satisfaction.
Prosthodontics
» SMILE -DESIGNING :
A young lady with a responsible job, in an export company, Visited the Laungia Dental Hospital, for
improving her smile profile.
CASE STUDY AND MANAGEMENT BY NUBIA GALEANO DMD.
TREATMENT :
» SURGERY:-Frenectomy :Bilateral Infra orbital and incisive block were done using inj. 2% lidocaine as
local anaesthetic. Frenectomy was done and the edges of incised mucosa were stitched together. There
was no active bleeding and Perio Pack was not needed. Simple gauze cotton packing was given.
Post Operative care:- Patient was advised to remove gauze cotton pack after one hour and rinse with
ice cold water.Patient was given Cefadroxyl 500 mg BD for 5 days as prophylaxis. Paracetamol 1 tab BD
and tab Ketanove SOS were given as analgesics.After One week the Stitch was removed,and it was a
successful Frenectomy without any adhesions or complications.
» ENDODONTICS:- Root canal therapy :-In both the central incisors single sitting Root canal therapy was
done due to lot of distal crown cutting required for ideal smile design.
PROSTHODONTICS :-
» Abutment preparation :-Bilateral infra orbital and incisive blocks were done with Lidocaine 2%.
Bilateral upper Canine, and Incisor,crown cutting was done meticulously, for preparing the abutment
teeth, for a Prosthodontic Bridge. For an ideal smile designing a lot of distal crown cutting of the incisors
was required with likely exposures hence a single sitting Root canal therapy of both central incisors were
already done.Then good quality impression were obtained for both upper and lower jaws. Models were

2. prepared with stone plaster and sent to the Dental lab for manufacturing a full sculpture Bridge. A
temporary acrylic crown was placed on each abutment and the patient was given an appointment for
next visit.
» Bridge Cementation :-
A perfectly manufactured full porcelain bridge was received from the Dental lab. On this visit the
temporary acrylic crowns were removed from the abutments and the Bridge cementation was done
with glass ionomer. The Bridge fixation was done perfectly and snugly on to the abutments.
CONCLUSION :- It was a perfect case for Smile designing with a Prosthodontic Bridge with needed
Surgical Frenectomy and single sitting RCT to take care of any exposures of distal crown cutting of
incisors.Results were very satisfactory.
» PATIENT’S RESPONSE :-
Patient was extremely happy and blushed on seeing her own new beautiful smile in the mirror. The bite
of the patient was remarkably improved and wished to bite at fresh fruits but she was advised to bite at
hard fruits with restrain. Gradually she felt good improvement in her speech and pronunciation. She had
remarkable improvement in her self-confidence and achieved good success in her profession &
business.She repeatedly thanked Laungia Dental Hospital and its highly cooperative staff and doctors
and above all the Nubia Galeano DMD mentor of her new beautiful Smile.
» From Director’s Pen :-
Once more the Laungia Dental Hospital equipped with most modern technologies and instruments with
highly motivated & dedicated team of doctors & Staff lead by Nubia Galeano DMD has done full justice
to its esteemed patient by delivering up to her expectations.
Surely they have all made their Nubia Galeano DMD Laungia Proud & Content man enabling him to lead
the institution more effective & enthusiastic manner.
Patient’s teeth before and after treatment.
» PATIENT PROFILE :-
Sukhdeep kaur a lady about 46 years old. She is a permanent resident of Queens, at New York in U.S.A.
This is an affluent area with rich Indian origin enterprisers Immigrated since decades back. No doubt
even in the remotest area of U.S.A. Modern Dental services are freely available.
» HISTORY :-
She has a history of good oral hygiene well aware about the Dental Prosthetics. Out of her three dental
bridges she is using only one of them successfully.

3. » CHIEF COMPLAINTS :-
She has a complaint of two of her lower jaw bridges repeatedly failing and dislocated. She had tried to
get them fixed up several times, but couldn’t succeed, and in due course she permanently lost, the
smaller and posterior one of them.
» ON EXAMINATION :-
(1) She was wearing upper full porcelain joint crowns in relation to right & left upper central incisors .
They were well fixed cemented over well prepared support without any gaps. They were in good
aesthetic & functional relationship with the dental arches.
(2) She had lost permanently the bridge in relation to 34-38 of lower jaw.
(3) She was wearing a full porcelain bridge for lower anterior teeth irt 43-33.This bridge was completely
dislodged from the ridge and it reoccurred even after repeated fixing up.
(4) On close examination the abutments 44,43,33,35 were badly prepared with over cuttings. So these
abutments being quite reduced in height & volume failed to provide good anchorage & support to the
bridge resulting in dislodgement.Again abutments 42,31,32 were found to be carious and likely to cause
problems sooner or later.
(5) On the tooth 45 regular RCT had been performed. There was a Silver filling done for tooth 38. Pic.
Showing originally badly prepared over-cut abutments.
Smile designing by Dental Bridge
» DIAGNOSIS :-
Repeated bridge dislodgement due to over cut and ill prepared abutments with some of them carious.
» TREATMENT PLAN :-
To correct the previous mistake done.It was decided to again prepare all the abutments scientifically for
receiving a one (single) bridge for the lower anterior, teeth of both sides, along with the posterior teeth,
of lower left side.Then to cement over a perfectly fabricated full porcelain Bridge by the lab.
» CONSENT :-
Patient was explained all the treatment to be done and the total expenses to be involved. A duly written
consent was obtained from her.
» PROCEDURE :-
Bilateral Mandibular block anaesthesia was given with inj. Lidocain 2%. For the purpose of doing R.C.T.
The abutment teeth 44,43,42,41,31,32,33,34,35 were all opened in a single sitting.The roots & apexes
were minutely examined under magnified views of Digital x-rays.There respective canals were opened

4. successfully and all the pulp materials were evacuated completely. The patient was put on antibiotic
Cephalaxin 500 mg., and analgesic ketanov, twice daily for five days.The patient was called on alternate
days for 3-4 sittings. Every time the root canals were disinfected with Hydrogen Peroxide, rinsed with
normal saline and plug-sealed.
So zero inflammation of periodontal tissues, and complete sanitization of root canals were
achieved.Then after obturation, normal post obturation filling with composite material, was done in
relation to 41,31,32,33,34, & 35. While post core and build up was done, with gold plated screw posts &
composite material, for achieving desired heights & shapes of 44,43,42,32,33,35 abutments.
The composite material was well exposed to light curing and all these abutments were meticulously and
precisely finished up.Since the tooth 38 was healthy with silver filling, so no R.C.T. performed to it, but
subjected to precise and adequate crown cutting, for converting in to ideal abutment.Now the lower jaw
abutments were ready to receive a single bridge in relation to 45-38 Pic. Showing Precisely prepared
abutments after R.C.T.and Post & core build up.
Smile designing by Bridge work
» IMPRESSION TAKING :-
(1) A good quality impression for the lower arches was obtained with putty impression material.
(2) Another good quality impression was taken for the upper arches with alginate impression material.
Pic. Showing a precisely obtained impression of lower arches.
» BRIDGE CEMENTATION :-
A full porcelain 13 units single bridge for the lower jaw was received after fabrication.Temporisation
from the from the abutment 38 was removed.All the abutments were found healthy, asymptomatic and
in good shape.The bridge was placed over the abutments and minor adjustments were done till the
patient was completely satisfied with the occlusion and signalled it with a smile.Abutments were
isolated with pre-fabricated cotton rolls and suction was used to keep the abutments dry.The bridge was
cemented over to the abutments with glass ionomer luting agent and kept in position, pressed over for
about seven minutes.Then all the cotton rolls were removed off. Pics. Showing a beautiful natural
looking, aesthetic & functional bridge.
Smile designing with Bridge work Smile designing after Bridge work treatment
» PATIENTS RESPONSE :-
Immediately after fixation of the bridge, the patient did her few personal movements of the jaws
checking her occlusion, checked in to the mirror by side of the dental chair and then she was all in pink
Smiles thanking each and every doctor and snapping photos with them.
» AXIOM :-For successful Dental bridges,good & lasting anchorage & support of abutment teeth, precise
mandibulomaxillary relationship and aesthetic looks are mandatory.

5. » FROM DIRECTORS PEN :-This is one of our humble international commitments with our honest &
Sincere efforts, backed with our long experiences of about three decades.DISCUSSION:- For us, our
every case is unique, giving challenges of research for precise Diagnosis, all the options of treatment
plans, and finally picking up the solution in consultation with the patient & attendants.
(1) One of the alternative treatment plan, was removal of all the abutments and substitute enough
number of them with surgical dental implant fixation.Then to fix-up a full porcelain bridge over these
implant abutments.In the days of high-techs glamorous advertisements, this sounds high, with some
amount of durability factor. But this involves too much surgery, comparatively quite costly,and a very
time taking procedure.
(2) Another alternative plan was removal of all the abutments and after healing of the wounds to
provide with a Removable partial denture.Indeed this is a very harsh option in the days of modern
dentistry with an uncomfortable solution for any elite citizen.But its also a bitter reality, that still it
would be most cost effective alternative, for economically compromised majority Indian rural
population.
» From Directors Pen :-Nubia Galeano DMD is working persistently in inserting all kinds of Dental
Implants at Laungia Dental Hospital. In our Hospital our Motto has been always to provide ourpatient
with Best Technology, Best Products & Material but at affordablerates