AESTHETIC RESTORATIVE DENTISTRY

INITIAL SITUATION

The patient experienced trauma to the front teeth at a young age. As a result, two front teeth are now lost due to resorption (an inflammatory process affecting the root).

The patient first requires orthodontic treatment to correct the crossbite and midline deviation.

This treatment is complex and requires a multidisciplinary approach involving various specialties.

ORTHODONTICS AND TWO IMPLANTS

The position of the teeth was nicely corrected with an orthodontic treatment.

The two teeth that were lost were replaced by implants on which a temporary crown was immediately placed. Thanks to this temporary crown, the patient is not left with a gap. This concept is called immediate loading.

The missing teeth in the lower jaw were also replaced with implants.

Now we can continue to the final restorative phase, in which the six front teeth are aesthetically restored with a combination of porcelain veneers and two screw-retained zirconia implant crowns.

FINAL RESULT 

with porcelain veneers and crowns 

This beautiful result was achieved thanks to a well-thought-out and technically well executed treatment plan.

This treatment demonstrates that good collaboration between different disciplines — orthodontics, implantology, periodontology, and restorative dentistry — can ensure that the patient regains an attractive, aesthetic smile, allowing her to smile again with full confidence.

BEGINSITUATIE

Deze patiënt wenst een verbetering van haar glimlach. In het verleden zijn de grijze verkleuringen, ontstaan door tetracycline antibiotica als kind, bedekt met directe composietrestauraties. 

De lach vertoont terugtrekked tandvlees (recessie) en de glimlach is niet in balans.

EINDRESULTAAT

Met behulp van een digitaal smile design (DSD) wordt een analyse gemaakt van de ideale lach. Op basis van dit design wordt na overleg met de patiënt de positie van het tandvlees gecorrigeerd door middel van een klinische kroonverlenging.

De slijtage in de bovenkaak en onderkaak is hersteld met keramische restauraties op de kiezen en porseleinen facings voor de fronttanden. 

Het uiteindelijke resultaat vertoont een glimlach die opnieuw in balans, waarbij we de grijze verkleuring van de tanden mooi hebben gemaskeerd. 

Cutting tooth 12 and 11 must be reinforced with a crown. Teeth 21 and 41 receive a porcelain facing after bleaching.

Porcelain crowns are permanently cemented and the facings are glued.

The patient comes for a regular check-up where the bite is checked.

The molar tooth with the grey old filling shows multiple cracks. The neighboring teeth are endodontically treated. They are strongly weakened due to a big loss of tooth structure. This gives a high risk of tooth fracture during chewing.

Exisiting restorations are removed under rubberdam isolation.

The dental technician creates partial ceramic crowns (lithium disilicate).
The restorations are placed under strict isolation with a rubberdam. This creates the ideal circumstances (dry, no saliva) to achieve the best bonding to the remaining tooth structure.

Final result after placement of three ceramic restorations. The teeth are functionally reinforced in a durable and esthetic way.