Smiles we have created

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  • Case 24

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    This young lady was concerned by here overlapping teeth which had been damaged by acid erosion. This is a very common problem these days either from ingestion of acidic food stuffs or medical problems such as gastric reflux or hiatus hernia which leads to stomach acid coming into contact with the teeth.

    We discussed various options such as porcelain veneers but as with an increasing number of cases wanted the most conservative options first, keeping more invasive options for the future as nothing lasts forever and it is likely that the repair work will need to be redone in the decades to come.

    The upper teeth were first straightened using  new fast brace system called an Inman Aligner (www.inmanaligner.com) after just THREE MONTHS the teeth were whitened and then composite (white filling) bonding was used to reface the 4 front teeth with smaller repairs to a couple of others

  • Case 23

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    This lady was concerned by her discoloured upper left lateral incisor tooth (Right on the photo). This tooth had been root filled some years ago. We decided to try a minimally invasive approach of internal and external bleaching and a small filling
    She was delighted with the result which not only improved the colour of that one tooth but brightened her whole smile at a far lesser cost than something like a veneer

  • Case 22

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    This lady was concerned by the mismatched appearance of the existing crowns which did not blend well with her side teeth in colour and contour.

    We discussed changing these crowns to match but this would have lead to a dark narrow smile so instead carried out a "dental facelift" to widen the the smile and brighten it with tooth whitening and porcelain veneers

  • Case 21

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    This young lady had always disliked the spacing between her teeth and as she was getting married decided to do something about it.

    As the teeth were sound I was retisent to prepare them for veneers and so used composite white filling to create a natural looking attractive smile

  • Case 20

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    This young lady was unhappy with the spacing between her teeth but did not want to wear a brace and due to her age and the fact that her teeth were sound I was reticent to prepare the teeth for porcelain veneers. Composite white fillings offered an economical solution at less than a ¼ the price of ceramic but will need more frequent repair and replacement as the material can stain and chip.

  • Case 19

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    This lady was concerned by the spacing of her front teeth and their worn appearance. It was decided to even out the spacing with a brace before whitening all teeth and providing veneers to all upper teeth that show in the smile.

  • Case 1

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    This young lady came to me with concerns regarding the appearance of her upper front teeth. She did not want to wear a brace to straighten things. I explained that considering her age I wanted to provide the most conservative treatment and proposed veneers on just her front four teeth.
    I carried out a digital photo simulation of what the teeth could look like and having recieved her approval to proceed I arranged for my technician to produce a 3D mock up of the new smile on some study models. This was transferred into the patient’s mouth in a provisional material and modified until she was happy with the new smile. The teeth were then lightly prepared to allow space for the porcelain veneers to be fabricated.
    The final result shows a good colour match to the other teeth and the surface finish gives vitality to the smile.

  • Case 2

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    This lady did not like her smile and the upper right (left on photo) front tooth was heavily filled with a dead nerve. As usual for such a case I carried out photo imaging to get an idea of what might be possible and then a 3D mock up which was transferred into the mouth. Once we were happy with the provisional result the teeth were prepared for the final bridge (to replace the un-saveable upper right incisor tooth) and veneers.

  • Case 3

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    This gentleman came to me as he was embarrassed by the condition of his smile which had shown rapid breakdown following a previous attempt to restore the broken down teeth.
    I analysed the way his jaw functions and realised that the more the front teeth had worn and broken the more he was being forced to posture his jaw forward resulting in more breakdown.  My technician and I used specially mounted study models to plan how we could not only restore his smile but also ideal function.  It was necessary to build up the lower teeth with white filling and then remove some of the upper teeth that could not be saved and carry out cosmetic gum surgery to allow the provision of a temporary bridge retained on the remaining teeth. (The patient had already decided that he did not want titanium implants or a removable denture)
    Having worn the temporary bridge for a number of months to confirm that all was stable, we provided an all ceramic bridge. This was done using a new technique where the models are scanned and the bridge framework is designed in a computer and milled from a solid piece or Zirconia ceramic. The surface is then faced with cosmetic porcelain. The patient had a wish for a “gold tooth” and this was provided by producing a gold crown which was cemented over the porcelain bridge on the upper right.

  • Case 4

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    This lady was concerned by the mismatch between an old bridge and her other teeth. She had tried tooth whitening in the past to little benefit and was dubious to try again.
    I suggested a home whitening kit with nightly wear of a mild bleaching agent. After a couple of weeks her other teeth showed great improvement and we discussed how to proceed with the replacement bridge. As the two front teeth appeared disproportionally big , we decided to provide a veneer to the upper left lateral incisor tooth which meant that the four incisors could be fabricated to a “Golden Proportion” ratio. This is classical artistic and architectural principle which gives a pleasing proportion to not only teeth and faces but buildings and paintings. As usual this was all done by means of provisional work to check the appearance and function before the final all ceramic bridge was produced.

  • Case 5

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    I had provided a number of crowns for this lady some 10 years previously and these can be seen on the right side of the mouth (left on photo) However, there had been wear of the front teeth and a failure of the root anchoring a bridge on the upper left lateral incisor and canine teeth (UL23).
    As this root was now too weak to support another bridge and the lady did not want to wear a denture, my implant surgeon and I provided an implant supported bridge UL23 and veneers for the two central incisors. I think my technicians did a great job to match the new work to the old crowns elsewhere in the mouth.

  • Case 6

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    This lady was only concerned by the appearance of her upper front teeth and said that she could live with the spaces at the back where teeth were missing and  the uneven gum line around the front teeth.
    The most conservative approach was to just veneer the four front teeth to re-proportion the smile. This was done having carried out the usual photo imaging and provisional treatment to check the suitability of the proposed treatment.

  • Case 7

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    This lady came to me with a history of poor gum health and failing bridge work.
    The first step in the treatment was to improve the gum health by modifications to the way that she cleaned and appointments with my hygienist to advise and monitor her progress. In the mean time photo imaging and study models were produced to better understand what could be done. Part of her problem was a less than ideal bite which forced her jaw to move in a way dictated by the position of the teeth and it was decided to reverse this with the new smile and having analysed the ideal jaw function and removed some hopeless teeth the provisional crowns and bridges were worn for a number of months to check that all was well before the final bridges were placed.

  • Case 8

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    This young lady had always disliked her smile but had always assumed that the only solution was to have to wait until she needed to have her teeth extracted and a full denture.
    She did not want to wear a brace, so we looked for a solution with crowns and bridges. Photo imaging and study model analysis showed that it would be necessary to remove a couple of the teeth that were most out of position and provide provisional bridgework for the upper teeth and crowns for the lowers.  Once things were stable then the permanent work was provided and she could begin to smile with confidence.

  • Case 9

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    This lady had hoped that it would be possible to just veneer her upper two teeth but photo imaging showed that there was insufficient space to give a well proportioned smile. This meant that veneers were provided for the four upper front teeth.

  • Case 10

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    This lady was unhappy with her smile and had a number of teeth that were unlikely to last many years. She did not want to wear a denture having removed the failing teeth and provided a provisional bridge she was so happy that she has not returned for a permanent one.

  • Case 11

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    This lady had an accident which chipped some of her teeth including the crown on her upper left lateral incisor.
    She did not like the spacing and proportion of her smile so we provided veneers to even things up.

  • Case 12

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    This gentleman worn his teeth down through tooth grinding he was nervous of any treatment.
    Having analysed his bite it was apparent that the more his teeth had worn the less ideal his jaw function became leading to more wear. As he was apprehensive of treatment and although worn the teeth showed no sign of decay, we decided to build the teeth up with white fillings over a couple of visits without any drilling of the teeth. The filling was bonded to the teeth with an adhesive resin.
    The result was so stable, that even years later it has only needed the occasional repair to the filling material when it has chipped

  • Case 13

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    This lady did not like her smile but only wanted the minimum of intervention. She was happy to accept the poor margin on an old veneer on her upper left lateral incisor but did not like the uneven length of the other front teeth and the spacing. A combination of white filling additions and “cosmetic contouring” was carried out to even the smile. Cosmetic contouring is a procedure akin to filing ones nails but as the teeth do not continue to grow the results can be permanent.

  • Case 14

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    This lady did not like the “aggressive” appearance of her central incisor teeth.
    Cosmetic contouring alone was used to sculpt the edges of these teeth to give a more pleasing, gentle appearance.
    Cosmetic contouring is a procedure akin to filing ones nails but as the teeth do not continue to grow the results can be permanent.

  • Case 15

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    This gentleman had very advanced gum disease and most of his remaining upper teeth needed removing but he did not want to wear or denture. It was possible to save two teeth to use to anchor a long span bridge which functioned for some 5years before the anchor teeth finally failed. It is possible that with better tooth cleaning, more regular visits to the hygienist and giving up smoking that this patient’s gum disease could have been reversed and he would have prevented further need for treatment

  • Case 16

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    This lady had one tooth that due to localised gum disease had migrated from its original position.
    She needed a simple and quick solution and this was to extract the tooth and reshape the root and then bond it back to one of its neighbours (which had better gum support) This “living bridge” option is ideal as an emergency solution to a lost tooth and often is so successful that no further treatment is required.

  • Case 17

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    This gentleman had worn and chipped teeth due to a tooth grinding habit.
    These were repaired using tooth coloured filling materials.

  • Case 18

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    This gentleman has very discoloured teeth and these were whitened using a custom made home whitening (bleaching) kit.