Aesthetic Facial Analysis
Restoration of the occlusion with temporary long-lasting bridges
Restoration of occlusion in 1 day with temporarily fixed teeth
Porcelain veneers with layering
Patient 50 years old with severe orthodontic problems (crooked teeth) and occlusion problems (she was clenching and grinding her teeth).
Due to the roaring (clenching of the teeth) her teeth had lost their length and had become noticeably shorter, causing serious aesthetic problems.
The patient wanted to improve the appearance of her mouth.
The case was of high demand as there was a risk of fracturing the porcelain or causing problems with the temporomandibular joints.
Careful elevation of the vertical occlusal dimension was carried out, initially with bonded resins (moc ap) and subsequently with long term temporary ones.
Partial coverage veneers and full coverage veneers were selected in some teeth.
No teeth were ground and porcelain veneers were bonded with a strict bonding protocol & use of dental buffer
Monolithic emax veneers with micro layering were used to provide strength as well as aesthetics.
Periodontitis & prosthetics without implants
Periodontal patient with mobility and missing teeth.
The remaining teeth also had periapical lesions (cysts) that needed endodontic treatments (debridements)
After the treatments were completed, masticatory function had to be restored.
The use of zirconia bridges was chosen, which “bound” and held the teeth together, in order to address the remaining tooth mobility
Resin veneers for the treatment of decayed dentition
A case with flattened incisal and chewing surfaces of the teeth. The patient complained of symptoms (pain and numbness) when taking cold and hot food. Her wish was to restore the length of her teeth. The case was treated with anterior resin veneers on the 6 anterior teeth. No grinding of the teeth was done at all. They were cleaned with sandblasting (Al2O3 powder). No anesthesia was performed. The treatment was completed in 2 appointments.
Restoration of the occlusion
Resin veneers for changing the length of the anterior teeth
Combination of resin veneers in the anterior and zirconia bridges in the posterior after orthodontics for correction of skeletal disharmony of the upper and lower jaw
A 40-year-old patient presented after months of orthodontic treatment to restore his smile. The patient had a class c occlusion (i.e. the jaw was too far forward), which was corrected by orthodontics (‘braces’)
The aesthetic analysis showed that the upper anterior teeth were not visible at all in the resting position of the mandible. In this position the incisal edges of the anterior teeth should normally be visible by 0,5-1,00 mm. Appropriate instructions were given to our ceramist partner to correct this aesthetic disharmony and the new dental composition was designed with more correct lengths on the anterior teeth and more correct chewing contacts on the posterior teeth. (The vertical dimension was raised)
The new dental composition was tested by transferring the new shape to the teeth through exact replicas (splints-discs) of the wax-up. The preview was performed without any grinding of the teeth and left in the mouth for 3 days to allow the patient to examine the proposed scheme and make notes. It was decided to dissolve the resin veneers on the anterior teeth and replace the old bridges on the posterior teeth with zirconia bridges
Resin veneers (ASTERIA by TOKUYAMA, JAPAN) were used and an increase in the brightness of the smile was achieved.
Restoration of the occlusion with veneers and resin inlays
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