porcelain veneers Archives

A female patient in her 50s was referred to me for a consultation, who literally got ‘hit by a bus’ in an accident. Multiple facial reconstruction and surgeries had been performed, yet she was dissatisfied with the dental work provided. After a lengthy discussion with the patient and the treating clinician, we decided to restore her brand-new smile with confidence by performing a full-mouth reconstruction. There were existing implant restorations from 12-22 – the right lateral incisor to the left lateral incisor, replaced in Screwed-Retained Implant bridge. The rest to be done in lithium disilicate (e.max). Fig 1 shows the pre-op condition. The patient’s lower lip was still hanging down at this point (due to the trauma), and thus she showed more...

BEFORE AND AFTER

Before and After 2015: Smile Makeover – Replacement of 2 Teeth on 1 Abutment with Pink Ceramics

Mar 12. 2021

A Caucasian female patient in her 20s was just about to get married and wanted to look the best. She was missing laterals with vampire-like fangs that bothered her. Because of the timeframe, orthodontic treatment was not an option. Since the teeth are all vital, we need to be conservative in prep generally, but the aggressive prep is necessary where required. Boding strength is another element we must consider. Thus, we decided to go with lithium disilicate (e.max) restorations – veneers on the central incisors and first-premolars, with joint crowns to replace the laterals and canines off one abutment for each quadrant. Fig 1 shows the pre-op condition. When working a case like this, the communication between the clinician and technician is...

BEFORE AND AFTER

Before and After 2014: Smile Makeover – Addressing Mid-line Cant and Proportion with Lateralised Canines

Mar 05. 2021

A Middle Eastern female patient was concerned about her smile’s asymmetry, cased by the midline cant and shift with missing laterals. The lateralised canines are as wide as the central incisors, so the overall proportion needs improvement. It is not visible in the initial smile photo, but the patient has a gummy smile, which she would like to address simultaneously. When working on a case like this, initial planning is crucial to visualise the outcome from the beginning, and thus, diagnostic wax-up is a must. We have decided to idealise the gingival level by crown-lengthening/gum-contouring, to begin with, then lithium disilicate (e.max) veneers from 13-23, right upper canine to left upper canine, a total of 6 teeth. Figs 1-4 show the pre-op condition. The...

PUBLICATIONS

Reproducing Nature Part 4: Smile Design

Feb 12. 2021

LVI Visions featured Yugo’s article titled ‘Reproducing Nature: Smile Design in 2008 (published language: English). Introduction: Today, creating a natural-looking smile is essential in cosmetic/aesthetic dentistry. As I mentioned in the first part of this article (European Journal of Eesthetic Dentistry Winter 2008), many people think that white “Hollywood Smiles” look fake but is it true? Have you thought about bleached natural dentition? I think it looks healthy and attractive but doesn’t look fake at all. That is the type of benchmark I set for myself when the patient is after a perfect smile – i.e., bright yet natural. Now, what is the definition of “perfect” anyway? Does it mean that it’s perfectly in proportion, perfectly adapted to the patient’s desire or could...

BEFORE AND AFTER

Before and After 2012: Smile Makeover – Achieving Significant Change in Proportion with porcelain veneers

Feb 05. 2021

A Caucasian male patient in his 30s was deeply concerned about the aesthetics of his smile. There are several issues we had to address: most notably, changing the proportion and tooth size within the aesthetic zone, crown-lengthening/gum-contouring, and a replacement of a missing tooth on 14 (right first-premolar). We selected a Zirconia bridge on 15-13, and lithium disilicate (e.max) veneers for the rest – 12-26 (missing 25), from the right second-premolar to the left first-molar, a total of 10 units. I must admit that this case was one of the most challenging smile makeovers I had encountered at that time, but the result spoke for itself. The patient was “over the moon” with the outcome. The key to achieving such a result was...

BEFORE AND AFTER

Before and After 2011: Setting a Benchmark in Digital Photography

Jan 29. 2021

A male patient in his 30s presented with the aesthetic concerns on the gummy smile and prominent hypocalcification on the central incisors. Hypocalcification is a condition where your tooth’s enamel has an insufficient amount of calcium. When this happens, the enamel still covers the tooth’s surface but parts can be thin and weak, giving teeth an opaque or chalky appearance. We decided to proceed with crown-lengthening, to begin with, and lithium disilicate (e.max) veneers on the central incisors for the better blend with the rest of natural dentition. Figs 1, 3 and 5 show the pre-op condition. Figs 2, 4 and 6 show after completion of the crown-lengthening for the upper arch. See the consistency in the provided photos – retracted view,...

PUBLICATIONS

Reproducing Nature Part 3: Tooth Replacement with Root and Colour Matching Using Digital Photos

Jan 15. 2021

eLABORATE Magazine featured Yugo’s article titled ‘Reproducing Nature Part 3: Tooth replacement with root and colour matching using digital photos in 2006 (published language: English). Introduction: The technology available in dentistry in 2006 has improved significantly since I became a dental technician even though it’s been only eight years. Patients’ dental IQ and desires for beauty have also increased through exposure in the media. Thanks to the advancement of software such as Adobe Photoshop, we can now give patients a new smile digitally/virtually before the commencement of work to provide them with a great idea of the final result with the projected outcome. Material-wise, the trend has moved to metal-free restorations over traditional PFMs – higher aesthetics with less effort to achieve life-like restorations....

BEFORE AND AFTER

Before and After 2010: Treatment of Cleft Lip and Palate – a “Pro-bono” Smile Makeover

Jan 08. 2021

A female patient in her early 20s presented with congenitally missing upper lateral incisors, and one canine, a total of 3 teeth seeking a fixed replacement. The patient has a cleft lip and palate bilaterally, which has been treated several times over the years with surgery to repair it. Implants are not possible as there is no bone in the surgical repair sites, and in fact, she still has an oro-nasal communication. The patient had limited resources to pay for treatment and hoped that the federal Cleft Lip and Palate Scheme would cover the costs, which turned out that only extractions and dentures are eligible for the claim. Thus, the treating clinician – Dr Michael Mandikos and I had decided to treat...

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Before and After 2016: Smile Makeover – Full Mouth Reconstruction with a Heart-warming Testimonial

Apr 02. 2021

Before and After 2015: Smile Makeover – Replacement of 2 Teeth on 1 Abutment with Pink Ceramics

Mar 12. 2021

Before and After 2014: Smile Makeover – Addressing Mid-line Cant and Proportion with Lateralised Canines

Mar 05. 2021

Reproducing Nature Part 4: Smile Design

Feb 12. 2021

Before and After 2012: Smile Makeover – Achieving Significant Change in Proportion with porcelain veneers

Feb 05. 2021

Before and After 2011: Setting a Benchmark in Digital Photography

Jan 29. 2021

Reproducing Nature Part 3: Tooth Replacement with Root and Colour Matching Using Digital Photos

Jan 15. 2021

Before and After 2010: Treatment of Cleft Lip and Palate – a “Pro-bono” Smile Makeover

Jan 08. 2021