Smile Makeover Case Studies
Our case studies include before and after photos of our happy patients with smile makeover treatment.
Case #148 : Cosmetic Restorations
Courtesy: Dr. Nico Kamosi
Clinical presentation: Diastema between the central incisive teeth 11, 21, Microdontia teeth 12, 22.
Treatment: Restoration of the marginal edge, shape and symmetry of teeth 12,11,21,22.
Technique: Direct composite resin.
Case #161 : Cosmetic Restoration
Courtesy: Dr. Nico Kamosi
Presenting complaint: Uneven smile, negative overbite, non-harmonic teeth form 12-11-21-22.
Technique: Direct composite resin.
Treatment: Re-formation of the toot shape and marginal ridges; gap closure.
Case #162 : Cosmetic Restoration
Courtesy: Dr. Nico Kamosi
Presenting complaint: central diaStema, non-harmonic tooth proportion, deteriorated filling 21.
Treatment: Re-formation of the marginal ridges, shape and symmetry; diastema closure 12.11.21.22.
Technique: Direct composite resin.
Case #171 : Cosmetic Restoration
Courtesy: Dr. Nico Kamosi
Occlusal diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion and Attrition.
Oral functional diagnosis: Lost canine guidance, unstable inter-occlusal relationship.
History of present complaints: Biting, chewing and functional discomfort; aesthetic disturbance.
Functional rehabilitation: Full-mouth restoration: A) enhanced OVD B) Applied forced mandibular anterior occlusion.
Material: Direct composite restorations.
Case #188 : Crown and Bridges
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line, crowns 11, 21 discolouration.
Clinical presentations: 1. Aesthetically disturbing smile line due to fracture and discolouration of the upper natural teeth enamel.
Specialist treatment schedule: 1) Teeth whitening, Composite restorations of the upper posterior teeth, 4. New natural E-Max crowns: 13-23.
Case #189 : Crown and Bridges
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Aesthetically disturbing smile line due to fracture and discolouration of the upper natural teeth enamel.
Specialist treatment schedule: 1) Teeth whitening, Composite restoration/ canine- guidance, 4. New natural E-Max crowns: 12-22.
Case #193 : Crown and Bridges
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line, persistent bleeding gums.
Clinical presentations: 1. Disproportionate upper restorations, 2. Connected over-dimensioned acrylic restorations with defective restorative margins and lack of inter-proximal space 3.Violation of biologic width.
Specialist treatment schedule: 1) Full mouth periodontal treatment and stable periodontal health, 2) Gingival re-contouring, 3. Provisional of anatomic restorations for 3 months to achieve & establish anatomic biologic width and smile design, 4. New aesthetic natural E-Max crowns.
Case #196 : Porcelain Crowns
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Fractured and discoloured upper natural teeth and fillings.
Specialist treatment schedule: Teeth whitening, 2) New natural E-Max crowns: 12-22.
Case #197 : Porcelain Crowns
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Fractured and discoloured upper natural teeth and crowns.
Specialist treatment schedule: Teeth whitening, 2) New natural E-Max crowns: 12-22.
Case #199 : Smile Makeover
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Asymmetry and misalignment of the upper dentition, 2. Missing teeth 16, 153. Non-harmonic anterior composite restorations missing teeth 16 …. 26, 4. Deflective lateral group function and deep bite.
Specialist treatment schedule: 1) Full mouth periodontal, hygienist and Air-flow treatment and stable periodontal health, 2) Implants and lateral bone augmentation, 3. Anterior gingival augmentation and re-contouring, 4. Provisional restorations for 6 months to achieve and establish anatomic biologic width & smile design, 5. New aesthetic natural E-Max crowns and veneers 16 …. 26.
Case #201 : Porcelain Crowns
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line, persistent bleeding gums.
Clinical presentations: 1. Disproportionate upper restorations, 2. Connected over-dimensioned acrylic restorations with defective restorative margins and lack of inter-proximal space 3.Violation of biologic width.
Specialist treatment schedule: 1) Full mouth periodontal treatment and stable periodontal health, 2) Gingival re-contouring, 3. Provisional of anatomic restorations for 3 months to achieve and establish anatomic biologic width and smile design, 4. New aesthetic natural E-Max crowns.
Case #202 : Full Mouth Rehabilitation
Courtesy: Dr. Nico Kamosi
History of present complaints: Biting, chewing and functional discomfort; aesthetic disturbance. Occlusal diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion and Attrition. Oral functional diagnosis: Lost canine guidance, unstable occlusal support.
Occlusal diagnosis: Class I basal relationship with a minor dento-alveolar deep bite; Advanced Abrasion and Attrition.
Oral functional diagnosis: Lost canine guidance, unstable occlusal support.
Full mouth rehabilitation: Enhanced OVD; occlusal support & stability Material: Direct composite restorations for full-mouth restoration.
Case #204 : Orthodontics
Courtesy: Dr. Nico Kamosi
History of present complaints: Non-harmonic smile line, aesthetically disturbing upper anterior discoloured teeth, unsightly amalgam fillings.
Clinical presentation: 1) Defective crowns 11 and 21, 2. Mild Maxillary posterior arch length loss, 3) misalignment of upper teeth, 4) Moderate age-related and amalgam-induced teeth discolouration.
Specialist treatment schedule: 1) Full mouth hygienist and Air-flow treatment and stable periodontal health, 2) Home whitening, 3) Replacement of all deteriorated and amalgam fillings with composite, 4)Home teeth-whitening 5) Orthodontic treatment plan: a) Maxillary ALF appliances for 3months followed by maxillary fixed orthodontic appliances to correct dental misalignment and asymmetry, and to expand the anterior section, b) Anterior-posterior palatal loop to initiate and perform bilateral transverse development, c) Fixed straight wire therapy using edgewise technique, d) Delta-force to level and align dentition for another 9months, followed by Ceramic crowns 11 and 21.
Case #261 : Porcelain Veneers and Crowns
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.
Occlusal diagnosis: Specialist treatment schedule: 1) Full mouth hygienist and Air-flow treatment and 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 and establish anatomic biologic width and smile design; 5) New aesthetic natural porcelain veneers and crowns 12- 11 – 21 – 22.
Case #263 : Porcelain Veneers
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.
Case #266 : Smile Makeover
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): enharmonic anterior teeth size and colour.
Diagnosis: Microdontia 12 and 22; un-proportionate teeth 11 and 21.
Treatment: 1. Re-contouring teeth 11 and 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22.
Case #269 : Smile Makeover
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line, missing tooth 11.
Clinical presentations: 1. Asymmetry and misalignment of the upper dentition, 2. Missing tooth 11, 3. Non-harmonic anterior crown restorations.
Specialist treatment schedule: 1) Full mouth periodontal, hygienist and stable periodontal health, 2) Implants 11 & lateral bone augmentation, 3. Provisional restorations for 6 months to achieve and establish anatomic biologic width and smile design, 4. New aesthetic natural E-Max crowns 12,11,21,22,23,24,25.
Case #270 : Smile Makeover
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Asymmetry and 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 and deep bite.
Specialist treatment schedule: 1) Full mouth periodontal, hygienist and Air-flow treatment and stable periodontal health, 2) Implants and lateral bone augmentation, 3. Anterior gingival augmentation and re-contouring, 4. Provisional restorations for 6 months to achieve and establish anatomic biologic width and smile design, 5. New aesthetic natural E-Max crowns and veneers 16 …. 26.
Case #271 : Smile Makeover
Courtesy: Dr. Nico Kamosi
Clinical presentations: 1. Asymmetry and misalignment of the upper dentition, 2. Missing tooth 11, 3. Non-harmonic anterior crown restorations.
Specialist treatment schedule: 1) Full mouth hygienist and Air-flow treatment and 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 and establish anatomic biologic width and smile design; 5) New aesthetic natural porcelain crowns 12- 11 – 21 – 22.
Case #272 : Smile Makeover
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.
Case #273 : 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-gingival crowns 12 . 11 . 21. 22 (Violated biological width) 3. Lack of adequate interproximal 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.
Case #274 : 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.
Case #275 : 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.
Case #276 : Porcelain Veneers
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): enharmonic anterior teeth size and colour.
Diagnosis: Microdontia 12 and 22; un-proportionate teeth 11 and 21.
Treatment: 1. Re-contouring teeth 11 and 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22.
Case #277 : Porcelain Veneers
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): enharmonic anterior teeth size and colour.
Diagnosis: Microdontia 12 and 22; un-proportionate teeth 11 & 21.
Treatment: 1. Re-contouring teeth 11 and 21 2. Provision of aesthetic E-Max laminate veneers 12 . 22.
Case #278 : Porcelain Veneers
Courtesy: Dr. Nico Kamosi
History of present complaints (HPC): Aesthetically disturbing smile line.
Clinical presentations: 1. Asymmetry and misalignment of the upper dentition, 2. Deflective lateral group function and deep bite.
Specialist treatment schedule: 1) Full mouth periodontal, hygienist and Air-flow treatment and stable periodontal health, 2) Provisional restorations for 6 months to achieve and establish anatomic biologic width and smile design, 3. New aesthetic natural E-Max veneers 15-25.
