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PORTFOLIO

A Sampling Of Our Work

Each case we receive is given a thorough evaluation in every respect: fit, finish, material choice, and esthetic considerations. We look at the case from an anatomical perspective, esthetic potential, and physiological concerns that could affect restoration fit, function, and longevity.

Case One

Severe malocclusion, with rotated teeth and gingival discrepancies.

Accelerated orthodontic treatment was employed to correct the malocclusion, followed by periodontal surgery to improve the gingival architecture. Finally, feldspathic veneers were created to complete the esthetic transformation.

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Before
2
Retracted view.
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Severe malocclusion with patient in maximum intercuspation (MIP).
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After orthodontic, periodontic, and esthetic treatments.
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After
Case Two

This patient presented with old, worn, porcelain fused to metal crowns, worn anterior dentition that was partially restored with composite, and gingival recession.

Maxillary and mandibular porcelain fused to zirconia crowns were fabricated. Meticulous attention was paid to tooth proportion and contour, as well as creating a more stable occlusion.

Case Three

This patient presented with old, badly discolored, composite veneers on her central incisors. She also exhibited a reverse smile line.

Beautiful esthetics were achieved by creating e.max lithium disilicate (Ivoclar Vivadent) pressed veneers.

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Poor esthetics due to old, discolored direct composite veneers
2
Retracted view.
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New e.max veneers.
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Retracted view.
Case Four

This patient presented with old, broken, and discolored Class III and Class IV composite restorations.

A combination of pressed e.max lithium disilicate (Ivoclar Vivadent) veneers and crowns corrected the problem.

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Before Smile
2
Before Retracted View
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After Smile
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After Retracted View
Case Five

This patient presented with worn, broken, and stained composite veneers.

Feldspathic porcelain veneers were placed, restoring healthy occlusion and superb esthetics.

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Before
2
Pre-op retracted view showing the extent of restorative breakdown.
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A wax-up to determine correct form and function was created.
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A silicone matrix was formed from the wax-up.
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Facial and incisal reduction of 0.5mm made through Luxatemp mock-up that was applied using the matrix.
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Tooth preparation completed and retraction cord placed.
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Placement of "spot-bonded" Luxatemp temporary veneers.
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Post-insertion smile. The incisal edges follow the lower lip line.
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Post-insertion retracted view. Excellent periodontal health maintained due to perfectly placed gingival margins.
Case Six

Mandibular incisors diagnosed with severe, advanced periodontitis. The prognosis was deemed hopeless and the teeth were extracted.

Mandibular lower incisors were replaced with an implant-supported fixed bridge of porcelain fused to zirconia.

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A porcelain fused to zirconia bridge was fabricated. Note the life-like, natural characteristics built into the porcelain, including root indications and facial stain.
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The prosthesis was inserted over custom abutments. Proximal overlap and slight rotations were created to maintain appropriate tooth proportion.
3
Close-up view of the new fixed bridge.
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Note the natural appearance of the incisal edges that blend perfectly into the natural dentition.