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Smile Makeover

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Before
After
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

Before
After
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

Before
After
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

Before
After
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

After
Before
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

Before
After
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

After
Before
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

Before
After
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

After
Before
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

Before
After
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.

After
Before
Case #201 : Porcelain Crowns
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 #202 : Full Mouth Rehabilitation
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

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

After
Before
Case #204 : Orthodontics
Courtesy : Dr. Nico Kamosi

History of present complaints: Non-harmonic smile line, aesthetically disturbing upper anterior discoloured teeth, unsightly amalgam fillings

Clinical presentation: 1) Defective crowns 11 & 21, 2. Mild Maxillary posterior arch length loss, 3) misalignment of upper teeth, 4) Moderate age-related & amalgam-induced teeth discolouration

Specialist treatment schedule: 1) Full mouth hygienist & Air-flow treatment & stable periodontal health, 2) Home whitening, 3) Replacement of all deteriorated & amalgam fillings with composite, 4)Home teeth-whitening 5) Orthodontic treatment plan: a) Maxillary ALF appliances for 3months followed by maxillary fixed orthodontic appliances to correct dental misalignment & asymmetry, and to expand the anterior section, b) Anterior-posterior palatal loop to initiate and perform bilateral transverse development, c) Fixed straight wire therapy using edgewise technique, d) Delta-force to level & align dentition for another 9months, followed by Ceramic crowns 11 & 21.

Before
After
Case #261 : Porcelain Veneers and Crowns
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 veneers and crowns 12- 11 – 21 – 22.

After
Before
Case #263 : Porcelain Veneers
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.

Before
After
Case #266 : Smile Makeover
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.

After
Before
Case #269 : Smile Makeover
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 #270 : 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, 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.

After
Before
Case #271 : Smile Makeover
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.

Before
After
Case #272 : Smile Makeover
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.

After
Before
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-gingival crowns 12 . 11 . 21. 22 (Violated biological width) 3. Lack of adequate interproximal 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.

Before
After
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.

After
Before
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.

Before
After
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.

After
Before
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.

Before
After
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.