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Full Mouth Rehabilitation

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Before
After
Case #182 : Implants
Courtesy : Dr. Nico Kamosi

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

Clinical presentations: 1. Missing teeth 26, 46, 45, 44, 35, 36, 37, 3. Deflective lateral group-function & deep bite, 4. Deepened bite, 5. Excessive TSL

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 26, 44, 45, 46, 35, 36 plus sinus- and lateral-bone augmentation, 3. Crown lengthening 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, 5. PFM crowns and implant-supported crowns

Before
After
Case #195 : 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 and crowns.

Specialist treatment schedule: 1) New natural E-Max crowns: 15-25

Before
After
Case #203 : Attrition, Abrasion, Bruxism
Courtesy : Dr. Nico Kamosi

History of present complaints: Biting, chewing & functional discomfort; aesthetic disturbance. Occlusal

Diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion & Attrition. Oral

Functional diagnosis: Lost canine guidance, unstable occlusal support

Occlusal diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion & Attrition.

Oral functional diagnosis: Lost canine guidance, unstable occlusal support

Functional rehabilitation: Enhanced OVD; occlusal support & stability Material: Direct composite restorations for full-mouth restoration

Before
After
Case #206 : Dental Implants
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

Before
After
Case #243 : Dental Implants
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.

Before
After
Case #244 : Full Mouth Rehabilitation
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.

Before
After
Case #246 : Full Mouth Rehabilitation
Courtesy : Dr. Nico Kamosi

History of present complaints: Biting, chewing & functional discomfort; aesthetic disturbance.

Occlusal diagnosis: Class I basal relationship; Advanced Abrasion & Attrition.

Oral functional diagnosis: Lost canine guidance, unstable inter-occlusal relationship.

Functional rehabilitation: Enhanced OVD; occlusal support & stability

Material: Direct composite restorations for full-mouth restoration.

Before
After
Case #248 : Implants
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.

Before
After
Case #343 : Full Mouth 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 47, 46, 45, 35, 36, 37, 3. Deteriorated & discoloured restorations, 4. Deflective lateral group-function

Specialist treatment schedule for full mouth rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 47, 46, 45, 35, 36, 37 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 E-Max porcelain crowns & implant-supported crowns.

Before
After
Case #344 : Reverse Bite
Courtesy : Dr. Nico Kamosi