Dental prostheses
Accident at front tooth – Immediate replacement
All-ceramic e-max crowns for 4 upper front teeth
Female patient presented to our practice requesting prosthetic restoration for her 4 upper front teeth.
She beared temporary crowns. She underwent immediate improvement of the shape and the thickness of her temporaries.
After the new shape was trialed and approved, 4 definitive single all-ceramic crowns were cut in CNC device and delivered.
All-ceramic e-max crowns were copied at the same length/width/thickness of the demo temporaries.
Classic Porcelain-fused-to-metal Crowns looking not so….classic
Complex prosthetic reconstruction on teeth and zirconia implants
Female patient presented with multiple issues: Chewing ability compromised, unpleasant appearance of the upper.
As seen on initial photos, prosthetic restorations were disproportional and appeared greyish at the gum outline.
Notably, lower jaw born bridges supported by failed/decayed teeth.
Full clearance of her prostheses was decided.
Strategic placement of 4 state-of-the-art zirconia implants (Straumann) was carried out at the posterior sites of her lower jaw. Zirconia implants are more neutral than Titanium implants, biology-wise. However, since they are one-piece implants (they contain root & abutment segments joined together), they are more difficult to handle during placement. Hence, as they require exquisite precision, they were placed using precision markers /navigators.
Restorability of upper teeth was evaluated and teeth assessed capable of supporting new prostheses.
After gentle removal of upper prostheses (bridges) , dyschromic incisors and canines were revealed (dark grey).
Challenge being grey substrate is difficult to mask and to look natural all at the same time. Launch of her reconstruction was trialing aesthetics and function with two series of transitional/temporary set of crowns.
1- Same day immediate temporaries to help patient leave the practice with same-day teeth
2- State-of-the-art printed PMMA bridges within 2 days to enhance durability and aesthetics
4 Zirconia implants placed on the lower posterior segment.
Definitive restorations were 360 Zirconia veneers/crowns on teeth and Zirconia bridges on Zirconia implants.
On lower front teeth translucent zirconia with medium/small strength (450MP) was utilized to help with aesthetics
On upper teeth opaque zirconia was used to help block out grey substrate. In addition, big zirconia 5-unit bridge had to be fabricated from central incisor to 2nd premolar as patient denied implant placement at missing
canine.
That demanded an opaque and strong (1200MP) zirconia block to be cut and used as foundation
Whole reconstruction launched with Aesthetic& Functional analysis i.e. DigitalSmileDesign confirmed by custom-made templates as a trial dentition
Special concern was addressed to build new occlusion at the neutral-most position of the lower jaw. At this centric relation all muscles are tense-free, providing the best chewing ability and ease.
E-max ceramic crowns
Metal-free ceramic crowns e-max
Periodontitis-Prosthetic rehabilitation
Patient with failed dentition underwent meticulous treatment of periodontitis.
After his treatment was completed, remaining tooth mobility was aimed to be addressed.
Splinting teeth together with zirconia bridges was decided, designed and delivered.
Splinting helps periodontal teeth to not be traumatised by lateral movements during chewing.
Great achievement was that no implants were used.
Premium removable prostheses
Removable prostheses are an ideal solution for patients who cannot undergo implant placement
With the aid of digital dentistry, mobile prostheses can be designed and delivered with precision and repeatability, using digital scanners and 3D printers.
New materials such as Block pink PMMA and hybrid materials provide durability and naturalness that can exceed patient’s requirements. These materials are utmost resilient and can serve their purpose in the long run
They improve appearance and function of the prosthetic appliances in a manner that should ultimately rebrand ”new removable prostheses”
Overall, removable prostheses are fully upgraded to be an efficient, cost effective and reliable solution for patients who cannot undergo implant placement, providing them with the ability to restore their dental function and aesthetics.
Prosthodontics – Premium interim fixed crowns
Prosthodontics vs Orthodontics – Veneers vs Brackets
No anesthesia performed – no drilling applied. Dental isolation was implemented to secure moist-free adhesion.
State-of-the-art adhesive system, Optibond FL by Kerr, USA, been deployed.
As documented by numerous cross-linked scientific studies , Optibond FL considered the unbeatable golden standard for strong bonding.
All stages based upon the Aesthetic & Functional analysis. Analysis stands for meticulous diagnostic methodology to peruse data from aesthetics and dental findings. It concludes upon customized treatment planning and upon ideal shape of future restorations.
Composites used: ASTERIA (by TOKUYAMA Inc JAPAN) RENAMEL (by COSMEDENT Inc USA).
Single crown on upper front tooth – Challenging case
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