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Smile design

Case #269 : Smile design
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line, missing tooth 11

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Missing tooth 11, 3. Non-harmonic anterior crown restorations.

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & stable periodontal health, 2) Implants 11 & lateral bone augmentation, 3. Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 4. New aesthetic natural E-Max crowns 12,11,21,22,23,24,25

Case #270 : Smile design
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line,

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Missing teeth 16, 15 3. Non-harmonic anterior composite restorations missing teeth 16 …. 26, 4. Deflective lateral group function & deep bite

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants & lateral bone augmentation, 3. Anterior gingival augmentation & re-contouring, 4. Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 5. New aesthetic natural E-Max crowns & veneers 16 …. 26.

Case #271 : 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 #272 : Attrition
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Discoloured, shortened, fractured unaesthetic anterior teeth; collapsed bite

Diagnosis:Restorative failures; fractured incisal tips; compromised canine guidance/protection

Treatment: 1. Restoration of canine rise/guidance 2. Home teeth whitening 16% Carbamide peroxide 3. Posterior composite restorations 4. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

Case #273 : 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 #274 : Porcelain veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Discoloured fractured unaesthetic anterior composite laminate veneers

Diagnosis:Restorative failures, Compromised canine guidance/protection

Treatment: 1. Restoration of canine rise/guidance 2. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

 

Case #275 : Porcelain veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Discoloured fractured unaesthetic anterior teeth; black cervical stains

Diagnosis:Restorative failures; fractured incisal tips; compromised canine guidance/protection; arrested cervical caries

Treatment: 1. Restoration of canine rise/guidance 2. Home teeth whitening 15% Carbamide peroxide 3. Composite restorations 4. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

Case #276 : Porcelain veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): enharmonic anterior teeth size & colour  

Diagnosis: Microdontia 12 & 22; un-proportionate teeth 11 & 21

Treatment: 1. Re-contouring teeth 11 & 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22

Case #277 : Porcelain veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): enharmonic anterior teeth size & colour  

Diagnosis: Microdontia 12 & 22; un-proportionate teeth 11 & 21

Treatment: 1. Re-contouring teeth 11 & 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22

Case #278 : Porcelain veneers
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Deflective lateral group function & deep bite

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 3. New aesthetic natural E-Max veneers 15-25