Cases

Case specifics

The previous dental procedures have had a negative emotional and social impact on Loredana. She was not smiling, she was even afraid to talk and was in pain when she came to us.

After solving the emergencies, I presented her the possibility of having healthy teeth, without problems in the long term. The freedom to smile freely convinced her and she decided to no longer postpone the commencement of treatments.

After removing the old prosthetic treatment, I found that it was necessary to remove the central incisor and replace it with an implant. The implant could not be inserted in the same session with the extraction, which led to a new aesthetic challenge.

Other challenges were the lack of compliance of the initial prosthetic treatment with the aesthetic/functional guidelines and the patient's anatomy in itself – lack of facial symmetry and of the symmetrical positioning of jaws in the plane of her face.

Several temporary prosthetic treatments were needed to test the functionality and adaptation to the new position.

Case specifics

Dan came to us with minor discomforts caused by his sensitive teeth that were heavily abraded and with chronic, local, periodontal issues. The abrasion was the result of intense bruxism, while periodontal issues occurred because of the lack of several teeth.

At the initial consultation, he was informed of the poor general condition and of the risks of not starting the treatments: the rapid loss of bone and gingival support of the existing teeth.

The patient was not convinced of the need for immediate intervention and preferred to "wait". After a few months, he returned to the clinic complaining of acute sensitivity in the front teeth, which exhibited a high degree of attrition. As the nerve was reached, his teeth were sensitive even to the slightest temperature differences.

Case specifics

Aesthetic challenge - public person / frequent social interaction.

Problems with the gums / periodontium supporting the teeth.

Lack of proper masticatory functionality.

We started with the periodontium / gum stabilization, so that subsequent treatments could be performed on a stable and healthy basis. Extraction of problem teeth and immediate insertion of implants along with temporary crowns to restore mastication and for a perfect aesthetic / functional effect. Bone augmentation and gum grafts were performed during the intervention, to compensate for the physiological bone resorption, which inevitably occurs after any extractions.

A simulation with the final teeth was performed.

All-ceramic veneers and final crowns were realized.

Case specifics

Mihaela came to us with persistent pain in her front teeth, which presented high discoloration caused by canal treatments carried out many years ago.

The first stage was to solve the emergency by treating the toothache, followed by the reconstruction of the teeth and the placement of temporary crowns.

The WAX-UP and MOCK-UP technique were used to perform the simulation of the smile, to see from the beginning what the final teeth would look like.

As a result of polishing, scanning and accurate measurements, the prosthetic work was perfectly suited and no adjustments were needed. This was followed by the definitive cementation of the completely ceramic crowns on the incisors, of the veneers on the lateral front teeth, canines, premolars and of the zirconium crowns on the molars.

Case specifics

At the first check our patient was suffering from irritation and bleeding gums.

It was necessary to remove part of the dental work, and it became obvious that the teeth needed to be treated again. Also, due to the fact that two of the upper lateral teeth were missing, the initial prosthetic work was performed in one piece, and all teeth were joined together, offering a major aesthetic disadvantage.

The work was neither aesthetically nor functionally compliant and our patient let us repeat all the treatments and give her a smile as beautiful as possible with no pain nor functional problems.

For various reasons the curvature of the front teeth followed the upper lip line instead of the lower lip, as it is normal. The challenge also consisted in reducing this aesthetic discrepancy through the prosthetic work.

Particularitatea cazului

Pacienta noastră s-a prezentat cu o lucrare necorespunzătoare funcțional și estetic, realizată în altă parte cu 2 ani în urmă.

Fiind o persoană zâmbitoare și veselă, pe toată durata tratamentelor era important să luăm în considerare ca pacienta noastră să aibă o dantură completă.

Din punct de vedere estetic exista o asimetrie inestetică atunci când pacienta zâmbea, aspect care putea să fie corectat și care a fost luat în considerare în realizarea cazului.

Particularitatea cazului

Coroanele vechi erau uzate iar gingia era retrasă.

Pacientul suferă de Bruxism. Un dinte lateral era mai închis la culoare iar acest lucru necesita să fie “mascat” estetic pentru o potrivire cu noua lucrare protetică.

Noile lucrări protetice necesitau să aibă o formă potrivite fizionomiei pacientului, care să se adapteze și cu retracția gingivală prezentă, astfel încât să nu apară spații între dinți și să nu pară că sunt "dinți falși".

Pacientul nostru este o persoană veselă, zâmbitoare iar acest lucru trebuia "respectat" printr-o reconstituire a dinților cât mai naturală!