Problem: Student with limited finances, and severe staining or hypoplasia of the teeth.
Solution: layered composite veneers used to block out underlying stain after limited tooth bleaching/whitening result.
Problem: 20-year-old male referred to me by an orthodontist, complaining of short, gappy and discolored upper teeth. Note: this was my American Academy of Cosmetic Dentistry Accreditation Case Type V that passed! First in New Zealand!
Solution: direct, layered composite veneers using 4 different colours and nearly no tooth preparation. Translucency and anatomy of teeth enhanced. One very happy patient.
Problem: A deep cavity (caries) had rotted through this 40-year-old woman's upper right canine. It was all mush and close to the nerve. She was very self-conscious since the weak tooth broke.
Solution: Using layered composite, after removal of the decay, we were able to beautifully recreate what her canine should look like! Look at the different colors that were incorporated to convey the natural result.
Problem: This 35-year-old patient complained of overdominant central incisors and peg (small) lateral incisors
Solution: Orthodontic treatment was completed on this patient before reshaping of her central incisors and direct, layered composite veneers on her lateral incisors. The result is a much more balanced smile!
Problem: this nice 13 year old girl was referred to me by specialists to restore her peg lateral incisor (no tooth shaving at all)
Solution: using 5 different shades of composite resin (with opaquing streaks for characterization), she now has a tooth that she can be proud of!
Problem: This 26 year old male was referred to me with a chief complaint of, "I want you to change my shark tooth.
Solution: using 5 different shades from the GC G-Aenial Anterior range, this tooth was transformed from shark to hark.
Problem: this 26 year old male was referred to me by another dentist to correct his peg lateral (shark tooth)
Solution: using 5 different shades of composite from the GC G-Aenial Anterior range, this tooth was transformed from shark to hark!
Problem: this nice female was referred to me for correction of her hypomineralized patch on tooth 11, which was stained and disfiguring
Description: most of the decalcified tooth structure was removed before preparing the surface for layered composite bonding
Solution: using artistic layers and white streak detail to mimic that of the adjacent teeth, a small notch was also added in the incisal edge to characterize a very natural addition the family! One happy patient and father!
Problem: this nice female presented to my service for replacement of old unsightly bonding on her front teeth.
Solution: using a combination of 4 shades, these composite veneers were artistically layered onto her teeth recreating the optical nuances of nature. Immediate post-op result - gums will heal beautifully.
See how naturally the teeth integrate into her smile! Seamless.
Problem: This nice 16 year old man was referred to me by a local endodontist for cosmetic dental work on his root canal-treated upper central incisors, which were both weak and exhibited poor esthetics.
Solution: I used 5 different shades in an advanced shading composite system (Voco Amaris) to artistically restore the contours of these teeth. The patient not only was over the moon, he also got a job in the next week! Great!!
Problem: This young lawyer presented with old composite bonding on her tooth that was unsightly and chipping
Solution: We used a series of 4 shades using the Voco Amaris system to make this tooth look virgin again! Such a happy patient!
Problem: This nice lady came to see me to have her teeth whitened before we performed an extreme makeover using a single composite veneer on this tooth
Solution: Using layered composite resin, we were able to eliminate the old filling and reshape her tooth in one breath with this gorgeous hand-sculpted composite veneer!
Problem: this nice 16 year old girl presented with mottled and chipped, yellow teeth. She wanted an esthetic improvement.
Solution: after whitening her teeth, we placed 4 layered composite veneers to correct shape, size, color and alignment simultaneously. The patient was over the moon!
Problem: an old accident with old composite bonding formed the basis of this patient's problem. The teeth were unnaturally-shaped, with an unnatural texture
Solution: following custom bleaching, the old bonding was removed from the central incisors and new composite veneers were placed to correct the shape to a more symmetrical form. The adjacent teeth will look normal after a few hours of rehydration with saliva.
Problem: This patient didn't like the misshapen and discoloured incisal edge of tooth 21. He also wanted generally lighter teeth as part of our solution.
Solution: We pre-bleached the patient's teeth before completing a minimal prep composite veneer to regain perfect symmetry and shade with the natural tooth shown on your right side. Even the incisal edge details were replicated! One happy patient!
Problem: this 14 year old girl with a history of rampant decay was referred to me for esthetic and functional improvement from a specialist. Many fillings were leaking with extensive caries underlying.
Addendum: The patient also desired whiter teeth. Of note, the only "virgin" tooth was her upper right front tooth (upper left when you are looking at her from the front in this view) - we actually did not touch this tooth at all but decided to see if we could match the others to it.
Solution: One happy patient - look at the colors - the old fillings have been made completely invisible with this very conservative technique. I would not recommend porcelain veneers on any patient less than 25 years of age.
Problem: this dental therapist came to see me for an interim solution to improve the esthetics of this grey, amalgam-filled tooth. She didn't want to touch the amalgam, so we had to try and work with it.
Solution: using various opaquing layers and tints, we were able to make this tooth look like part of the whanau. One happy dental therapist! =)
Problem: this nice 25 year old female hated her crooked, yellow teeth and wanted a perfect smile without braces. She selected composite veneers over porcelain because of the need for less tooth reduction.
Solution: Smile Design was completed using a diagnostic wax-up, which we used as a blueprint to guide precision placement of these beautifully layered composite veneer! A true masterpiece and one happy, confident patient!
Problem: this nice young girl presented with generalised large gaps/diastemas and did not want orthodontics/braces to close her spaces as this would have negatively affected her facial profile and lip support
Solution: Pre-restorative bleaching was completed with a great result before we used layered composite veneers to artistically and realistically increase the size and character of her teeth to match her face. She now has a new boyfriend!! =)
Problem: this 57 year old lady wanted to be rid of these unsightly white lesions (hypomineralization) but without any tooth removal if possible.
Solution: Using full rubber dam isolation, the teeth were infiltrated with resin to make her chalky spots virtually disappear!
Problem: This nice 40 year old man did not like the appearance of the gaps between his upper teeth.
Solution: Using Digital Smile Design to Guide a Diagnostic Wax-Up Model, composite veneers were placed with minimal tooth reduction with internal maverick effects to enhance the "Wow" of this case!
Description: 1 week reassessment. Trauma restored using #Ultradent #Vit_l_escence and #PeakUniversalBond #DiamondPolishMint
A 16 year old male presented to my service for repair of tooth 22, which was previously in buccoversion and impacted during a bike vs. car accident. Following a round of custom nightguard bleaching, the patient turned down the option of resin infiltration to decrease the hypomineralized/fluorotic/dysplastic lesions, and thus we incorporated elements of this into the final restoration.
Direct composite | Freehand | IPS Empress Direct #Ivoclar
Shades: BL-L Dentin, BL-L Enamel, Opaquer (flow), Empress Color (white), Trans Opal (45% translucency) (flow)
#SkulptingSkool102 #TamDentalGroup #EmpressDirect