Composite veneers to correct jaw protrusion

1.Before – Smile


2. Before – Smile


3. Before -Intraoral


4. Intermediate – Preparation before seating simulation stents


5. Intermediate – Simulation stent seated on the upper with flowable composites poured within


6. Intermediate -Simulation stent seated on the lower with flowable composites poured within


7. Intermediate – Smile simulation (Mockup)


8. Final – Multi layered composite veneers (ASTERIA by Tokuyama Inc, Japan) bonded


9. Final – Multi layered composite veneers (ASTERIA by Tokuyama Inc, Japan) bonded

10. Final – Multi layered composite veneers (ASTERIA by Tokuyama Inc, Japan) bonded. Note natural appearance as facilitated by translucent composites

Correction of jaw protrusion with orthodontic treatment, composite veneers (front) and zirconia bridges (posterior)

Male patient, 40, was referred after orthodontic treatment (braces). Major request was to have his remaining disharmony corrected. Ortho treatment addressed jaw protrusion yet remaining issues called for additional shape and color correction

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

Treatment of Failed Occlusion

01. Pre-op


Complex issues. Exacerbated function (mastication, phonetics) and aesthetics. Occlusal break-down. Patient incapable to chew as teeth being periodontically compromised and mobile.

02. Post op


Aesthetic & functional analysis helped design fixed temporary bridge with nice contacts and aesthetics. Metal-base re-inforcement facilitates long-term temporisation.

03. Post op


Patient feels nice and comfortable with his new ‘prosthetic teeth. Dramatic improvement.

04. Post-op


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

Non-invasive reconstruction of occlusion with bonded composites

01. Pre-op


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.

02. Etching and priming of the posterior


Occlusal surfaces of the posterior are cleaned and primed to help bond with hard composites

03. Composite overlays- Raise of the vertical dimension


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

04. Post op


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

05. Post op


New synthesis is considered pleasant and sensual.

06. Post op


Patient is thrilled with her new teeth, whilst her practitioners are a little …restrained, as usual!

Composite veneers to address worn dentition

Female patient presented with mild symptoms (pain upon intake of cold/hot food/liquids). Symptoms elicited by exposed dentine of her worn teeth. Additional issues were aesthetic dysformation (shortened teeth) and bite problems. Case addressed with front composite veneers. Shape was designed on dental CAD software with photos of the face and smile (See Aesthetic Analysis). Localised tooth discolouration on right lateral addressed with extra layers of opaque composite. No-cut no-drill concept applied. No anaesthesia2 Appointments
Reconstruction of occlusion with premium fixed temporary crowns

01. Pre-op


Male patient presenting with multiple tooth issues. He complaints for not being able to chew sufficiently

02. Pre op intraoral


Close view of the teeth – Note multiple dental carries

03. Post op – Intraoral


With the aid of Digital Smile Design premium customised prototypes were designed and fabricated. Teeth were treated and premium fixed temporary crowns were placed

04. Post op


Ideal occlusion established. Even tooth contacts attained in 2 long appointments. Patient recovered from previous state of improper mastication (chew) and appearance