Skeletal Class II malocclusion often leads to excessive overjet due to differences in arch growth, and in some cases, an unstable contact point of the mandibular incisors can result in deep bite. When the relationship of anterior teeth is unstable, the extruded height of the mandibular incisors must be adjusted, followed by restoration of the maxillary incisors. During this process, an interim restoration period is necessary to evaluate aesthetics, phonetics, and function of the anterior teeth, and if extractions and implants are involved, the restoration steps may increase. In this case, facial scan was utilized to obtain extraoral data for stepwise fabrication of provisional restorations, ultimately transitioning them into final restorations. This approach aimed to improve both function and aesthetics for the patient, who required multiple implants and fixed prostheses on natural teeth, including in the anterior region.

Skeletal Class II malocclusion often leads to excessive overjet due to differences in arch growth, and in some cases, an unstable contact point of the mandibular incisors can result in deep bite. When the relationship of anterior teeth is unstable, the extruded height of the mandibular incisors must be adjusted, followed by restoration of the maxillary incisors. During this process, an interim restoration period is necessary to evaluate aesthetics, phonetics, and function of the anterior teeth, and if extractions and implants are involved, the restoration steps may increase. In this case, facial scan was utilized to obtain extraoral data for stepwise fabrication of provisional restorations, ultimately transitioning them into final restorations. This approach aimed to improve both function and aesthetics for the patient, who required multiple implants and fixed prostheses on natural teeth, including in the anterior region.

Skeletal Class II malocclusion often leads to excessive overjet due to differences in arch growth, and in some cases, an unstable contact point of the mandibular incisors can result in deep bite. When the relationship of anterior teeth is unstable, the extruded height of the mandibular incisors must be adjusted, followed by restoration of the maxillary incisors. During this process, an interim restoration period is necessary to evaluate aesthetics, phonetics, and function of the anterior teeth, and if extractions and implants are involved, the restoration steps may increase. In this case, facial scan was utilized to obtain extraoral data for stepwise fabrication of provisional restorations, ultimately transitioning them into final restorations. This approach aimed to improve both function and aesthetics for the patient, who required multiple implants and fixed prostheses on natural teeth, including in the anterior region.

Skeletal Class II malocclusion often leads to excessive overjet due to differences in arch growth, and in some cases, an unstable contact point of the mandibular incisors can result in deep bite. When the relationship of anterior teeth is unstable, the extruded height of the mandibular incisors must be adjusted, followed by restoration of the maxillary incisors. During this process, an interim restoration period is necessary to evaluate aesthetics, phonetics, and function of the anterior teeth, and if extractions and implants are involved, the restoration steps may increase. In this case, facial scan was utilized to obtain extraoral data for stepwise fabrication of provisional restorations, ultimately transitioning them into final restorations. This approach aimed to improve both function and aesthetics for the patient, who required multiple implants and fixed prostheses on natural teeth, including in the anterior region.

Skeletal Class II malocclusion often leads to excessive overjet due to differences in arch growth, and in some cases, an unstable contact point of the mandibular incisors can result in deep bite. When the relationship of anterior teeth is unstable, the extruded height of the mandibular incisors must be adjusted, followed by restoration of the maxillary incisors. During this process, an interim restoration period is necessary to evaluate aesthetics, phonetics, and function of the anterior teeth, and if extractions and implants are involved, the restoration steps may increase. In this case, facial scan was utilized to obtain extraoral data for stepwise fabrication of provisional restorations, ultimately transitioning them into final restorations. This approach aimed to improve both function and aesthetics for the patient, who required multiple implants and fixed prostheses on natural teeth, including in the anterior region.

The main mechanism of Takotsubo cardiomyopathy (TCM) is catecholamine-induced acute myocardial stunning. Pheochromocytoma, a catecholamine-secreting tumor, can cause several cardiovascular complications, including hypertensive crisis, myocardial infarction, toxic myocarditis, and TCM. A 29-year-old woman presented to our hospital with general weakness, vomiting, dyspnea, and chest pain. The patient was nullipara, 28 weeks’ gestation, and had a cachexic morphology. Her cardiac enzyme levels were elevated and bedside echocardiography showed apical akinesia, suggesting TCM. The next day, she could not feel the fetal movement, and an emergency cesarean section was performed. After delivery, the patient experienced cardiac arrest and was transferred to the intensive care unit for cardiopulmonary resuscitation (CPR). Spontaneous circulation returned after 28 minutes of CPR, but cardiogenic shock continued, and extracorporeal membrane oxygenation (ECMO) was initiated. On the third day of ECMO maintenance, left ventricular ejection fraction improved and blood pressure stabilized. On the eighth day after ECMO insertion, it was removed. However, complications of the left leg vessels occurred, and several surgeries and interventions were performed. A left adrenal gland mass was found on computed tomography and was removed while repairing the leg vessels. Pheochromocytoma was diagnosed and left adrenalectomy was performed.

The main mechanism of Takotsubo cardiomyopathy (TCM) is catecholamine-induced acute myocardial stunning. Pheochromocytoma, a catecholamine-secreting tumor, can cause several cardiovascular complications, including hypertensive crisis, myocardial infarction, toxic myocarditis, and TCM. A 29-year-old woman presented to our hospital with general weakness, vomiting, dyspnea, and chest pain. The patient was nullipara, 28 weeks’ gestation, and had a cachexic morphology. Her cardiac enzyme levels were elevated and bedside echocardiography showed apical akinesia, suggesting TCM. The next day, she could not feel the fetal movement, and an emergency cesarean section was performed. After delivery, the patient experienced cardiac arrest and was transferred to the intensive care unit for cardiopulmonary resuscitation (CPR). Spontaneous circulation returned after 28 minutes of CPR, but cardiogenic shock continued, and extracorporeal membrane oxygenation (ECMO) was initiated. On the third day of ECMO maintenance, left ventricular ejection fraction improved and blood pressure stabilized. On the eighth day after ECMO insertion, it was removed. However, complications of the left leg vessels occurred, and several surgeries and interventions were performed. A left adrenal gland mass was found on computed tomography and was removed while repairing the leg vessels. Pheochromocytoma was diagnosed and left adrenalectomy was performed.