[ Smile Makeover with Ceramic Veneers : A Case Report ]

Smile Makeover with Ceramic Veneers :

 A Case Report 

รายงานผู้ป่วย : 

เซรามิกวีเนียร์ 10 ซี่ ในฟันหน้าและฟันกรามน้อยบน ในผู้ป่วยที่มีฟันสึกบิ่นและบิดซ้อนเล็กน้อย ร่วมกับต้องการสีฟันที่สว่างขึ้นโดยยังดูเป็นธรรมชาติ

- เพื่อปรับสีและรูปร่างของฟัน

- เพื่อปรับแก้ไขรอยยิ้มให้ผู้ป่วยยิ้มอย่างมั่นใจและดูเป็นธรรมชาติ

ความท้าทาย : 

1. พบปัญหาเหงือกร่นบริเวณฟันบนด้านซ้าย แต่ขณะยิ้มมีริมฝีปากช่วยปิดอยู่ทำให้ไม่เห็นความยาวที่ไม่เท่ากันระหว่างฟันทางด้านซ้ายและขวา ผู้ป่วยจึงไม่มีความจำเป็นต้องผ่าตัดปลูกเหงือก

2. ฟันกรามน้อยบิดซ้อน ทำให้มองจากด้านหน้าไม่ค่อยสมมาตร ต้องออกแบบขอบเขตของวีเนียร์บนซี่ฟันกรามน้อยให้สามารถแก้ไขรูปร่างได้และกรอเนื้อฟันของผู้ป่วยน้อยที่สุด

[ Ceramic Veneers ]

Ceramic Veneers : 

‘ เซรามิก วีเนียร์ ’  

Esthetic Rehabilitation 

- Smile A Better Smile - 

with Ceramic Veneers 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Transformation to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(TOOTH SHAPE AND ALIGNMENT OF 

UPPER ANTERIOR TEETH AND UPPER PREMOLARS)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH EMAX PRESS VENEERS 

AT 12-22 ( LAYERING TECHNIQUE ) 

& AT 13-15/23-25 ( STAINING TECHNIQUE )

USING MT INGOT

ALL RESTORATIONS IN BL3 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ Smile A Better Smile ]

Smile Make Over : 

Yet Still Natural 

Esthetic Rehabilitation 

- Smile A Better Smile - 

with Ceramic Veneers 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Transformation to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(Tooth SHAPE and Alignment OF 

UPPER ANTERIOR TEETH and upper premolars)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH EMAX PRESS VENEERS 

AT 12-22 ( LAYERING TECHNIQUE ) 

& at 13-15/23-25 ( Staining Technique )

USING MT INGOT

ALL RESTORATIONS IN BL3 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ Smile A Durable Bite ]

Reinforce Your Bite : 

Yet Still Beautiful 

Esthetic Rehabilitation 

- Smile A Durable Bite - 

with Ceramic Veneers 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(Un-proportional Tooth size & tooth shape of upper anterior teeth)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH EMAX PRESS VENEERS 

AT 13-23 ( LAYERING TECHNIQUE )

USING LT INGOT

ALL RESTORATIONS IN BL1 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ A Tooth Buildup : Transformation To Function ]

Restorative Dentistry : 

[ A Tooth Buildup : Transformation To Function ]

Re-establish to Function   

- Direct Filling - 

Direct Composite Onlay

.

Re-establishing to a functional one

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM A non-functional

(Ankylosed milky tooth without permanent tooth bud with limited finanCial status)

TO A functional one in the mouth

tooth buildup & TRANSFORMATION

WITH direct filling

Resin Composite restoration

 - DIRECT RESTORATION -

[ Digital Approach In Smile Design ]

Esthetic Dentistry : 

Esthetic Rehabilitation 

- ceramic veneers & crowns - 

Digital Approach

In Smile Design

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(WORN EDGE OF FRONT TEETH,  

CROWDED TEETH, YELLOW TEETH, 

AND LARGE DEFECTIVE FILLINGS AT ALL PREMOLARS)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWNS

( STAINING TECHNIQUE ) AT 14, 24

IN COMBINATION WITH EMAX PRESS VENEERS 

AT 13-23 ( STAINING TECHNIQUE AT 13/23 

& LAYERING TECHNIQUE AT 12-22)

USING LT INGOT

ALL RESTORATIONS IN BL1 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ Tooth Replacement With Crown and Implant ]

Restorative & Implant Dentistry : 

- Tooth Replacement - 

with Crown and Implant 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

To preserve exiSting IDP 

(Missing tooth 16,  

Broken tooth 15, )

TO gain A NATURALLY HARMONIZING gingival tissue

Using custOmized heaLing anutment 

Restore with monoliThic zirconia crown at 15

And Monolithic Zirconia crown on zirconia abutment at 16

Bring them back to functIon

 - INDIRECT RESTORATION -

[ Ceramic Veneer With Implant Crown With Bone Graft ]

Esthetic Restorative & Implant Dentistry : 

A Challenge to Success 

- Gradual Little Steps 

Before Desired Outcome  - 

Bone Augmentation 

with Staged Approach Implant Placement

+

Final Restorations with

Ceramic Veneer & Crown on Implant 

.

From a Missing Tooth 11

( Effecting to Self-Confidence, Speech & Smile )

To a Replacement 

with Crown on Implant 11 & Veneer on 21

( Re-establishing to a pleasant natural smile ) 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(Missing FRONT TOoth,  

Large missing Tooth space, 

AND inadequate horizontal bone Support aT 11 Area  )

TO A NATURALLY HARMONIZING SMILE

Foundation prior to implant is crucial

Staged Approach implant placement Was SeLected

Guided-Bone ReGeneration (GBR) 

was achieved at 11 area

Tooth space anaLysis

21 Add Up to M part 

To obtain 11/21 similar tooth size

ProvisionalizatioN  is also important 

to create emergence profile 

for crown on implant

Composite Added to Ti temporary abutment 

to mold anD customize gingival tissue at 11 area

Adjust 21 tooth space with filling 

to close diasteMa 

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWN

( STAINING TECHNIQUE ) AT 11 

on zirconia abutment oN Ti-base abutmEnt 

IN COMBINATION WITH EMAX PRESS VENEERS 

( STAINING TECHNIQUE ) AT 21 

USING LT INGOT

ALL RESTORATIONS IN A3 SHADE

*IVOCLAR AD SHADEGUIDE

Using White Opaque Cenent Dual curing mode

NX3 with optibond XTra universal

Silane for veneer

MDP monomer for crown

 - INDIRECT RESTORATION -

[ Esthetic Rehabilitation : Smile Rejuvenation Episode 2 ]

Esthetic Dentistry : 

Esthetic Rehabilitation 

- A Smile Rejuvenation - 

with Ceramic Veneers & Crowns 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(WORN EDGE OF FRONT TEETH,  

CROWDED TEETH, YELLOW TEETH, 

AND LARGE DEFECTIVE FILLINGS AT ALL PREMOLARS)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWNS

( STAINING TECHNIQUE ) AT 14, 24, 34, 44 

IN COMBINATION WITH EMAX PRESS VENEERS 

AT 13-23, 33-43 ( STAINING TECHNIQUE AT 13/23, 33-43 

& LAYERING TECHNIQUE AT 12-22)

USING LT INGOT

ALL RESTORATIONS IN BL1 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ Miracle of Esthetic Dentistry ]

Miracle of Esthetic Dentistry : 

- A Smile Rejuvenation - 

with Ceramic Veneers & Crowns 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(WORN EDGE OF FRONT TEETH,  

CROWDED TEETH, YELLOW TEETH, 

AND LARGE DEFECTIVE FILLINGS AT All Premolars)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWNS

( STAINING TECHNIQUE ) AT 14, 24, 34, 44 

IN COMBINATION WITH EMAX PRESS VENEERS 

AT 13-23, 33-43 ( STAINING TECHNIQUE AT 13/23, 33-43 

& LAYERING TECHNIQUE AT 12-22)

USING LT INGOT

ALL RESTORATIONS IN BL1 SHADE

*IVOCLAR AD SHADEGUIDE

 - INDIRECT RESTORATION -

[ Esthetic Rehabilitation : Smile Rejuvenation Episode 1 ]

Esthetic Dentistry : 

Esthetic Rehabilitation 

- A Smile Rejuvenation - 

with Ceramic Veneers & Crowns 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(Worn edge of front teeth,  

Crowded teeth, yellow teeth, 

And large DEFECTIVE fillings at 14/24)

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWNS

( STAINING TECHNIQUE ) AT 14, 24 

in combination with emax press veneers 

at 13-23 ( STAINING TECHNIQUE at 13/23 

& Layering technique at 12-22)

Using LT ingoT

All restorations in BL1 shaDE

*ivoClar AD Shadeguide

 - INDIRECT RESTORATION -

[ Esthetic Rehabilitation & Smile Makeover ]

Esthetic Dentistry : 

Esthetic Rehabilitation with Ceramic Crowns 

- Biomimetic Esthetic & Restorative Dentistry - 

.

Re-establishing to a pleasant natural smile 

.

#RESTORATIVEDENTISTRY

#RestoreCMU #DentCMU

Dr. Suriyakul Wongsue., DDS, MSc

FROM AN UNPLEASANT 

(LaRge dental SpaCing AND 

Worn teeth 13-23, )

TO A NATURALLY HARMONIZING SMILE

SMILE TRANSFORMATION

WITH MONOLITHIC TRANSLUCENT ZIRCONIA CROWNS

( STAININING TECHNIQUE ) AT 13-23

 - INDIRECT RESTORATION -

[ งานประชุมวิชาการทันตแพทย์จังหวัดฉะเชิงเทรา ]

 มีนาคมปีนี้ 

สิ่งที่ประทับใจก็คือ

การได้เป็นส่วนหนึ่ง

ในการจัดงานประชุมวิชาการของทันตแพทย์

ในจังหวัดฉะเชิงเทรา

‘ Sinus Augmentation : 

#Lift me like a pro

#งานประชุมวิชาการทันตแพทย์ จังหวัดฉะเชิงเทรา

Dent BSH x Neobiotech