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Crown and Bridges

Case #204 : Crown & Bridges
Courtesy : Dr. Nico Kamosi

History of present complaints: Non-harmoinic smile line, aesthetically disturbing upper anterior discoloured teeth, unsightly amalgam fillings

Clinical presentation: 1) Defective crowns 11 & 21, 2. Mild Maxillary posterior arch length loss, 3) misalignment of upper teeth, 4) Moderate age-related & amalgam-induced  teeth discolouration

Specialist treatment schedule: 1) Full mouth hygienist & Air-flow treatment & stable periodontal health, 2) Home whitening,  3) Replacement of all deteriorated & amalgam fillings with composite, 4)Home teeth-whitening 5) Orthodontic treatment plan: a) Maxillary ALF appliances for 3months followed by maxillary fixed orthodontic appliances to correct dental misalignment & asymmetry, and to expand the anterior section, b) Anterio-posterior palatal loop to initiate and perform bilateral transverse development, c) Fixed straight wire therapy using edge wise technique, d) Delta-force to level & align dentition for another 9months, followed by Ceramic crowns 11 & 21.

Case #205 : Oral function rehabilitation
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): chewing & Biting functional discomfort;  unstable bite, Aesthetically disturbing smile line,

Clinical presentations: 1.  Reduced vertical height of occlusion, 2. Missing teeth 14, 31, 32, 41, 42, 46, 3. Deteriorated & discoloured composite restorations, 4. Deflective lateral group-function & deep bite

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 14, 31, 41, 46 plus lateral bone augmentation, 3. Gingival re-contouring, 4. Enhanced OVD by means of provisional restorations for 3 months to achieve & establish anatomic & biologic width & smile design, 5. New aesthetic direct composite restorations & E-Max crowns & veneers 14 …. 25. 41-31 implant-supported bridge

Case #206 : Implant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): chewing & Biting functional discomfort; unstable bite, Aesthetically disturbing smile line,
Clinical presentations: Missing teeth 12, 13, 14, 15, 16; excessive attrition/abrasion
Occlusal & functional diagnosis: , Lateral deflective group function, Class I occlusal relationship with reduced OVD.
Specialist treatment schedule for oral function rehabilitation:
1) Full mouth periodontal, hygienist & stable periodontal health; 2) Implants 12, 13, 14, 16; 3) direct composite restorations 21, 22, 23, 24; 4. Implant-supported E-Max crowns 12, 13 & bridge 14 – 16; 4. Implant-supported E-Max crowns 12, 13 & bridge 14 – 16; 5. Tooth-supported E-Max crowns 11, 25, 26; 6. Maintenance

Case #207 : Implant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): unstable bite, aesthetically disturbing smile line,

Clinical presentations: 1. Missing teeth 21, 22, 23, 24, 2. functional chewing discomfort and deepened bite

Occlusal & functional diagnosis: Class II, div.2 occlusal relationship with reduced OVD

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & stable periodontal health, 2) Implants 21, 23, 24 and lateral-bone augmentation, 3. ZrO2 implant-supported bridge 21-23 and crown 24

Case #208 : Oral-function, implants, Crowns and Veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): chewing & Biting functional discomfort;  unstable bite, Aesthetically disturbing smile line,

Clinical presentations: 1.  Reduced vertical height of occlusion, 2. Missing teeth 14, 31, 32, 41, 42, 46, 3.Deteriorated & discoloured composite restorations, 4. Deflective lateral group-function & deep bite

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 14, 31, 41, 46 plus lateral bone augmentation, 3. Gingival re-contouring, 4. Enhanced OVD by means of provisional restorations for 3 months to achieve & establish anatomic & biologic width & smile design, 5. New aesthetic direct composite restorations & E-Max crowns & veneers 14 …. 25. 41-31 implant-supported bridge

Case #209 : Smile design
Courtesy : Dr. Nico Kamosi

Clinical presentation: Discoloured, fractured unaesthetic anterior crowns 12, 11; cross biting 21, 22,  Aesthetically disturbing negative smile line, Deflective lateral group function

Specialist treatment schedule: 1) Full mouth hygienist & Air-flow treatment & stable periodontal health; 2) Home teeth whitening with Carbamide peroxide; 3) Restoration of canine rise/guidance; 4) Provisional crowns 12, 11, 21, 22 for 2 months to achieve & establish anatomic biologic width & smile design; 5) New aesthetic natural porcelain crowns 12- 11 – 21 – 22

Case #210 : Oral function rehabilitation
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): chewing & Biting functional discomfort;  unstable bite, Aesthetically disturbing smile line,

Clinical presentations: 1.  Reduced vertical height of occlusion, 2. Missing teeth 14, 31, 32, 41, 42, 46, 3. Deteriorated & discoloured composite restorations, 4. Deflective lateral group-function & deep bite

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 14, 31, 41, 46 plus lateral bone augmentation, 3. Gingival re-contouring, 4. Enhanced OVD by means of provisional restorations for 3 months to achieve & establish anatomic & biologic width & smile design, 5. New aesthetic direct composite restorations & E-Max crowns & veneers 14 …. 25. 41-31 implant-supported bridge.

Case #211 : Porcelain crowns
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Unnatural anterior crowns with chronic constant inflamed bleeding gingival margins.

Clinical diagnoses: 1. Zirconium anaesthetic crowns 2. Deeply positioned sub-gingical crowns 12 . 11 . 21. 22 (Violated biological width) 3. Lack of adequate inter proximal space for adequate papilla growth

Treatment:  1. Osseous re-contouring 2. Provisional crowns 12 . 11 . 21. 22 for 3 months to achieve anatomic biologic width 3. New Aesthetic natural E-Max crowns 12 . 11 . 21 . 22

Case #212 : Kronen
Courtesy : Dr. Nico Kamosi

Case #213 : Kronen & bruggen
Courtesy : Dr. Nico Kamosi