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Before And After Photos

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

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.

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

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

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!

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

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 – 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