Implantology and aesthetics
The aesthetics of the smile is composed of several elements: the lips, which act as a “frame” of the smile, a pink area that is the gingiva and a white area that are the teeth. Therefore, the treatment of the smile must be multidisciplinary:
- The lips correspond to cosmetic surgery or aesthetic medicine.
- The pink area (gingiva) to periodontics.
- The white area (teeth) to orthodontics and restorative dentistry.
Here are some examples that illustrate this:
Real cases
Case 1: Combination of periodontics and ceramic crowns
Goals :
- Correct color of the darkened central incisor.
- Correct irregular gingival plane.
- Correct position and shape of the 4 upper incisors.
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- Before treatment.
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- Leveling of the gingival plane.
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- Ceramic finish of the four upper incisors.
Case 2: Cleft lip (Combination of orthodontics and fixed prosthesis ceramic on teeth)
After multiple surgeries since her childhood the patient wanted to be able to smile without complexes.
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- Before treatment.
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- Orthodontic treatment.
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- Ceramic rehabilitation of the upper incisors.
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- Initial smile.
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- Final smile. The upper lip defect can be disguised with a little makeup.
Case 3: Facial trauma (Combination of endodontics and fixed prosthesis on teeth)
The patient suffered a fall, losing three of her teeth and fractured another central. He went to the Maxillofacial Surgery service where they were reimplanted. As the teeth had lost their vitality they had to undergo endodontics and aesthetic rehabilitation with ceramic veneers and a crown.
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- Facial trauma with three reimplanted teeth and cerclage with wire.
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- Case finished with a crown and three ceramic veneers.
Case 4: Immediate implant of a incisor
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- Before: fractured incisor.
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- Temporary resin crown. Placed at 12 hours after extraction and placement of the implant.
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- Ceramic crown. Placed three months after implant placement.
Case 5: Aesthetic rehabilitation with ceramic veneers and bottom whitening
In this case, treatments of endodontics, periodontics (to level the gingival plane, which was highly altered) and six ceramic veneers (from canine to canine) are combined.
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- Before.
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- Before.
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- After.
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- After.
Case 6: Bruxism treated with endodontics and ceramic rehabilitation
The patient could not eat from the pains of her teeth. She had them so worn out by her bruxist habit that the dental pulp (the nerve) was almost on the surface. They had to be endodonized and rehabilitated with metal-porcelain crowns to restore the vertical dimension and original anatomy. Finally, a Michigan-type splint was needed as part of the treatment of bruxism.
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- Before.
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- After.
