View step by step progress through my diagnostic thought processes and clinical procedures. I'll update you with photos and video as we take this case to completion, highlighting the challenges and difficulties along the way.
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Failed Composite Veneers Meet Claudia, aged 42, who wanted to improve her smile. She had invested in some composite veneers to lengthen her chipped and worn teeth. Within a few days of placement the composite veneers fractured. Follow Dr Shepperson as she diagnoses the reasons why and creates a new smile.... Enlarge |
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New Patient Examination Claudia presented with a number of issues. We'll work through my new patient examination and discuss all the risk factors in her case.... Enlarge |
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Finding A New Vertical Dimension Claudia has lost considerable vertical height, posteriorly and anteriorly. We evaluate why and work through the steps to determine a new vertical dimension.... Enlarge |
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Building The Interim Vertical Height Transferring the conceptual view on models to the mouth is straightforward with composite resin. We consider this a temporary solution for the short to medium term (1-2 years).... Enlarge |
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Completing The Trial Smile Provisional bonding of the trial smile allows the patient to test drive her new appearance and function. Here's how we did it and the outcome is fascinating.... Enlarge |
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Prepping Upper Teeth For Emax Work with me as I prep teeth 15-13 for an emax zirconia bridge and 12-23 for emax all ceramic crowns.... Enlarge |
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Impressions and Provisionals Excellent soft tissue health creates a great platform for easy retraction, impressions and temporisation.... Enlarge |
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Creating A Pontic Site You will recall we extracted tooth 14 and I wanted to create a natural tissue contour for the bridge. Using a flap of palatal tissue we bulked up the ridge at the time the provisionals were placed.... Enlarge |