Porcelain Crowns/Veneers

Case 1

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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.

Case 2

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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.

Case 3

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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.

Case 4

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

Case 5

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

Case 6

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

Case 7

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

Case 8

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

Case 9

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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.

Case 10

 

Case

Lower porcelain veneers.

Case 11

 

After

Anterior zirconia crowns.

Case 12

 

After

Anterior zirconia crowns in the upper and lower porcelain veneers.

Case 13

 

After

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

Case 14

 

After

Lower veneers prior to insertion.

Case 15

 

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Upper porcelain crowns prior to insertion.

Case 16

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

Case 17

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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.

Case 18

 

Case

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

Case 19

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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.

Case 19-1

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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.

Case 20

 

Case

Anterior zirconia crowns prior to insertion.

Case 21

 

Case

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

Case 22

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

Case 22-1

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

Case 22-2

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

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.

Case 23

 

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After

Porcelain veneers for lower anterior teeth prior to insertion.

Case 24

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

Case 25

 

Case

Anterior zirconia crowns on a younger patient.

Case 26

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

Case 27

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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.

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.

Case 29

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After

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

Case 30

 

Case

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

Case 31

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Before

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

Case 32

 

Case

Lateral incisor crowns done to match natural adjacent teeth.

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.

Case 2

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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.

Case 3

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After

After

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

Case 4

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Before

After

After

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

Case 5

 

Before

 

After

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

Case 6

 

Before

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

Case 7

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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.

Implants for Defects

Case 1

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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.

Case 2

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Veneers, crowns and implants prior to insertion.

Case 3

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

Case 4

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Anterior implant bridge prior to insertion.

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.

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.

Case 7

 

Case7

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

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

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Case 2

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Case 3

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Case 4

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Case 5

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Case 6

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Case 7

After

White Spots

Case 1

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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.

Case 2

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After

After

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

Case 3

Before

Before

After

After

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

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.

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.

Case 2

 

Case

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

Case 3

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

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.

Case 5

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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.

Case 5-1

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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.

Case 6

 

Case

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

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.

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