Before and After
Complex restorative procedures
These procedures require thorough treatment planning and often combine different dental disciplines like gum disease treatments, root canal treatments, fixed and removable prosthetics.
Reconstructive case involving crowns, bridges and direct composite veneers (these were done in the chair by the dentist)
This case was done to prevent the frequent break-down of existent work and to improve on the overall aesthetics in a natural way.
Patient was unhappy with the peg shaped upper lateral teeth. Minimally invasive ceramic crowns were made to correct the discrepancies in size, shape and colour
This patient was unhappy about the dark margins of her old crowns and wanted a re-alignment as well as a whitening of her teeth. The old crowns and the bridge were replaced and the front teeth provided with laminate veneers to change their shape and shade.
Patient requiring complex restorative work. Due to severe dental anxiety, the patient had not seen a dentist for many years before coming to our practice. The treatment spanned over three months and the patient is no longer anxious about going to the dentist.
Complex case involving multidisciplinary approach involving treatment of cavities, inflammation of the gums (gingivitis), root canal treatment, minor gum surgery, plastic gum surgery and fixed prosthodontics (fixed crowns) Such treatments can take a considerable amount of time.
Treatment completed. Regular maintenance will ensure the chances of minimal intervention in the years to come.
Cosmetic Composite veneers / Cosmetic Composite Build-ups
Advantages of Direct Composite Cosmetic Restorations
- Preservation of Tooth Substance. The most important factor when treating teeth is the principle of not damaging the tooth substance more than necessary. This principle helps keep the restored teeth as long as possible. Procedures where this damage is kept to a minimum are called minimally invasive procedures and help to restore function and aesthetics whilst keeping the tooth healthy. This is the greatest advantage with adhesive and minimally invasive procedures.
- No or very little drilling.
- Sometimes not requiring local anaesthetics (injections).
- May sometimes be done in one session
- Can sometimes be reversible.
- Can be easily repaired or added to.
- Can be easily maintained, i.e. polished and cleaned.
- Can be changed completely.
- Can be removed completely.
- Are often a bit cheaper and always less damaging to the tissues than ceramic veneers.
Case 7 - Cosmetic composite veneers and build-ups on 6 upper front teeth
Patient unhappy with uneven appearance of upper front teeth. Direct composite veneers on six teeth done in one session. Patient requested a further session for two more side teeth for further improvement. Treatment completed. Regular maintenance will ensure the chances of minimal intervention in the years to come.
Case 8 - Cosmetic composite build-up on 6 front teeth
- Less invasive than ceramic veneers
- No or very little drilling
- Easy to repair
- Approximately 50% cheaper per tooth than ceramic veneers
Case 9 - Re-alignment of canine on patient’s left side and closure of gap on patient’s right side
Patient unhappy with gap between the right canine and the tooth in front of it. Right hand side canine built up in contact with the tooth in front. Left side, patient unhappy with sunken in appearance of canine. Left canine built up with a direct composite restoration to match the dental arch. The whole case done in one session.
Patient had undergone advanced gum treatment and was looking for an improved smile before an important event. This solution (composite build-ups) involved least damage to the tooth structure and the possibility of easy changes and remakes. It also cut the cost and treatment time considerably compared to ceramic crowns.
This patient wanted a quick improvement of the appearance of her front teeth. She was not interested in braces so we chose to put a crown on her dark root filled front tooth and build up the adjacent tooth with a cosmetic composite veneer. This choice made it possible for us to avoid damaging healthy enamel unnecessarily and preserve the vitality of the tooth.