Treatments in esthetic dental care like laminates and bleaching
 

Treatments

- Fractured corners
- Laminates
- Laminates contra Bleaching
- Bleaching
- Full veneer crowns in porcelain
- Bridges
- Implants

    
 
 
Fractured corners and front teeth cuts.

By bonding different ceramic insertions you will get a strong, esthetic and permanent replacement.
 



A fracture of one of the four front cutting teeth. A minimum of gentle preparation has been made.



A porcelain laminate cemented by translucent resin cement. Hereby the border between the tooth and the translucent porcelain laminate “disappears”.


Before Treatment
A knocked off corner of a front tooth


Porcelain (Ceramic laminate)


After Treatment
A knocked off corner of a front tooth replaced by ceramic laminate without any preparations.
 
 
 
 

Laminates

By bonding and cementing of ceramic laminates the arrangement of the teeth can be considerably improved. Thereby the whole appearance of the dental features can be enhanced. The final shaping of the teeth, when it comes to form and color, will be given according to the patient’s wishes.
 

Patient A



Before Treatment
Discolored composite fillings in the front teeth.


After Treatment
The same happy patient with a new smile.
 
 

Patient B

Lengthening the front teeth



Before treatment
Worn down incisal edge through bruxism

  



Before treaatment
The front teeth in the upper jaw are barley visible.
 
 

During treatment
The teeth have been lenghtened temporary with composite in order for the patient to assess lenghts and appearance before the final laminates are made.		  

Patient with lengthened front teeth.
The teeth are now clearly visible when talking and smiling.
 
 

Patient C

Reversed plow



Before treatment
The front teeth are crooked and crowded.

  



After treatment
Laminates and crowns in porcelain. The arch has been widened and the front teeth are now even.
 
 



Aftr treatment with laminates and porcelain crowns in upper and lower jaws.
 
 

Patient D



Before Treatment
One of the front teeth is inside the dental arch and another is outside.

  



After Treatment
After the treatment with porcelain laminate the dental arch has been made even.

  



After Treatment
The light fractioning of the intensively fluorescent and opalescent porcelain substance harmonizes with the patient’s own teeth in different light conditions.
 
 

Patient E



Before Treatment
A so called inverted bite with crowded teeth. One of the front teeth (on the left) is inside the dental arch and its color is also deviating.



After Treatment
After the treatment the patient has got a regular bite with his desired color and dental feature. No orthodontic treatment was required and the whole treatment was done in less than a week.
 



Before Treatment
The front tooth (on the left) is inside the dental arch. The front of the premolars on the left side is discolored because of the gold inlays which are showing through.



After Treatment
The dental arch has been widened by furnishing the right-hand side premolars with porcelain laminates.
 

Patient F

Pocelain laminates – an alternative to orthodontic straightening
Fast and careful treatment of uneven teeth. The treatment only requires 2 visits and can in most cases be completed without anesthesia. This is a very good alternative to orthodontic straightening which can take months or even years.

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Before Treatment
Uneven teeth

  

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Before Treatment

 

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Before Treatment

 
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During Treatment
Temporary plastic laminates made during the first visit. Designed to the patients desire.

  

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After Treatment
Second and last visit. The teeth now have porcelain laminates and are fairly even. They now have the hue and shine the patient wanted.
 
 
 

Laminates contra Bleaching

Laminates give a possibility to reach real bright (white) teeth.


The lightest colour A1 in dentists colour scale shows here big difference in brightness and colour compared to the bright cemented laminates.



The whole upper jaw with bright laminates



A small try to a smile
The frame of the lips decreases the brightness of the porcelain and make the teeth look more natural.
 

Bleaching

The effect of home bleaching is excellent and it is performed with an individually designed tray which is used by the patient himself. Everyone will get distinctly brighter teeth, although the effect may vary slightly. To obtain good results my recommendation is for you to do the bleaching 4-6 times, approximately for an hour each time.


Before Treatment
All the teeth are comparatively yellow.


After Treatment
After home bleaching the upper jaw teeth have become brighter as contrasted to the lower jaw teeth, where no treatment has been performed.
 
 
 
 

Full Veneer Crowns in porcelain

There are many advantages with porcelain crowns – better esthetics as well as a gentler preparation (the waste of tooth substance is kept at a minimum). The preparation is placed next to the gum pocket but without entering it and thereby the gum is not negatively influenced.



The patient has porcelain crowns in the upper and lower jaws, with the preparation border not entering the gums. When bonding the porcelain to the teeth, the border becomes invisible.


4 Veneer Crowns made out of porcelain and 1 made out of porcelain fused to gold with shoulder porcelain on the front (bottom left). The shoulder porcelain replaces the gold in the gum line and creates better esthetics.
(The result of this is illustrated in the next example.)

 

Full Veneer Crowns – Porcelain fused to Gold

The crowns made out of metal fused to gold discolor the roots which creates a dark border at the gums.



Before Treatment
Two crowns made out of porcelain fused to gold without shoulder porcelain. Here the gold affects the gums and the roots negatively. The roots become darker and the gums turn bluish. This makes the gum line very noticeable.



After Treatment
The old crowns have been replaced by porcelain fused to gold with shoulder porcelain which has replaced the gold at the gum-line. The discoloration of the gums has disappeared and the gums are now healthy. The roots have in this case been covered by the shoulder porcelain. (The nearby teeth have been adjusted by porcelain laminates to match the new crowns).
 
 
 
 

Bridges

When constructing a strong bridge we use porcelain fused to gold with shoulder porcelain for better esthetics.


Porcelain fused to gold. Bridge with shoulder porcelain.


A twelve unit bridge
Porcelain fused to gold with shoulder porcelain.


The bridge (left pictures) has here been cemented on the patient. (The anesthesia is still effective, therefore her lip is somewhat unnatural)
 
 
 
 

Implants

Full Arch with Impants

Bridges supported by implants can nowadays be made through “direct loading”. This means that the patient can use her new teeth within a few days after the implant installation.


Ten implants are installed into the bone.


The bridge made to fit the implants in the left picture seen from below.


The same bridge as in the middle picture installed on a patient.
 
 
Single Tooth Implant

If losing a tooth a single tooth implant can be a high-quality solution compared to making a conventional bridge. If the bone quality is good, a light loading of the implant can be made immediately and the patient gets a new tooth the very same day.



P The patient is missing his right front tooth. A single tooth implant has been installed under local anesthesia.



This X-ray shows the completed ossio-integrated implant in the bone which means that the bone and the implant have merged together. A porcelain crown has been cemented on the implant.



The same patient after the cementing.
(Some cleaning has been made on the adjacent teeth.)
 
 
Implants combined with teeth of one’s own


Two implants have been installed in the lower jaw. The patient is missing molar support on the left side, and on the right side the distance from the wisdom tooth to the canine is too far for a conventional bridge.


Both the side bridges made out of porcelain fused to gold are cemented. The support of the bridges is here a combination of the patient's own teeth and implants.
     
     


An X-ray of the patient's left side with the bridge in place using the implant as end-support.


An X-ray of the patient's right side with the bridge in place. The bridge is using the implant as mid-support while the ends of the bridge are supported by the patient's own teeth.
     
     
 
 
 

Sinuslift with bonegroth in sinus

Sinuslift with bonegroth in sinus creates opportunities to install implants in the molar region, even with huge resorbtion of the bone. Through augmentation in sinus we get new bone that will heal around the implants.Sinuslift with bonegroth in sinus creates opportunities to install implants in the molar region, even with huge resorbtion of the bone. Through augmentation in sinus we get new bone that will heal around the implants.


The patient before treatment, where the bridge in the upper jaw is loose. There are inflamations in several roots and huge resorbtion of bone in the upper jaw. The bone level in the molar region is only 2-3 mm and it is too little to support an implant.


5 implants are installed in the molar region in the upper jaw. After sinus augmentation new bone has healed around the implants to give them a good support for the final bridge. (the patient is not ready yet and has for the moment a temporary bridge)
     
     


The treatment of the patient is complete.
The implantat in the upper jaw are fully integrated in the bone.
 

Patient B

Sinus lift



Patient before treatment.
Panoramic xray before sinus lift showing periodontitis and
severe bone resorbtion, especially in the molar region. The teeth are slightly mobile.

   
   



Xray of patients left side.
Sinus lift with bone growth around two Astra implants in sinus. The porcelain fused to gold crowns, that were made on the Astra implants, are soldered together. The small premolars have been prepared for porcelain crowns. The somewhat widened dark area around the roots of the premolars indicates that the teeth are mobile and needs to be fused together by the porcelain crowns.



Xray of patients right side.
The same treatment as the left side. The porcelain crowns have just been cemented into one piece for better stability.
   
   



Xray on patients left side.
The xray shows bone resorbtion reaching the bifurcation of the molars. Periodontal treatment by dental hygienist and detailed care by the patient, are sufficient at this time.



Xray of patients right side.
The mesial root of the second molar has been removed. The remaining root has been treated endodontically and is now used as an abutment for the 4-unit bridge. An Astra implant has been installed in order to give enough support for the bridge.
   
   



During treatment of the upper jaw.
Four Astra implants with titanium posts. The premolars are prepared for porcelain crowns.



After treatment of the upper jaw.
The Porcelain crowns are cemented and put together two and two on each side.
   
   



After treatment.
Patients left side (mirror image). Both jaws are restored with Astra implants and porcelain crowns.



After treatment.
Patients right side (mirror image). The upper jaw has been treated with porcelain crowns. In the lower jaw the patient have her own teeth and they have been treated periodontally.