If your teeth have suffered substantial wear or erosion, you will surely be concerned about how the dentist will treat them.
Minimal Invasive Prosthodontics is relying on modern all-ceramic materials and our ability to bond them to the dental surface.
With Minimal Invasive Prosthodontics, the teeth are only minimally prepared, because they are already missing a significant amount due to wear or erosion.
The prostheses we use to restore teeth, are porcelain veneers for the anterior teeth and overlays for the posterior teeth.
The prostheses fill in the part of the tooth that has been lost, restore the correct shape and color, and do not impose additional drilling on the teeth.
The intervention on natural teeth is minimal, and this is very important if your teeth are already worn down from abrasion or erosion, because we do not remove any extra tooth substance from them.
With Minimal Invasive Prosthodontics, we
preserve dental substance,
increase the durability of your teeth over time, and
deliver beautiful new teeth that match your facial features
BEFORE AND AFTER
Cases treated in our clinic, with Minimal Invasive Prosthodontics.
Proceed with the arrow to the right for more photos of each case.
After
We used porcelain veneers on the anterior teeth and οnlays on the posterior teeth to restore the morphology and function of the teeth.
The teeth were minimally prepared and the existing tooth substance was preserved without additional wear.
Before
The patient in the photo was experiencing significant tooth erosion and wear.
Her teeth were sensitive to hot and cold, and her smile had lost its youthful appearance.
She wished to enhance the aesthetics and shape of her teeth without further grinding, as they had already suffered considerable damage.
After
The front teeth were restored with porcelain veneers, while porcelain onlays were placed on the posterior teeth.
In addition to porcelain veneers, resin veneers were placed on the maxillary anterior teeth on their palatal side.
The canines have been given the morphology and colour of the lateral insicor.
The healthy dental substance is preserved and protected between 2 restorations (sandwich technique).
Before
The teeth, before the treatment, had lost dental substance and were sensitive.
The patient had undergone orthodontic treatment at a young age.
The congenitally missing lateral incisors had been treated by transferring the canines to the position of the lateral incisors.
The canines were aesthetically disturbing to her and needed to be improved in both shape and color.
Erosion and abrasion of teeth and restoration with Minimal Invasive Prosthodontics
After
The patient’s smile after treatment with Minimal Invasive Prosthodontics.
We gave the teeth the shape the patient wanted, similar to the shape of her teeth before treatment.
Before
The patient was experiencing tooth erosion. The teeth had significant loss of structure and were very sensitive.
She wanted to restore her teeth without grinding them further.
She was a suitable candidate for treatment with Minimal Invasive Prosthodontics.
After
For the anterior teeth we made double restorations.
A composite restoration was placed on the palatal surface of the anterior teeth and a porcelain veneer was placed on the anterior surface of the teeth.
Only porcelain veneers were placed on the mandibular anterior teeth.
Porcelain overlays were placed on the posterior teeth.
Before
The natural teeth before the treatment, had lost a significant amount of their enamel and were sensitive.
The patient, did not feel comfortable smiling because of the appearance of her teeth.
At the same time, the height of the lower third of the face had decreased due to loss of tooth structure.
Erosion of teeth and restoration with Minimal Invasive Prosthodontics
After
The rehabilitation was done on all teeth.
The vertical dimension of occlusion was increased, and the teeth were restored to the correct size.
Many stages are involved until we find the size and shape of the teeth that is right and pleasing to the patient.
Before
Significant tooth erosion in a 25-year-old patient.
The erosion was generalized, involving both anterior and posterior teeth.
The teeth need to be protected, not only because they are sensitive but also to preserve the remaining tooth substance.
After
Porcelain overlays are placed on the posterior teeth to preserve the remaining dental substance, to protect the teeth from thermal stimuli and to give the correct vertical dimension to the face.
Before
Teeth in the back of the mouth had significant erosion.
Typically, previous fillings were protruding from the surface of the tooth.
The enamel was eroded and the teeth were sensitive.
The erosion had affected all the teeth and resulted in a reduction in the height of the lower face.
Erosion of teeth and restoration with Minimal Invasive Prosthodontics
After
The prosthetic rehabilitation is performed on all teeth in the mouth.
In the maxillary teeth, partial coverage crowns and veneers were placed, while in the mandibular teeth, porcelain veneers and crowns were placed on the teeth that already had crowns.
The posterior mandibular teeth were completed with a partial denture (not shown), supported by zirconia crowns.
Before
The wear of the teeth on the lady in the photo, was due to the lack of posterior teeth.
The patient could not chew because she had no posterior teeth and was forced to use the anterior teeth, which were often broken and worn.
After
The new prostheses are placed on the teeth without additional drilling, increasing the height of the lower part of the face.
Such work also improves the overall facial appearance.
Before
Tooth wear can also occur when the teeth are subjected to very high forces.
When you cannot chew with the posterior teeth, the anterior teeth wear down and break constantly.
The exposed dentin, picks up color from the mouth and the teeth look darker.
After
Teeth after restoration
Before
Occlusal view of teeth with wear.
After
Mandibular teeth after restoration.
Before
Mandibular teeth before treatment
Tooth wear and restoration with Minimal Invasive Prosthodontics
After
All teeth were restored with all-ceramic restorations, following the principles of minimal invasive prosthodontics.
Before
Tooth erosion is caused by the action of acids on the tooth surface.
The patient in the photo had lost a large amount of tooth substance due to erosion.
The bridge at the back of her mouth remained intact because it was not affected by the acids.
After
Occlusal view of teeth after restoration.
Before
Occlusal view of natural teeth before treatment
After
Occlusal view of maxillary teeth after restoration
Before
Occlusal view of maxillary teeth before treatment
After
After treatment
Before
Before
Teeth erosion and treatment with Minimal Invasive Prosthodontics
Questions
What does Minimal Invasive Prosthodontics, mean?
It means that your teeth are minimally prepared during their treatment.
The wear or erosion on your teeth has already occurred, so the prosthetic work we create is adapted to the existing tooth structure.
The restoration fills in the lost part of the tooth, restoring its correct shape and colour, without the need for additional grinding of your teeth.
We usually use porcelain veneers for the anterior teeth and onlays for the posterior teeth.
Is Minimal Invasive Prosthodontics suitable for me?
If you want to restore your teeth and are concerned about further removal of tooth structure, then Minimal Invasive Prosthodontics is the right approach for you.
It can be applied to natural teeth, that have experienced significant loss of tooth structure.
If your teeth are worn, changed color, and lost their original shape, you are likely a suitable candidate for Minimal Invasive Prosthodontics.
In addition to restoring the shape and size of your teeth, the restorations improve their color and enhance the overall appearance of your smile.
If your teeth have already been prepared, meaning they have crowns or bridges, we can replace the old prosthetic work with new ones, but we cannot restore the tooth structure that has already been removed.
I need to fix only my anterior teeth? Can you do it?
If tooth wear is limited to the front teeth, we may only be able to restore those teeth.
However, in many cases, tooth wear affects all of your teeth.
In such cases, we place restorations on all the teeth in your mouth, not only because they need it, but also because this creates the necessary space for the restorations on the front teeth to fit in the mouth without the need for further grinding of your teeth.
At the same time, we correct the reduced height of the lower part of the face and restore the lost natural appearance of the face.
How are my teeth going to look after the treatment?
Before treatment, we digitally design your smile and have a clear understanding of the final goal.
We check the design with a mock-up before starting treatment.
The digital smile design also provides us with new teeth that match your natural facial features.
Is it possible to restore my teeth, without any preparation at all?
Your teeth will be minimally prepared, the amount depending on the final design of the restoration.
Your teeth will only need to be prepared if we need to give the final restoration its correct dimensions.
What is the material of choice in minimal invasive pprosthodontics?
Porcelain veneers and onlays are made from lithium disilicate, while if you have crowns or bridges in your mouth, the new ones will probably be made from zirconia.
Can you use composite restorations to restore my worn dentition ?
Yes, we can. Composite restorations are not as durable as all-ceramic restorations, but they are often used because they are more affordable.
Videos
See more videos on the clinic's YouTube channel @DentArtistry
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