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Before And After Photos

Graham Browning – This patient attended the practice with very mobile teeth. As the teeth were not restorable, all were extracted. Six implants were then placed and an Implant-retained bridge attached on the same day of placing the implant.

When the patient returned for his follow-up appointment to monitor the health and prognosis of the implants, he was very happy with his new smile and delighted that he can now eat anything, even apples from the tree in his garden.

Josh Sharpling – SF came to the practice wishing to replace his missing UR1. We were able to place an implant at the same time as bone grafting, which helped us deliver this fantastic result.

Nazia Glover – This male patient in his forties was diagnosed with hypodontia, multiple retained deciduous teeth which were failing, tooth wear, as well as worn and fractured restorations. Treatment was phased to first increase the occlusal vertical dimension (OVD) using composite restorations and provisional crowns before implants were placed to replace the failing deciduous teeth with both single units and implant-retained bridges. Definitive treatment was carried out with a combination of implants and conventional crowns at the new increased OVD.

MJC1
MJC2

Fernando Eriksson – Surgical crown lengthening was performed to improve the appearance and function whilst preserving all the natural teeth, including UL2 and UR4.

Crown lengthening before
Crown lengthening after

David Furze – Following years of having no incisor teeth, the patient did not have enough bone to support an implant without extensive bone grafting. The patient decided to have a conventional bridge to replace the teeth. This was completed using our intraoral scanner to give the patient a passively fitted conventional bridge and a fantastic aesthetic result.

Case 1 Before
Case 1 After

Graham Browning – The patient attended embarrassed about her smile and said she could not eat
properly as she could only bite on her back teeth. We examined the bite and adjusted it so the front teeth overlapped. We then improved the appearance by whitening the teeth and matched this smile to the crown and veneer on the two front teeth.

Tawfiqur Rahman – Non-surgical management of gingival enlargement. This patient underwent a few cycles of meticulous non-surgical periodontal management.
Hany Almouslem – Fixed braces were used to correct crowding and occlusion for our teenage patient.
Zahab Noshad Shaikh – Surgical management of gingival recession defects on UR3 and UL3 using coronally advanced flap with connective tissue graft.

Josh Sharpling – MS was referred for treatment of his anterior tooth wear. I used composite filling material to rebuild the teeth, restoring them to the correct aesthetic proportions.

David Furze – This patient attended the surgery with concerns regarding his aesthetic appearance. He initially asked for the removal of all teeth and an “all on four”. We discussed the aesthetic and functional benefits of maintaining his dentition before replacing his existing crowns with all-ceramic crowns and veneers on the remaining teeth.

Case 2 Before
Case 2 After
Fernando Eriksson – In this case periodontal plastic surgery was used to correct several gingival recession defects.
Fernando Case 2 Before Photo

Nazia Glover – Tooth whitening followed by replacement of conventional crown.

Josh Sharpling – LM was referred to us as she wished to have a fixed tooth replacement for her UL2. On presentation she was wearing an ill-fitting acrylic partial denture. I placed an implant in the UL2 region, alongside simultaneous bone grafting, and worked with Byrnes dental laboratory to give the patient a natural final result which she and I were both really pleased with.

Nazia Glover – This 26 year old female patient had a diagnosis of Amelogenesis Imperfecta and a long history of direct composite veneers on the anterior teeth repeatedly failing due to poor bonding from lack of enamel. Both the quality and quantity of enamel on the posterior teeth were poor with exposed dentine resulting in tooth wear. She was treated with full mouth crowns working at her current OVD.

SM2
SM5

David Furze – Following a traumatic loss of the patient’s central incisor, an implant was placed using our standard techniques. This involves early implant placement with simultaneous guided bone regeneration, provisional restoration and soft tissue maturation before a customised impression and all-ceramic crown. Our published research has demonstrated that this leads to the best aesthetic result.

Case 4 Before
Case 4 After

Naveed Soomro – This 78-year-old patient wanted to replace her existing denture with a dental implant. She was previously given a single tooth partial acrylic denture replacing the upper right central incisor and hated that it was removable.

The patient was an excellent candidate for a dental implant. We placed a Straumann implant and carried out minor guided bone regeneration on the buccal aspect before restoring the implant eight weeks later.

As the implant is in the anterior region, we have provided a provisional screw-retained crown to allow the soft tissues to settle around the new prosthesis before placing the definitive restoration.

The patient is very happy with the result so far and is looking forward to the final outcome.

Hany Almouslem – Fixed braces used to correct crowding, misalignment and occlusion.

David Furze – Many different treatments were used to complete this incredibly difficult case. The previous bridge was un-aesthetic and two of the abutments were un-restorable. Digital smile design was completed before early implant placement with simultaneous guided bone regeneration. Surgery was completed to shape the gums around the canine teeth, then a series of provisional crowns were used to get a great aesthetic outcome for the permanent crown and bridge work. The patient is incredibly happy with the result.

Case 3 Before
Case 3 After

Josh Sharpling – JC presented with severe tooth wear, and we provided him with ceramic veneers at an increased OVD. This was done alongside hygiene treatment with Flora, and diet advice. The patient was overjoyed by the final result.

Tawfiqur Rahman – Surgical management of gingival recession.

Naveed Soomro – Patients treatment plan consisted of at home tooth whitening, composite bonding of the front 6 teeth and implants UR5 UL5 to replace the previously worn denture.

Nazia Glover – Patients implants previously failed and with such a large hard and soft tissue defect, a 6 unit conventional bridge was the best option.

Josh Sharpling/Graham Browning – new upper composite bridge, implant and a two tooth bridge to replace lower incisors.

Naveed Soomro – This male patient attended with multiple missing teeth following a failed bridge, leaving a large anterior region gap and exposed prepped tooth. The patient was keen for a fixed solution rather than removeable.

After an initial consultation and multiple treatment plan options, we decided on a screw-retained implant bridge and conventional prosthesis on the already prepped tooth to prevent the need for removal of the tooth.

Josh Sharpling – composite bonding LR2/3 and veneers upper anterior with tooth whitening.

Nazia Glover – composite bonding to improve aesthetics and even out edges.

Naveed Soomro – composite bonding to build up heavily worn down teeth.

Josh Sharpling – new upper and lower implant bridges, pt wanted a bigger and brighter smile as well as a freshen up of colour and shape.

Fernando Eriksson – Patients main concern was the appearance of UR1. A piece of gum was taken from the roof of the mouth in order to enhance the thickness of the gum to make them more robust and stable, restoring  the gum as close to its original position as possible.

Josh Sharpling – JM was referred in due to her failing anterior veneers. The veneers had fractured, and she reported not being entirely satisfied with the aesthetics, even before the fracture. Cases like this are always challenging, as patients’ aesthetic expectations are often very high when re-doing anterior aesthetic work. Meticulous planning went into the case, and we were able to produce an excellent final result, which blended in naturally to the final dentition.

Zahab Noshad Shaikh – This patient came to us wanting all his top and bottom teeth removed and replaced with implants. At South Coast Dental Specialists we always try to save teeth where possible, and thankfully a course of treatment with our gum disease dentist Zahab meant that we could maintain most of this patient’s top teeth. All of the lower teeth and the top front teeth did unfortunately need to be removed. We replaced these with dental implants, and the lower teeth were treated by removing the teeth, placing implants, and attaching new teeth to the implants in a single day.

Josh Sharpling – Implants aren’t teeth! Unlike teeth, implants do not move position as we grow older. This patients teeth were level when they were done over 10 years ago, however the tooth (UL1) has continued to move, and the implant (UR1) has stayed in the same place. This gives the illusion of the tooth in the implant getting shorter.

It is always difficult to make a new crown match an old crown; but Josh worked with Byrnes to get it right, sometimes it takes a few tries. The first try in or the new crown was still a little short, so Josh added some composite to show the lab how long the crown needed to be. Byrnes then copied this length exactly, and the patient was over the moon with her new implant crown. We even managed to keep the old abutment in place!

Zahab Noshad Shaikh –  Non-surgical management of generalised gingival recession using a gingival veneer.

Tawfiqur Rahman – Surgical crown lengthening was undertaken to increase the amount of tooth structure. This was followed by four crowns from UR2 to UL2 and some additive composite restorations.