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Home » ADVANCED PROSTHODONTICS - NO CUT&DRILL DENTISTRY

Young 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.

Home » ADVANCED PROSTHODONTICS - NO CUT&DRILL DENTISTRY

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

Home » ADVANCED PROSTHODONTICS - NO CUT&DRILL DENTISTRY

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
Home » ADVANCED PROSTHODONTICS - 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)
Home » ADVANCED PROSTHODONTICS - NO CUT&DRILL DENTISTRY

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

ΓΕΩΡΓΙΟΣ ΠΑΤΣΑΧΤΣΙΔΗΣ
ΓΕΩΡΓΙΟΣ ΠΑΤΣΑΧΤΣΙΔΗΣ
2023-11-12
Τρέχω πάνω από 20 χρόνια στους οδοντιατρους και κάθε φορά που καθόμουν σ αυτήν την καρέκλα με έπιανε φόβος και οι σφυγμοι ανέβαιναν στο κόκκινο.Κάποια στιγμή έφτασα σε σημείο να μην μπορώ να μασησω ούτε ψωμί.Μου έλεγαν έπρεπε να τα βγάλω σχεδόν όλα και να βάλω μασελακια. Έχω χάσει τέσσερα δόντια και τα υπόλοιπα ήταν σχεδόν κατεστραμμένα. Τον Κ.Παπαδιωτη μου τον συνέστησε ένας άνθρωπος που έχει γίνει σαν δεύτερος πατέρας μου. Στο δεύτερο ραντεβού στον Κ.Παπαδιωτη έφυγε ο φόβος που είχα στους οδοντιατρους. Δεν έβγαλα κανένα δόντι μου.Φτιαχνει τα δικά μου δόντια και επιτέλους ακούω ότι αυτό που φτιάχνει δεν θα σπάσει και όχι αυτό που μου έλεγαν οι άλλοι οδοντίατροι "ΟΣΟ ΑΝΤΕΞΕΙ".Όσο για την εμπειρία και τον επαγγελματισμό που έχει ο Κ.Παπαδιωτης και πάνω απ' όλα την ΕΜΠΙΣΤΟΣΥΝΗ που σου προσφέρει σαν Ανθρωπος και σαν οδοντίατρος ότι και να πω θα είναι σταγόνα στον ωκεανό. Μακάρι να είχαμε και άλλους τέτοιους επιστήμονες και σε άλλους κλάδους της ιατρικής. Πλέον όλη μου η οικογένεια απέκτησε τον οδοντίατρο της που θα ζήλευαν ακόμα και στο εξωτερικό.Συμβουλη... οποιοδήποτε οδοντιατρικο πρόβλημα και να έχετε πηγαίνετε στον Κ.Παπαδιωτη και θα με θυμηθείτε. Ένα δισεκατομμύριο ευχαριστώ στον Κ.Παπαδιωτη και στον άνθρωπο που μου τον συνέστησε!
MARIA ARGYROU
MARIA ARGYROU
2023-10-31
ΘΑ ΒΑΘΜΟΛΟΓΗΣΩ ΜΕ ΑΡΙΣΤΑ ΤΟ ΔΕΚΑ ΤΗΝ ΕΜΠΕΙΡΙΑ ΜΟΥ ΣΤΟ ΙΑΤΡΕΙΟ ΣΑΣ ΜΕ ΔΕΚΑ ΜΕ ΤΟΝΟ . ΦΙΛΙΚΟ ΠΕΡΙΒΑΛΛΟΝ , ΑΝΩΔΥΝΗ ΚΑΙ ΑΠΟΤΕΛΕΣΜΑΤΙΚΗ ΘΕΡΑΠΕΥΤΙΚΗ ΠΑΡΕΜΒΑΣΗ ΑΠΟ ΚΑΤΑΡΤΙΣΜΕΝΟ ΕΠΑΓΓΕΛΜΑΤΙΑ ΙΑΤΡΟ.
Παρασκευη Μεντη
Παρασκευη Μεντη
2023-10-16
Είμαι 53 ετών,αρκετά ταλαιπωρημένη από οδοντιάτρους. Επισκέφτηκα τον δρ. Παπαδιώτη και εντυπωσιάστηκα από την αμεσότητα του στο να λύσει το πρόβλημα μου. Επίσης την καταπληκτική δουλειά που έκανε στα δόντια μου, έκτοτε τρώω κανονικά χωρίς καμία ενόχληση. Σας ευχαριστώ.
Alexander Efstratiou
Alexander Efstratiou
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Ιωάννα Παπαδοπουλου
Ιωάννα Παπαδοπουλου
2023-10-09
anastasia pylarinou
anastasia pylarinou
2023-09-20
Μανος Αντωνοπουλος
Μανος Αντωνοπουλος
2023-08-14
Εμπειρία και γνώση πάνω απο όλα !!
George Kostopoulos
George Kostopoulos
2023-07-27
Η ΠΑΡΟΧΗ ΥΠΗΡΕΣΙΩΝ ΥΠΗΡΞΕ ΑΨΟΓΗ ΚΑΙ ΗΤΑΝ ΟΤΙ ΑΚΡΙΒΩΣ ΕΙΧΕ ΖΗΤΗΘΕΙ ΑΠΟ ΕΜΕΝΑ . ΕΠΑΓΓΕΛΜΑΤΙΑΣ ΜΕ ΕΝΔΙΑΦΕΡΟΝ ΓΙΑ ΤΟΥΣ ΑΣΘΕΝΕΙΣ ΚΑΙ ΤΗΝ ΠΡΟΟΔΟ ΤΗΣ ΥΓΕΙΑΣ ΤΟΥΣ . ΦΙΛΙΚΟ ΚΑΙ ΑΝΕΤΟ ΠΕΡΙΒΑΛΟΝ
Χριστίνα Αντωνιάδου
Χριστίνα Αντωνιάδου
2023-07-19
Πάρα πολύ καλή πρώτη εμπειρία με φροντίδα και επαγγελματισμό σε έναν χώρο ήρεμο και ζεστό. Ευχαριστώ ????
panos prokopis
panos prokopis
2023-07-12