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Before And After Photos

This young patient presented with a missing central incisor and the upper left lateral incisor.  Initially we did a wax up and mock up in the mouth. We took a CT scan using a radiographic stent and it was deemed that the UR2 had a poor prognosis. We extracted the UR2 and placed an immediate denture. Further on from that Stage 1 surgery for implant placement, Stage 2 healing abutments were placed, Stage 3 impressions taken for the definitive implant retained bridge which was a screw retained zironcium bridge because of the aesthetic demand of the patient. Patient was very happy with result.

By: Dr Ishara Rizwana Hameed

This female patient presented with missing upper canines and she was wearing a removable denture which the patient was not very happy with the aesthetics or the fact that it was a removable denture. The patient wanted to have implants but there was insufficient space between the two roots of the two teeth (at least 7mm which was insufficient) so restored her with resin bonded bridges from her canines. She had retained deciduous canines which were extracted and dentures were placed. Left high in the occlusion and all the teeth came together and patient was happy with the result. The patient was happy with the fixed option available from a conservative treatment plan.

By: Dr Ishara Rizwana Hameed

This patient presented with a few teeth missing and badly worn teeth.  At examination he advised that he was drinking lime water everyday first thing in the morning for the past ten years which had led to lot of erosive wear and the enamel lost on some of the teeth.  We placed crowns on the teeth that we could save and a partial denture.  On the lower teeth we tried to keep to very minimal preparation with resin bonded bridges to replace the missing front teeth and gold or non-precious metals onlays and crowns the back teeth.  The patient was very happy with the result.

By: Dr Ishara Rizwana Hameed

This very pleasant gentleman presented to us with very old upper crown and bridgework, which had started to recede and looked unsightly, and severe attrition on the lower anterior teeth, with a few teeth almost worn down to gingival level.  The patient’s GDP had advised extraction of those teeth and the patient wanted a second opinion. We did a  wax-up and a mock-up in the mouth to see if what we were planning was achievable.

To improve sufficient crown height we did surgical crown lengthening on lower anterior teeth using a surgical stent given to a periodontal colleague.  The patient was then referred to the endodontist for elective root canals on all the four lower anterior teeth. Once root canal was completed all the teeth were prepared and placed in temporaries to assess the occlusion and aesthetics and to ensure patient was happy with result.

Once everything was stable we did definitive impressions for the final restorations and the patient was restored with an increased OVD with porcelain bonded crown and bridgework on the upper and lower teeth.  The patient was very happy with the result.

By: Dr Ishara Rizwana Hameed

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