Dr William Zafiropoulos – BDS – Sydney University
Suite 1, 19-21 Central Road, Miranda, 2228.
email – firstname.lastname@example.org
web – www.classicsmiles.com.au
Dental Diagnosis, Treatment Plan
Achieving a beautiful smile through the following combined treatments.
• Tooth Whitening (lower front teeth)
• Ceramic Inlays/Onlays to replace your old silver fillings.
• New lower bonded fillings (to replace discoloured older fillings) such as to match your lower newly whitened teeth.
• Invisalign (optional) to straighten your lower front teeth, especially the tooth next to your implant
Colour Teeth can appear relatively dark in colour. This darkness is both inherent within the tooth structure (from reflux and enamel wear due to child birth) and is also surface stain that cannot be removed or polished away. This is further compromised by the positioning (set back) and relatively small size of your smile.
Figure 1. Discolouration of teeth corrected by veneering as per mock up.
There are a number of steps which have to be undertaken in order to restore your mouth with veneers.
Firstly, Examination, clean, fluoride and x-rays – bitewings and OPG, to exclude any dental disease and record your current condition.
Porcelain Veneer – Procedure
Provisional veneers will be fitted to the teeth in order to determine the new tooth contours. This treatment will be planned and previewed on previously made study models of the mouth to a prescription that will conform to ideal aesthetic and functional ideals.
From the work completed on the models of the teeth, we will transfer these new contours to the teeth in the form of provisional restorations. These provisional restorations will serve as aesthetic and functional prototypes that will allow us to refine the ideal contours of your teeth over the following few weeks.
This work will be based largely on your original mock up, however as discussed at your original consultation, and subject to your input, the final result will be 5-7 % smaller overall. (this is because our mock up in your mouth was necessarily larger than the final result). You will also have input into the shape of the final veneers. The veneers will only be cemented in your mouth when you are satisfied with the results. We use a “try in” cement, and you actually get to see the veneers in your mouth prior to them being cemented permanently. Should you not be entirely satisfied, the veneers are sent back for modifications and this process is repeated until you are happy with the work.
In order to preserve and maintain existing tooth structure as well as your new restorations, we will need to fit a night splint. A night splint is a firm, slim-fitting acrylic guard that is custom fitted to the teeth and is comfortable to wear at night whilst sleeping. The aim of this splint is to provide a surface for your teeth to grind against, and to therefore protect them. The shape of this splint also allows it to guide jaw motion and force, so as to limit the strain on the jaw muscles and joints, thereby protecting these tissues.
Composite veneers – Procedure
Composite veneers are placed and shaped on the one day in a long single visit, often lasting 3 hours or more.
At completion, you will need to return for multiple follow up visits over the following few weeks, whereby we adjust your new teeth to perfectly meet your requirements regards shape and size. In this way we can custom make your veneers to your exact specifications. When we are both satisfied, we take photographs and issue you with a protective night splint.
With porcelain veneers, our current practice is to prefer the use of the newest E-max technology. IPS E-max is a layering ceramic that gives beautiful natural opalescence to veneers. It provides lifelike highly aesthetic results with true to nature light scattering and a balanced relationship between light and chroma. Wear and gloss characteristics are similar to the more traditional feldspathic veneers, however the strength of E-max veneers enables us to give you a 10 year guarantee.
With composite veneers we utilise the award winning IPS Empress direct system, which combines the aesthetics of ceramics with high surface gloss for a lasting and beautiful result.