Dental Specialists Centre Rotterdam Blaak
General & specialist dentistry: periodontology; Implantology; Orthodontics; Endodontics, Cosmetic dentistry and Prosthodontics.
Groenendaal 229
3011 ZW Rotterdam
010 414 03 41
NL - ENG
010 414 03 41
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Case 1: Smile design

Smile design

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Case 2: Smile design

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line, missing tooth 11

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Missing tooth 11, 3. Non-harmonic anterior crown restorations.

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & stable periodontal health, 2) Implants 11 & lateral bone augmentation, 3. Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 4. New aesthetic natural E-Max crowns 12,11,21,22,23,24,25

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Case 3: Oral function rehabilitation

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): chewing & Biting functional discomfort;  unstable bite, Aesthetically disturbing smile line,

Clinical presentations: 1.  Reduced vertical height of occlusion, 2. Missing teeth 14, 31, 32, 41, 42, 46, 3. Deteriorated & discoloured composite restorations, 4. Deflective lateral group-function & deep bite

Specialist treatment schedule for oral function rehabilitation: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants 14, 31, 41, 46 plus lateral bone augmentation, 3. Gingival re-contouring, 4. Enhanced OVD by means of provisional restorations for 3 months to achieve & establish anatomic & biologic width & smile design, 5. New aesthetic direct composite restorations & E-Max crowns & veneers 14 …. 25. 41-31 implant-supported bridge

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Case 4: Smile design

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line,

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Missing teeth 16, 15 3. Non-harmonic anterior composite restorations missing teeth 16 …. 26, 4. Deflective lateral group function & deep bite

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Implants & lateral bone augmentation, 3. Anterior gingival augmentation & re-contouring, 4. Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 5. New aesthetic natural E-Max crowns & veneers 16 …. 26.

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Case 5: Smile design

Courtesy: DR. Nico Kamosi

Clinical presentation: Discoloured, fractured unaesthetic anterior crowns 12, 11; cross biting 21, 22,  Aesthetically disturbing negative smile line, Deflective lateral group function

Specialist treatment schedule: 1) Full mouth hygienist & Air-flow treatment & stable periodontal health; 2) Home teeth whitening with Carbamide peroxide; 3) Restoration of canine rise/guidance; 4) Provisional crowns 12, 11, 21, 22 for 2 months to achieve & establish anatomic biologic width & smile design; 5) New aesthetic natural porcelain crowns 12- 11 – 21 – 22

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Case 6: Attrition

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Discoloured, shortened, fractured unaesthetic anterior teeth; collapsed bite

Diagnosis:Restorative failures; fractured incisal tips; compromised canine guidance/protection

Treatment: 1. Restoration of canine rise/guidance 2. Home teeth whitening 16% Carbamide peroxide 3. Posterior composite restorations 4. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

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Case 7: Porcelain crowns

Courtesy DR. Nico. Kamosi

History of present complaints (HPC): Unnatural anterior crowns with chronic constant inflamed bleeding gingival margins.

Clinical diagnoses: 1. Zirconium anaesthetic crowns 2. Deeply positioned sub-gingical crowns 12 . 11 . 21. 22 (Violated biological width) 3. Lack of adequate inter proximal space for adequate papilla growth

Treatment:  1. Osseous re-contouring 2. Provisional crowns 12 . 11 . 21. 22 for 3 months to achieve anatomic biologic width 3. New Aesthetic natural E-Max crowns 12 . 11 . 21 . 22

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Case 8: Porcelain veneers

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Discoloured fractured unaesthetic anterior composite laminate veneers

Diagnosis:Restorative failures, Compromised canine guidance/protection

Treatment: 1. Restoration of canine rise/guidance 2. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

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Case 9: Porcelain veneers

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Discoloured fractured unaesthetic anterior teeth; black cervical stains

Diagnosis:Restorative failures; fractured incisal tips; compromised canine guidance/protection; arrested cervical caries

Treatment: 1. Restoration of canine rise/guidance 2. Home teeth whitening 15% Carbamide peroxide 3. Composite restorations 4. Provision of aesthetic E-Max laminate veneers 12 . 11 . 21 . 22

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Case 10: Porcelain veneers

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): enharmonic anterior teeth size & colour  

Diagnosis: Microdontia 12 & 22; un-proportionate teeth 11 & 21

Treatment: 1. Re-contouring teeth 11 & 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22

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Case 11: Porcelain veneers

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): enharmonic anterior teeth size & colour  

Diagnosis: Microdontia 12 & 22; un-proportionate teeth 11 & 21

Treatment: 1. Re-contouring teeth 11 & 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22

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Case 12: Porcelain veneers

Courtesy: DR. Nico Kamosi

History of present complaints (HPC): Aesthetically disturbing smile line

Clinical presentations: 1. Asymmetry & misalignment of the upper dentition, 2. Deflective lateral group function & deep bite

Specialist treatment schedule: 1) Full mouth periodontal, hygienist & Air-flow treatment & stable periodontal health, 2) Provisional restorations for 6 months to achieve & establish anatomic biologic width & smile design, 3. New aesthetic natural E-Max veneers 15-25