Unfortunately the tooth could not be saved and Michael chose to have a dental implant to replace it.

A bone graft was necessary to replace some of the missing bone around the damaged tooth. This was placed at the same time as the dental implant.

It was necessary to use a temporary crown the gum tissues around the implant area healed.

Michael chose to whiten his teeth during this time.

Finally a new permanent crown was placed on the implant along with a porcelain veneer on the other front tooth which had also been damaged. Some composite resin bonding was also carried out on the upper lateral incisors to improve the appearance of these in the smile.

The treatment took a number of months overall but we were all very pleased with the final result, especially Michael.

Before

After

Before

After

Before

After

We used a Cavitron ultrasonic scaler and a prophy polish to remove the stains.

Below are the before and after pictures.

At Dental Elegance we offer a full comprehensive hygiene service treating all forms of gum disease – bleeding gums to advanced periodontal disease as well as simple stain removal and tooth whitening. We also offer a maintenance service after restorative dentistry and implants.

We started by making models of her teeth and then a 3D simulation of the planned new tooth shapes, called a diagnostic wax-up, was made and tried in over her existing teeth so that she could see what we could do. The great thing about this technique is that there are no surprises. The end result is exactly the same as the preview that the patient sees at this stage. She really liked the result.

The next step was to whiten her teeth with a home tooth whitening kit.

Finally the old filling material was removed, the teeth were minimally prepared and four porcelain veneers were made to replace the existing material and close the gaps between the teeth.

She had waited a long time to get the result she wanted and she was very happy with the final result.

Before

After

Before

After

Before

After

You can now download Chris Ibbott Clinical Dental Portfolio, my portfolio of example dental treatments , direct from the front page of the website. This shows a great many before and after photographs including:

-photos of composite bonding

-photos of inman aligner cases

-photos of orthodontics

-photos of veneers

-photos of crowns

-photos of implants

-photos of dentures

-photos of whitening

And many more.

This is to help patients to see the range of treatments I can offer and to help make a decision about what is the right thing for them. If you see something that interests you and you would like to come in for a chat please give us a call.

With kind regards,

Chris Hugh Ibbott

She had considered veneers and fixed braces but was not keen on either.

We used a sectional expansion appliance to move out her crowded upper teeth on the left side before using an Inman aligner to align the remainder of her front teeth.  We then just re-conyoured the edges of her front teeth a little.

Shown below- photos of Inman Aligner before and after case.

This patient from Bexley Kent came to Dental Elegance requesting a definitive, permanent solution for her missing teeth for which she had a loose, uncomfortable plastic denture. Dentist Dan Patel restored her teeth with 2 separate beautiful eMax bridges to give her comfort, function and confidence eating, talking and smiling.

She was aware of grinding her teeth and of her worn teeth and was conscious of the way her teeth were changing shape and wearing down as a result of this.

She wanted to improve the appearance of her smile and protect the worn teeth. We suggested the use of composite resin bonding

Firstly she used a home tooth whitening kit to lighten her  teeth to a colour she was happy with.

We then  restored the lower teeth with directly placed composite resin. This required no adjustment of the natural tooth, only building back the lost tooth structure.

At a separate visit we restored the edges and front surfaces of the upper six front teeth.

The patient was really pleased with her new smile and was happy that her teeth were protected from the ongoing wear. She was very happy that we had been able to do this with no damage to her natural tooth structure.