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Before

Before

Male patient, 45, presented to our practice requesting smile makeover. His major complaints being • color mismatch across the upper front • black triangles between teeth • and crowding of front teeth in the lower jaw
Findings were • active periodontitis • gum recessions and black triangles • peri-implant deficiencies – at the posterior segments Treatment launched with full mouth disinfection and removal of microbial debris by our perio specialist

Non-invasive visualisation | Trial

Non-invasive visualisation | Trial

Upon finale of perio treatment, restorative phase set off with meticulous analysis both functional and aesthetic. Digital Smile Design implemented on photos of the face and smile with before & after depicts.
Custom made templates soaked with flowable composite copied the intended design on to teeth, helping visualize the projected smile real-time Try-in prototype engaged on his teeth and patient was advised to trial the mockup for 2-3 days

After

After

18 emax veneers (LT-Low Translucency ingot) were CAD/CAM fabricated and delivered
Note • underlying pale-yellowish shade in the middle of the veneers to immitate looks of natural teeth • translucent edges

After

After

Difficulty-level__Extreme due to combined restrictions i.e. minimally invasive procedure and natural glow of restorations. Patient fulfilment level___Excellent
Objective aesthetic assessment_ Fairly Good Objective biological assessment __ Excellent

Before

 

 

After

After

Before

After

Unpleasant appearance involving multiple issues : combined discrepancies of color – shape – position and gum over-exposure (gummy smile). Teeth tilted inwards and located off the facial middle line (been moved to the left).
Periodontal plastic surgery was performed to dissipate unpleasant exposure of gums. 6 ceramic veneers been bonded on the upper front teeth. Their aesthetic role being as to ”move” teeth to a prominent position and ”re-position” the teeth close to middle line.

Before

After

Before

After

Initial situation

Initial situation

Woman ,40, presented with 3 dyschromic i.e. discoloured upper front teeth
It is apparent that her 2 upper left teeth (right hand side for the observer) are discoloured. Lateral incisor yellowish and canine greyish

Appointment of tooth preparations

Appointment of tooth preparations

Shade tab against intensely discoloured canine to help register colour. All 3 teeth are minimally prepped yet without anaesthesia
Custom made silicone template in situ soaked with flowable resin. After 4′ resin is hardened and 3 new temporary veneers are fabricated and placed on prepped teeth

Immediate fabrication of 3 temporary veneers

Final situation

Silicone template removed. 3 temporary resin veneers in situ. Shape and colour restored as dictated by aesthetic analysis
3 veneers after bonding. Full integration

Final situation – Intraoral

Final situation

Satisfactory colour match among teeth and porcelain veneers. Task completed successfully, challenge being to achieve shade matching among different substrates. Minimal thickness of 3 e-max veneers (by Ivoclar Inc) dictated by minimal prep approach
Colour and shape fully restored on both segments , left and right

Initial

Preview

Female patient requested smile makeover. Note: worn teeth need protection, shape restore and colour enhancement
For her to see and to assess the proposed scheme , real preview was placed on teeth with bonded composites

Session of registration

Final – Session of delivery

Porcelain veneers already bonded to the upper front teeth Lower teeth opened up between each other, while enamel was preserved to facilitate optimum cohesion
6 single-unit porcelain veneers (e-Max) delivered and bonded on teeth on by one. Treatment completed with minimal invasive approach (hardly any drilling)

Dramatic smiles is our business

5 appointments – 15 days – No anesthesia

Female patient presented with incongruous prosthetic restorations on her upper teeth.
She requested replacement of her prostheses (composite veneers) with state-of-the-art porcelain veneers (E-max by Ivoclar).

FINDINGS

Carries around her failed composites. Discoloured restorations. Under-sized restorations

TREATMENT

Digital Smile Design launched the aesthetic analysis on before&after photos. Transfer trays were fabricated and mock up initiated treatment by test-drive of the projected shape and colour

TEMPORARY RESTORATIONS

After composites were removed, mock up trays were filled with flowable resin and seated in the mouth. Resin was hardened and trays removed

FINAL RESTORATIONS

10 porcelain veneers (E-max by Ivoclar) were fabricated and glued on the teeth

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 » PORCELAIN VENEERS

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.

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!
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