Porcelain Crowns/Veneers

Case 1

Before

Before

After

After

Patient who had multiple erosion issues due to medication and illness resulting in enamel loss. Patient had composites placed on the teeth for many years and they kept chipping and discolouring. Definitive treatment done with porcelain veneers and onlays.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

Before

Before

After

After

Amelogenesis Imperfecta – young adult with Amelogenesis dysplasia had soften enamel that was restored with a combination of porcelain crowns and veneers. Previous composites had failed due to lack of adequate enamel for bonding.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

Before

Before

After

After

Patient had a road traffic accident that resulted in the chipping of her front teeth and loss of one of her premolars. It was restored with composites that she was not happy with so new porcelain veneers and an implant to replace the missing premolar was completed.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 4

Before

Before

After

After

Combination of anterior crowns/veneers to achieve a whiter (Hollywood type) and even smile.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5

Before

Before

After

After

Chipped, heavily filled and discoloured anterior teeth restored with a combination of porcelain crowns and veneers.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 6

Before

Before

After

After

Old composite veneers were starting to discolour and chip. They had been done several times. Replaced with porcelain veneers.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 7

Before

Before

After

After

Heavily filled and unevenly spaced anterior teeth restored with crowns to consolidate the spaces and even out the plane and the aesthetics.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 8

Before

Before

After

After

Heavily filled, chipped and unevenly spaced anterior teeth restored with crowns to consolidate the spaces and even out the plane and the aesthetics.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 9

Before

Before

After

After

Discoloured teeth and large interproximal spaces after successful periodontal treatment. Patient wanted the gaps closed and the colour and shapes of the teeth improved. Minimal preparation veneers were placed to achieved the desired outcome.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 10

 

Case

Lower porcelain veneers.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 11

 

After

Anterior zirconia crowns.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 12

 

After

Anterior zirconia crowns in the upper and lower porcelain veneers.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 13

 

After

Veneers on the two lateral incisors to match with the two central incisors – good colour matching can be achieved.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 14

 

After

Lower veneers prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 15

 

Before

 

After

Upper porcelain crowns prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 16

Before

Before

After

After

Older patient with old metal/porcelain crowns that had discoloured and gum had receded. Replaced with new porcelain/metal crowns.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 17

Before

Before

After

After

Patient who had multiple erosion issues due to medication and illness resulting in enamel loss. Patient had composites placed on the teeth for many years and they kept chipping and discolouring. Definitive treatment done with porcelain veneers and onlays.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 18

 

Case

Combination of porcelain veneers, onlays and implants prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 19

Before

Before

After

After

Cross bite patient who did not want to undergo any orthodontic treatment. Bite was opened up and the teeth spaces consolidated using a combination of crowns and veneers. Interim phase is composite was done to check the aesthetics and phonetics for patient prior to replacing it all with ceramic and gold on the posterior teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 19-1

Before

Before

After

After

Cross bite patient who did not want to undergo any orthodontic treatment. Bite was opened up and the teeth spaces consolidated using a combination of crowns and veneers. Interim phase is composite was done to check the aesthetics and phonetics for patient prior to replacing it all with ceramic and gold on the posterior teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 20

 

Case

Anterior zirconia crowns prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 21

 

Case

Veneers on the two lateral incisors to match with the two central incisors – good colour matching can be achieved.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 22

Before

Before

After

After

Severe wear case that was built up, bite opened up and restored with a combination of zirconia crowns, gold crowns and implants.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 22-1

Before

Before

After

After

Severe wear case that was built up, bite opened up and restored with a combination of zirconia crowns, gold crowns and implants.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 22-2

Before

Before

After

After

Severe wear case that was built up, bite opened up and restored with a combination of zirconia crowns, gold crowns and implants.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 22-3

 

Case

Severe wear case that was built up, bite opened up and restored with a combination of zirconia crowns, gold crowns and implants.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 23

 

Before

 

After

Porcelain veneers for lower anterior teeth prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 24

Before

Before

After

After

Old composite veneers that were thick, square and mishapened on a younger female patient. Replaced with porcelain veneers to a more feminine shape.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 25

 

Case

Anterior zirconia crowns on a younger patient.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 26

Before

Before

After

After

Spacing and small/worn teeth restored with minimal preparation porcelain veneers to consolidate the spaces and even the incisal plane.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 27

Before

Before

After

After

Discoloured teeth and large interproximal spaces after successful periodontal treatment. Patient wanted the gaps closed and the colour and shapes of the teeth improved. Minimal preparation veneers were placed to achieved the desired outcome.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 28

Before

Before

After

After

Discoloured teeth and large interproximal spaces after successful periodontal treatment. Patient wanted the gaps closed and the colour and shapes of the teeth improved. Minimal preparation veneers were placed to achieved the desired outcome.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 29

Before

Before

After

After

Front tooth with a dark core masked with a zirconia crown.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 30

 

Case

Ceramic veneers and crowns on a patient who wanted to achieve a whiter and more “Hollywood” smile.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 31

Before

Before

After

After

Dark cores (metal core) on teeth – zirconia crowns were fabricated to mask the dark cores without any show-through.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 32

 

Case

Lateral incisor crowns done to match natural adjacent teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Resin Bonded Bridges

Case 1

 
Before
 
After

Missing front right tooth. Patient is unable to have an implant due to young age and she is unable to tolerate a denture. She has unrestored adjacent teeth, so to reduce the need for preparation of adjacent teeth, a successful resin bonded bridge was constructed and cemented to the adjacent tooth without any further tooth structure removal.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

Before

Before

After

After

Missing front right tooth. Patient is unable to have an implant due to lack of bone. Has unrestored adjacent teeth, so to reduce the need for preparation of adjacent teeth, a successful resin bonded bridge was constructed and cemented to the adjacent tooth without any further tooth structure removal.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

Before

Before

After

After

Congenitally missing lateral incisor that was replaced with a resin bonded bridge (Maryland bridge) after orthodontic treatment.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 4

Before

Before

After

After

Congenitally missing lateral incisor that was replaced with a resin bonded bridge (Maryland bridge) after orthodontic treatment.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5

 

Before

 

After

Maryland bridges for congentially missing lateral incisors – prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 6

 

Before

Congenitally missing lateral incisor that was replaced with a resin bonded bridge (Maryland bridge) after orthodontic treatment.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 7

Before

Before

After

After

Missing lower incisor on a patient with periodontal issues. Unable to have an implant due to lack of bone. Patient wanted a fixed replacement solution. To reduce the need for extensive tooth preparation and to stabilise other teeth, a multiple wing resin bonded bridge was constructed.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Implants for Defects

Case 1

case1

Patient who had a cancerous tumour removed and lost part of her mandible. Surgeons where able to place implants in the grafted bone and a structure was constructed to replace the soft and hard tissue.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

case2

Veneers, crowns and implants prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

case2

Anterior implant bridge to replace a hard and soft tissue defect using tooth and pink porcelain.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 4

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Anterior implant bridge prior to insertion.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5

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Large soft tissue defect after a road traffic accident that resulted in the loss of 4 right teeth and gum. Replaced with three implant retained bridge.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 6

Before

Before

After

After

Teeth lost due to trauma. Patient did not want implants. Replaced missing hard and soft tissue with a porcelain/metal bridge.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 7

 

Case7

Patient has lost the front 4 upper and lower teeth due to periodontal disease. It was replaced with implant bridges.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Full Arch Implants

All on X can be 4 or 6 upper implants. The patient may have lost teeth due to periodontal disease and/or have had dentures in the past that had poor retention. Implants have been placed and a full arch prosthesis made with a titanium framework and a zirconia super structure. The framework sits flush with the teeth with no gaps. Adequate cleaning can be achieved from the palatal side of the prostheses. Full arch implants can be either Hybrid (metal bar with acrylic pink and teeth) or Zirconia (metal bar with zirconia framework).

Case 1

Before

Before

After

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 4

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 6

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 7

After

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

White Spots

Case 1

Before

Before

After

After

Enamel hypoplasia – defective enamel causing a brown/dark/mottled spotting on the teeth. This was restored with a combination of no preparation resin infiltrate (ICON) and composite restorations.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

Before

Before

After

After

Enamel hypoplasia – defective enamel restored with a combination of microabrasion and resin composite infiltration.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

Before

Before

After

After

Severe white spots underneath old composites – restored with new ceramic veneers.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Miscellaneous

Case 1

 

Case

Onlays are always a good option when trying to conserve as much tooth structure as possible. Gold is always the “gold standard” due to its superior strength and the less need for extensive tooth preparation.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 1-1

 

Case

Onlays are always a good option when trying to conserve as much tooth structure as possible. Gold is always the “gold standard” due to its superior strength and the less need for extensive tooth preparation.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 2

 

Case

Gold bridges aren’t often done, however, when we do do them, they look magnificent and last a long time.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 3

Before

Before

After

After

Gold bridges aren’t often done, however, when we do do them, they look magnificent and last a long time.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 4

 

Case

Patient had implants placed for an overdenture. The implant placement was too far forward resulting in the denture still rocking, so a sub-structure was constructed to give more support and reduce the movement of this removable denture option, whilst still maintaining adequate retention.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5

Before

Before

After

After

Severely worn dentition restored with a combination of crowns, surveyed crowns to house the removable option and a well fitting metal partial denture to replace the missing teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 5-1

Before

Before

After

After

Severely worn dentition restored with a combination of crowns, surveyed crowns to house the removable option and a well fitting metal partial denture to replace the missing teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 6

 

Case

A removable partial denture is always a good option to consider when having to replace multiple missing teeth.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

Case 7

Case

A temporary denture specially constructed to develop good “emergence profile” – that is how the prosthetic replacement teeth will sit on the gum so it looks like the teeth are “emerging” from the gum like natural teeth. This is an interim process and the teeth will be permanent replaced with an implant retained bridge once the gum has moulded into place.

*Outcome shown is only relevant for this patient and do not necessarily reflect results other patients may experience.

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