Advanced hybrid veneers

Young dental student visited our clinic requesting prosthetic restoration for his teeth.
His desire was aesthetic elongation of his teeth since they were undersized and not visible in both rest and dynamic positions (speech, etc.).

Challenge has been his young age along with preservation of healthy tissues.

Advanced hybrid veneers without preparation/drilling has been treatment of choice

In one appointment, new aesthetics and occlusion were analyzed and designed.

In the next appointment, Enamic veneers were bonded to intact teeth using state-of-the-art cleaning and bonding protocol.

Finishing and polishing were performed in the very last appointment.

Entire process lasted 10 days, in only 3 appointments.

No tooth preparation or anesthesia was required.

Monolithic porcelain veneers with micro-layering

50-year-old patient with severe orthodontic problems (crooked teeth) and malocclusion (tightening and grinding of her teeth).

Due to clenching and grinding, her teeth had significantly abraded and shortened, causing serious aesthetic problems.

Patient requested to improve the appearance of her mouth.

Case was assessed as high-risk and of high-demands as there was peril of porcelain fractures and potential issues with the temporomandibular joints.

Careful raise of vertical dimension  was initially performed using bonded resins (mock-up) to help gain prosthetic space without drilling teeth.

At second phase long-term temporary restorations replaced bonded mock up.

Partial coverage restorations as well as full coverage veneers were chosen as treatment plan dictated.

Teeth were not drilled and state-of-the-art porcelain restorations were bonded using a strict protocol (use of dental isolation).

Monolithic emax restorations were used with micro-layering to provide both strength and aesthetics.

Shade was Bleach1

Ultra-thin super bleached composites veneers

Male patient 52 proceeded with a strong request for super bleached teeth.
Examination revealed old composite veneers and a canted occlusal plane of the lower teeth- canted teeth.
No-cut&drill composite veneers chosen to restore shape and to enhance colour.
Digital Smile Design applied on photos of the face. New forms trialed on natural teeth and old composites prior to final treatment (mockup).
On a single appointment old composites removed and extra light composites (Tetric Ceram XL) were adhered on a minimum thickness of 0,5mm around every tooth circumferentially.
Canted occlusal plane on the lower jaw was not corrected. Orthodontic correction would have been treatment of choice due to bone dis-formation yet not approved by patient
Maryland bonded bridge – No cut&drill dentistry

Female patient referred by peer dentist to restore her lost tooth.
Patient was informed of all possible solutions to her issue.
It was mutually decided upon to proceed with a fixed Maryland bridge , that is full-ceramic bonded bridge.
Maryland bridges or bonded bridges are fully non-invasive, that being no drilling employed.
Inner part of canine was thoroughly cleaned and prepared. Full upper and lower arch were scanned and stl file sent to cad/cam lab.
A state-of-the-art Maryland bridge designed and fabricated.
Gum site was conditioned with a removable soft splint that was placed and used for almost a week (Essix splint).
Finally ceramic bridge sandblasted and chemically cleaned. No drilling involved.
State-of-the-art bonding system was used (Tokuyama Universal bond)
Impressive one-day makeover with bonded composites

Female patient requested elongation of front teeth. She complaint for inadequate tooth exposure both at lip rest and at smile.

Aesthetic evaluation confirmed patient’s remarks. Functional assessment showed a difficult class II occlusion i.e. lower teeth located far back and inward as compared to the position of the upper. Such occlusion scheme regularly calls for a preliminary orthodontic treatment as a start off phase. However as stated by patient, she had already had been treated with brackets all to no avail. Therefore a second ortho treatment was denied

Moreover extended tooth wear made the restorative treatment even more difficult to handle and to safely design with a new occlusal scheme. Tooth-wear patients are regarded high-risk in terms of sustaining restorations free of chipping or catastrophic fractures

Due to her limited stay in Athens, we decided to proceed to complete aesthetic and functional analysis and to bond the simulated new dentition on her native teeth with composites. Hardly any teeth showed at smile. Aesthetic assessment showed a need for 2.00 mm elongation of the upper. However that would be considered an easy-to-break restoration due to the unfavourable occlusal scheme.

A limited raise of the vertical dimension of occlusion (VDO) was decided however not to the ideal assumed height, because of the exaggerated class II occlusion.

thickening of the upper teeth was ,too, decided to hold up the upper lip thus to help show more tooth volume

An increase of the lower front teeth was not an option because they , too, showed too much

An increase of the height of the lower posterior was designed to somehow help gain prosthetic space for the upper front

Porcelain 360 veneers in the front and porcelain onlays on the posterior are planned as definitive restorations

Transparent templates were fabricated from the models of the intended new dentition. Being the ‘‘negative” replicates of the intended upper and lower teeth, they were filled up with flowable composites and seated on each jaw. Light cure was followed to help bond and to harden the composites therefore new dentition was a acquired in 5′ on adequately primed teeth without any drill or cut at all

Tooth contacts were adjusted and bonded prototypes will now serve their versatile role for the next months as the perfect trial dentition

Nikos Dikaios
Nikos Dikaios
Dr Papadiotis is a very skilled dentist, professional and the centre itself is very accommodating. I definitely recommend it.
Effie Butsikares
Effie Butsikares
Ο Κύριος Παπαδιώτης και η ομάδα του αποτελεί απόδειξη πως υπάρχουν γιατροί που φροντίζουν για την υγεία σου, είναι άρτια καταρτισμένοι, γνωστές του αντικειμένου, παρέχοντας ασφάλεια και σωστή πληροφόρηση σε κάθε διαδικασία ιατρική. Είναι ο οδοντίατρος που συνιστώ ανεπιφύλακτα για ασθένεις που έχουν ανάγκη από σωστούς επιστήμονες που θα τους καθοδηγήσουν βήμα βήμα μέχρι το επιθυμητό αποτέλεσμα. Ευχαριστώ ιδιαιτέρως τον ιατρό που φρόντισε για την παραμελημένη ομολογώ υγιεινη του στόματος μου και που χαίρομαι τώρα να χαμογελάω με άλλη αυτοπεποίθηση πλέον.
anastasia&zografos anastasia&zografos
anastasia&zografos anastasia&zografos
Η εμπειρία μου από τις επισκέψεις μου στον Δρ. Ευάγγελο Παπαδιώτη είναι άριστη σε όλα τα επίπεδα. Τον διακρίνει ευγένεια, κατανόηση στις ευαισθησίες του ασθενούς, επαγγελματισμός και αποτελεσματικότητα. Εξαιρετικοί και οι συνεργάτες του. Αναστασία Μυλωνά
Maria Bousali
Maria Bousali
Γιώργος Μανώλης
Γιώργος Μανώλης
Η εμπειρία μου στο ιατρείο ήταν μοναδική. Η κυρία που είναι στο τηλέφωνο ήταν πολύ ευγενική και μου έκλεισε άμεσα ραντεβού. Από το πρώτο ραντεβού ένιωσα μια ασφάλεια που δύσκολα συναντάς σε ιατρείο. Ο γιατρός εξαιρετικός άνθρωπος με πολύ καλή γνώση πάνω στην δουλειά του, μου ανέλυσε με κάθε λεπτομέρεια το πρόβλημά μου,και πώς θα μπορούσαμε να το αντιμετωπίσουμε με πολλούς τρόπους. Τελικά μετα από 2 σφραγίσματα που ήθελα, έκανα λεύκανση στο σπίτι και έκανα και όψεις ρητίνης στην πάνω γνάθο. Το αποτέλεσμα ήταν όπως το ήθελα χωρίς να πονέσω καθόλου. Χαίρομαι που επισκέφτηκα το ιατρείο γιατί εκτός από ένα καλό οδοντίατρο έγινε και ένας καλός φίλος.
An Vlanti
An Vlanti
Εδώ και καιρό ψάχνω για έναν κατάλληλο γιατρό, και χαίρομαι πολύ που επέλεξα την Dental Aesthetics και τον Δρ. Παπαδιώτη. Η πολιτική της κλινικής δεν είναι ένα γρήγορο, αλλά ένα ποιοτικό αποτέλεσμα με τη διατήρηση της υγείας των δοντιών, κάτι που είναι εξαιρετικά σημαντικό για μένα. Τώρα έχω ένα όμορφο χαμόγελο! Από τα αρχικά μου δεδομένα, προέκυψε το πιο cool αποτέλεσμα!
Eleni Smponia
Eleni Smponia
Ο κ.Παπαδιώτης έχει φέρει εις πέρας εξαιρετικά δύσκολα περιστατικά της οδοντοστοιχίας μου! Περιστατικά που απαιτούσαν και ικανότητες ενδο-οδοντοτιστή εκτός των κλασικών οδοντιατρικών παρεμβάσεων… Το αποτέλεσμα πάντα εξαιρετικό…χωρίς πόνο…με διάρκεια…και φυσικά εξαιρετική αισθητική! Τον συστήνω ανεπιφύλακτα είτε για τη δημιουργία ενός όμορφου χαμόγελου για αισθητικούς λόγους αλλά και για οτιδήποτε έχει αποτελέσει πρόκληση για τον προηγούμενο οδοντίατρο σας!
Kostas Barbarousis
Kostas Barbarousis
Αριστος επαγγελματίας.Εξαιρετική δουλειά και εξαιρετικός άνθρωπος!απολυτα ευχαριστημένος από την εξυπηρέτηση , επεξηγηματικός και καθησυχαστικός ως προς το πρόβλημα μου!ευχαριστο περιβάλλον και καθόλου κουραστικός αποπεράτωσης εργασίας .
Kostas Georgakopoulos
Kostas Georgakopoulos
Το προτείνω ανεπιφύλακτα !!
argiris tsiotsios
argiris tsiotsios
Καταπληκτικός γιατρός Άψογη συμπεριφορά και πολύ καλές τιμές Σύσταση ανεπιφύλακτη