Aesthetic analysis revealed unsatisfactory length of upper front and yellowish shade of teeth both upper and lower. Functional analysis concluded upon stable tooth contacts, which had to be retained
DSD was followed and specific instructions were given to our partner ceramist to add wax on patient’s models all to attain nice smile curve and discreet tooth exposure at rest (1.00 mm)
Mockup was fabricated from his intended scheme of aesthetics and transferred to his untouched teeth with the aid of super-accurate replicated stents and flowable composites. Patient remained with his simulated dentition for 3 days to help assess his new reconstruction aesthetic-wise. Small adjustments were made upon his re-entry and final shape and position was mutually agreed upon and finalized with super-accurate impressions Composite veneers were fabricated for both the upper and lower front. Color enhancement was obtained using extra bright composite shades in thin layers.
Old posterior bridges were removed and replaced with state-of-the-art monolithic zirconia bridges
Complex issues. Exacerbated function (mastication, phonetics) and aesthetics. Occlusal break-down. Patient incapable to chew as teeth being periodontically compromised and mobile.
Aesthetic & functional analysis helped design fixed temporary bridge with nice contacts and aesthetics. Metal-base re-inforcement facilitates long-term temporisation.
Patient feels nice and comfortable with his new ‘prosthetic teeth. Dramatic improvement.
Analysis of Occlusion and Aesthetic Analysis of the Face (DSDesign by Coachman&Yoshinaga) guided treatment and generated optimum outcome. Occlusal plane corrected and vertical dimension of occlusion (VDO) restored.
Οι προσωρινές προσθετικές αποκαταστάσεις έχουν τεράστια αξία όσον αφορά την ασφαλή καθοδήγηση της προσθετικής θεραπείας αλλά και την αναπαραγωγή του τελικού αποτελέσματος στις πορσελάνες
Female patient presenting with tooth wear and consecutively disturbed by her short teeth. Patient is a type B personality – hectic. Clenches, therefore resulting in loss of tooth volume. Challenge is to treat healthy teeth in a fully non-invasive approach, eg to not ”touch” or drill them at all, yet to withstand bite forces.
Occlusal surfaces of the posterior are cleaned and primed to help bond with hard composites
With the aid of bonded composites, space is created between upper and lower front teeth. This space is used for the intended elongated veneers. With this manner no drilling is applied
Hybrid composite restorations facilitate maintenance of ideal length. Ultra sensitive and sophisticated protocol employed to secure minimum thickness and to combine robustness and aesthetics in a no-cut-no-drill approach. Patient senses even contacts on her new elongated teeth
New synthesis is considered pleasant and sensual.
Patient is thrilled with her new teeth, whilst her practitioners are a little …restrained, as usual!
Male patient presenting with multiple tooth issues. He complaints for not being able to chew sufficiently
Close view of the teeth – Note multiple dental carries
With the aid of Digital Smile Design premium customised prototypes were designed and fabricated. Teeth were treated and premium fixed temporary crowns were placed
Ideal occlusion established. Even tooth contacts attained in 2 long appointments. Patient recovered from previous state of improper mastication (chew) and appearance
