SMILE MAKEOVER

Case #148 : Cosmetic restorations
Courtesy : Dr. Nico Kamosi

Clinical presentation: Diastema between the central incisive teeth 11, 21, Microdontia teeth 12, 22
Treatment: Restoration of the marginal edge, shape and symmetry of teeth 12,11,21,22
Technique: Direct composite resin

Case #161 : Cosmetic restoration
Courtesy : Dr. Nico Kamosi

Presenting complaint: Uneven smile, negative overbite, non-harmonic teeth form 12-11-21-22
Treatment: Re-formation of the toot shape & marginal ridges; gap closure
Technique: Direct composite resin

Case #162 : Cosmetic restoration
Courtesy : Dr. Nico Kamosi

Presenting complaint: central diaStema, non-harmonic tooth proportion, deteriorated filling 21
Treatment: Re-formation of the marginal ridges, shape and symmetry; diastema closure 12.11.21.22
Technique: Direct composite resin

Case #171 : Cosmetic restoration
Courtesy : Dr. Nico Kamosi

Occlusal diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion & Attrition.
Oral functional diagnosis: Lost canine guidance, unstable inter-occlusal relationship.
History of present complaints: Biting, chewing & functional discomfort;  aesthetic disturbance.
Functional rehabilitation: Full-mouth restoration: A) enhanced OVD B) Applied forced mandibular anterior occlusion
Material: Direct composite restorations

Case #188 : Crown and Bridges
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line, crowns 11, 21 discolouration
Clinical presentations: 1.  Aesthetically disturbing smile line due to fracture and discolouration of the upper natural teeth enamel.
Specialist treatment schedule: 1) Teeth whitening, Composite restorations of the upper posterior teeth, 4. New natural E-Max crowns: 13-23

Case #189 : Crown and Bridges
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line
Clinical presentations: 1.  Aesthetically disturbing smile line due to fracture and discolouration of the upper natural teeth enamel.
Specialist treatment schedule: 1) Teeth whitening, Composite restoration/ canine- guidance, 4. New natural E-Max crowns: 12-22

Case #193 : Crown and Bridges
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line, persistent bleeding gums
Clinical presentations: 1. Disproportionate upper restorations, 2. Connected over-dimensioned acrylic restorations with defective restorative margins and lack of inter-proximal space  3.Violation of biologic width
Specialist treatment schedule: 1) Full mouth periodontal treatment & stable periodontal health, 2) Gingival re-contouring, 3. Provisional of anatomic restorations for 3 months to achieve & establish anatomic biologic width & smile design, 4. New aesthetic natural E-Max crowns

Case #196 : Porcelain crowns
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line
Clinical presentations: 1.  Fractured and discoloured upper natural teeth and fillings.
Specialist treatment schedule:  Teeth whitening, 2) New natural E-Max crowns: 12-22

Case #197 : Porcelain crowns
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line
Clinical presentations: 1.  Fractured and discoloured upper natural teeth and crowns.
Specialist treatment schedule:  Teeth whitening, 2) New natural E-Max crowns: 12-22

Case #199 : SMILE MAKEOVER
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, 153. 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.