Archive for Clinical Cases
June 16, 2008 at 8:33 pm by Ian Kerr
Filed under Clinical Cases
The photos below show further evidence (as if any were needed) of Russell Blanchard’s incredible skill at making beautiful smiles.
Both cases were done using minimal preparation techniques to reduce the amount of drilling to natural sound tooth tissue. In the first case a missing tooth was replaced with a porcelain veneer bridge, with veneers on adjacent teeth to harmonise the result.
In the second case old, poorly matched crowns and large stained fillings were replaced with a combination of crowns and veneers. We hear a lot of talk about “Hollywood smiles” and teeth being “too white”. We are very conscious of that at StoneRock and strive to provide much more natural results. We realise that lots of people do not want to have unnaturally white teeth. That said not many of us are keen to have gaps in the front of our smiles or crowns that do not match any of our teeth either!
If you would like to find out how Russell can help you with your smile then please do not hesitate to call the practice on 01580 752202 and we will be happy to help.
June 16, 2008 at 8:21 pm by Ian Kerr
Filed under Clinical Cases
This case highlights how new techniques involving fibre re-enforced composites can change how we approach our restorative cases.
Traditionally the tooth below, with a large failing amalgam filling and fracture down the back wall would need some form of crown or overlay to protect it (you can learn more about these terms on our FAQ page on crowns and bridges ). As you can see from the second photo the cavity is substantial and a routine white filling would offer only limited long term stability.
Using a combination of high quality composite filling material and a sub-layer of a fibre mesh we are able to produce a great blend of strength and aesthetics which will be able to delay more complex work by up to ten years. This fibre re-enforced filling cost over £200 less than a crown, was completed in one visit and required no drilling of the surrounding sound tooth tissue.
If you would like to know more about this exciting technology and how it can help you then please do not hesitate to contact the surgery on 01580 752202 and speak to one of our team who will be happy to help.
April 27, 2008 at 8:34 pm by Ian Kerr
Filed under Clinical Cases
I love my job and this case highlights just what it is about my work that makes it so special to me.
Kimberely is dental nurse as well as a professional dancer. She was born with condition that interfered with the way her teeth formed. Despite her excellent oral hygiene and her very best efforts she has never been able to achieve a beautiful smile. Because she is very young (19 years old) we did not want to do any drilling to her teeth if we could avoid it. We used a combination of whitening and direct bonding to first reduce the dark patches and then direct white fillings placed as full coverage veneers to even out the appearance of the teeth. The whole process took 1 month, required no drilling or local anaesthetic and has transformed her smile and her confidence.
March 31, 2008 at 10:59 pm by Ian Kerr
Filed under Clinical Cases
What I like about these two cases is that they highlight how one fundamental problem in both mouths (crowding) was treated in two different approaches to achieve the same end goal; a beautiful smile for each patient.
In the first case we see porcelain veneers used to mask the discrepancies in size, shape and colour of the teeth. The result is stunning and was achieved relatively quickly, the whole case taking less than a month from start to finish! The work was done by Russell Blanchard and his ever present nurse Phillipa, both of whom are now massively experienced at this kind of work.
In this second case the patient elected to have orthodontic work to reposition her teeth, followed by whitening to enhance their appearance. The orthodontics was done using the Invisalign technique (no fixed braces are used, just removable trays) and the treatment was carried out by Dr Tim Bamford in Tunbridge Wells. The whitening was completed by Dr Ian Kerr here at StoneRock. The patient was delighted with her results and has avoided any drilling to her teeth so they have remained untouched through out. Once the permanent retainers are fitted to the backs of the teeth the new smile will be held in position for life. The case took 20 months to complete but has transformed the smile completely.
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