Extensive restorations - Vital teeth
Click on thumbnail to see 'before' and 'after'
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Prima
Patient presented at the dental office with an existing white filling lacking of both function and aesthetics. Please, note the concentration of the occlusal forces (black spots) on the remaining weak facial cusps without any contact (black spot) on the filling. The tooth is at high risk of either cracking or breaking.Dopo
Dr Deliperi was able to conserve the remaining sound tooth structure, balance the occlusal load and keep the tooth vital throughout the application of clinical protocols he published into the international dental literature. Please, note a better distribution of the forces on the occlusal surface; blue spots are distributed on both the new filling and residual tooth structure. It means the residual tooth structure is not overloaded anymore. This procedure greatly reduces tooth fracture thus avoiding the need for more invasive treatments in the future (crowns, root canals, extractions, implants).
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Before
Extensive amalgam filling including a lingual cusp on a lower molar tooth. Patient expressed the desire to replace the amalgam filling with a tooth-colored restoration.After
Final result after completing the aesthetic filling. It is not possible to distinguish the tooth-restoration borderline; the filled tooth is perfectly integrated with the contiguous teeth.
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Before
Patient presented to the dental office with fracture of the facial wall on her first lower molar. Please, note the existing amalgam filling; most of the coronal dental tissue is missing.After
Dr Deliperi avoided to place a dental crown on the tooth; by using the remaining sound tooth structure, he was able to perform a large composite reconstruction re-establishing the correct tooth anatomy and aesthetics.
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Before
Large silver amalgam filling on the upper first molar; patient was feeling pain due to an ongoing decay process under the filling.After
Dr Deliperi removed both the old restoration and decay; the new tooth-colored restoration is perfectly integrated with the remaining portion of the tooth. Dr Deliperi preserved the sound tooth structure and avoided the preparation of the tooth for a crown.
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Before
Pre-operative view of thelower second molar presenting an incongruous restoration and decay and first molar presenting an incongruous tooth colored restoration with no anatomic cusp design.After
Dr Deliperi completed two large tooth colored fillings restoring both the correct tooth anatomy and shade. Once again a dental crown was avoided!
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Before
Pre-operative view of thelower first and second molar presenting incongruous large white restorations; please, note the lack of anatomical cusp design plus marginal discoloration,decay and fracture of the composite on the second molar.After
Dr Deliperi completed two large tooth colored fillings restoring both the correct tooth anatomy and shade. Once again a dental crown was avoided!
