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1.
Patient presented with a complaint that
she hated her smile and wanted an esthetic
change. (Full-face view). |
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2.
Patient smiling, showing full compliment
of formerly restored teeth. (Full facial
view) |
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3.
Retracted lip view of patient's presenting
dental condition. She wanted her teeth
longer, whiter and straighter. She desired
a more youthful appearance. |
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4.
Retracted lips, partially opened view
showing signs of parafunctional activity,
anterior gingival recession, and pre-existing
restorations. Patient refused periodontal
plastic surgery to shorten the crown
lengths of the maxillary six anteriors
and bilaterally crown lengthen the bicuspid
areas for better gingival harmony prior
to reconstruction. |
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5.
Pre-treatment occlusal view of maxillary
arch. Note narrow width of anterior
teeth and symmetrical arrangement. |
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6.
Mid-treatment interim photo of the patient's
provisional restorations. Patient pleased
with display of tooth structure beneath
her relaxed lip. |
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7.
Mid-treatment interim photo of the patient
with relaxed smile. Note the thinness
of the maxillary lip and the facial
vertical lines in the upper lip which
the patient did not like. The patient
desired long, straight, white teeth,
but was not completely satisfied with
the esthetics. |
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8.
Cercon unit for fabrication of ceramic
copings. |
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9.
The Cergo Press porcelain furnace from
DeguDent GmbH for firing the ceramic
on the Cercon unit. |
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10.
Porcelain build-up on ceramic coping
for the patient's maxillary central
incisor. The system provided the esthetic
advantages of a multi-layered ceramic
veneer supported by a zirconia coping. |
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11.
Cercon porcelain furnace. |
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12.
Patient at try-in appointment with Cercon
crowns placed for evaluation of marginal
fit, occlusion and esthetics. |
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13.
Cemented Cercon crowns (Dentsply Calibra
Dual-Cure Transparent Luting agent).
demonstrate ability of ceramic to replicate
natural tooth structure. |
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14.
Post-treatment view of bicuspids highlighting
optical effects of materials. |
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15.
Post-treatment view of maxillary arch.
Comparing this with Pre-treatment view
seen in Figure 5, note the increase
in width of arch, increased width of
maxillary anterior teeth and associated
slight flaring of centrals. |
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16.
Lateral view of completed restorations
during smiling. |
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17.
Relaxed lip view of final restorations.
Please compare with mid-treatment view
of provisional restorations. Note how
shade of anterior teeth acts as a scaffolding
for the soft tissues of the maxillary
lip. The maxillary lip appears fuller
and the signs of vertical lines are
minimized, much to the patient's delight.
The overall effect is a more youthful
appearance. |
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18.
Final photos of patient with a full
smile with her completed maxillary reconstruction
and improved self image. |
Dr.
Cherilyn G. Sheets maintains a full-time
private practice in Newport Beach,
California, with a special emphasis
on esthetic and restorative dentistry,
and implants. She is an educator,
clinician, author and lecturer, both
nationally and internationally. In
partnership with UCI School of Engineering,
Dr. Sheets is involved in an ongoing
research project involving energy
dissipation in natural teeth and dental
implants.
Dr.
Sheets has served as President of
the American Academy of Esthetic Dentistry,
the American Association of Women
Dentists, and the Medical Plaza Association
at Newport Center. She is a member
of the American Dental Association,
California Dental Association, American
Academy of Restorative Dentistry,
the Pacific Coast Society of Prosthodontists,
the Academy of Osseointegration and
the Newport Harbor Academy of Dentistry.
She is a Professor of Clinical Dentistry,
Department of Restorative Dentistry,
at the University of Southern California
School of Dentistry.
Dr.
Sheets has been awarded fellowships
to the American College of Dentists,
the International College of Dentists,
the Academy of General Dentistry and
the Pierre Fauchard Academy, a prestigious
international honor society. She is
a national media spokesperson for
dentistry.
Dr
Sheets is the Founder and Co-Executive
Director of the Newport Coast Oral
Facial Institute, an international
teaching and research center. It is
considered one of the finest microsurgical
training centers in the world. She
is also the Founder and Chairman of
the Board of The Children's Dental
Center in Inglewood, California. The
Center is a prototype dental center
for providing multidisciplinary care
to the children of the working poor.
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Mr.
Peter Finke completed his Apprenticeship
for dental technician in 1981 and attended
training school for master dental technicians
in Munich in 1991/92. He has extensive
experience in giving lectures and courses
in Germany, Austria, France and Switzerland
on the Golden Gate System since 1993.
He has published articles on CERGO in
Europe, Canada and Australia in 1998.
In 1999, he presented lectures and demonstrations
in the International Congress of Dentistry
in Sao Paulo, Brazil and he delivered
further courses and lectures in Brazil
and in Europe about GGS and CERGO. He
was elected as member of the managing
committee of the "Zahntechnikerinnung
Nordbayern" (guild of dental technicians
in northern Bavaria). He became the
Spokesman of the committee responsible
for examinations for the Master's Diploma
at the "Hand-werkskammer"
(chamber of handicrafts) Nuremberg.
Since 2000, he has been involved in
the field test of the CERCON / CERCON-CERAM
system and has lectured regularly in
Europe, USA about Golden Gate System,
Cergo and Cercon. He has been invited
to lectures also in Asia and has planned
international publications on CERCON.
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