A young professional presented with missing upper left and right lateral incisors. Due to the deep bite, provision of bridges was impossible as they ended up getting detached due to the pressure from the lower teeth. The patient had resorted to wearing a CO-CR denture for the last few years. The roots of the central incisors and canines were pointing towards the implant sites. Appropriate root divergence, together with making the spaces ideal and overbite reduction allowed for implant placement in the left and right lateral incisor regions. Optimum aesthetics were preserved throughout the duration of the orthodontic treatment by maintaining the denture whist in fixed appliances. The denture was only discontinued once the treatment progressed into more rigid orthodontic wires which strong enough to support the prosthetic lateral incisors attached on the wires as a form of temporary bridges.
A 12-year old girl presented with a missing upper left lateral incisor and a small/diminutive upper right lateral incisor. The upper dental arch was narrow, the bite at the back was misaligned and the upper teeth were protrusive. The orthodontic treatment corrected the bite and created ideal space for the provision of a bridge on the left side and ideal spaces on the either sides of the small lateral incisor tooth for the tooth to be built-up with a composite restorative material. The bridge in the upper left lateral incisor may be replaced with an implant in the future when the patient is older.
The composite build up on the small upper right lateral incisor tooth was done by Dr Nicola Mulhaire, BDS NUIrel DRDP (UCL Distinction), Belgavia Dental Care, 2 Eccleston Street, Belgravia, London, SW1W 9LN. The bridge on the upper left lateral incisor was done by Khaled Boshali at 9 Boulevard Gén Leclerc 06240 Beausoleil, Monaco. We thank our partner dentists for providing optimum patient care, functionally strong outcomes and aesthetically pleasing results for our patients.
Patient presented with spaces between the teeth due to the small upper lateral incisors. The orthodontic treatment positioned the small teeth in the middle of the spaces. During the orthodontic treatment composite bonding was done on to either side(left and right) of the teeth.
Patient presented with a reverse bite and the upper right first premolar tooth and lower first molars were lost a few years ago. There was lack of space for an implant restoration on the upper right first premolar tooth. Space was created with fixed braces to accommodate an implant and the dentist subsequently restored the space with an implant.
The restorative treatment was done by Dr Ali Abdelatif BDS IQE (UK), MFDSRCPSG, MSc Implant Dentistry. We thank Dr Ali Abdelatif for providing optimum patient care, functionally strong outcomes and aesthetically pleasing results for our patients.
Patient presented with a deep bit at the front and spaces all around due to the drifting of the front teeth towards the left side where the upper and lower left second premolars are missing. As part of the orthodontic treatment ideal spaces were created in the upper and lower left regions for the provision of implants.
Patient presented with a reverse bite and the middle of the upper front teeth had migrated to the right side due to the missing upper right lateral incisor. The upper left second premolar as well as multiple teeth in the lower arch were missing. The upper right teeth had migrated downwards.
The orthodontic treatment created an ideal space for an implant to be inserted in the upper right lateral incisor. The upper right back teeth were lifted so that two full height and size false teeth could be inserted in the lower right side/quadrant.
The restorative treatment was done by Mr Andrew Elder BDS MFDS RCS (Eng) FDS (Rest Dent) RCS(Eng) Consultant in Restorative Dentistry and Specialist in Prosthodontics, Endodontics, and Periodontics. We thank our partner dentists for providing optimum patient care, functionally strong outcomes and aesthetically pleasing results for our patients.
Patient presented with an incorrect bite, crowding and small upper left and right lateral incisors. The small upper lateral incisor teeth were built up to the ideal dimensions with composite resin by the patient’s dentist during the orthodontic treatment. All the orthodontic treatment was done carefully with bearing in mind achieving the ideal proportions between the sizes of the upper central and lateral incisor teeth at the end of the treatment.
Acknowledgements: The restorative dentistry treatment was carried out by Dr Richard Lee, Cosmetic Dentist, Devonshire Square Dental Studio, 15 Devonshire Square, London, EC2M 4YW
Patient presented with a small lower jaw, congenitally small upper front teeth, misaligned bite, protrusive upper teeth and a deep bite at the front teeth. The treatment entailed upper and lower fixed appliances and orthognathic sugery to the lenghten the lower jaw. The deep bite was corrected and the teeth assumed a new ideal angle. The upper front teeth were built up to the ideal dimentions with composite resin during the orthodontic treatment by the patient’s dentist. Acknowledgement: The orthognathic surgery was done by Mr Manolis Heliotis, Consultant Oral and Maxillofacial Surgeon, 152 Harley street, London, W1G 7LH. https://www.manolisheliotis.co.uk