Clinical work in cosmetic dentistry
in Levallois-Perret

Complex rehabilitations concern situations where several teeth - or even the whole smile - need comprehensive treatment: generalised wear, loss of functional height, ageing and mismatched restorations, changes to the bite. The approach combines functional analysis, digital planning, a virtual aesthetic project (mock-up) and staged treatment following a precise clinical sequence. The cases shown below generally combine porcelain veneers, onlays, composite bonding and bite adjustments. At the practice in Levallois-Perret, Dr Bruno Abehassera favours an additive, minimally invasive approach, which preserves as much healthy tooth tissue as possible while restoring the function and appearance of the smile. The overall treatment time usually extends over several months.

Layered composite bonding makes it possible to restore a fractured, damaged or unattractive tooth in a single session, without a dental laboratory. The material is applied in successive layers that reproduce the shade, the translucency and the natural texture of enamel and dentine. This biomimetic technique is particularly suited to situations where preserving tooth tissue comes first, and is often an alternative to veneers or crowns in selected cases. At the practice in Levallois-Perret, Dr Bruno Abehassera uses different microhybrid and flowable composites depending on the clinical indication - single front-tooth restoration, closing a diastema (gap), rebuilding a fractured corner etc.

The ICON technique treats white spots and brown spots caused by early decay (white spot lesions), by enamel hypomineralisation (MIH - Molar Incisor Hypomineralisation) or by fluorosis, or appearing after orthodontic treatment. A fluid resin infiltration masks the lesion without mechanical preparation of the tooth, by capillary action into the micropores of the porous enamel. The result is achieved in a single session and fully preserves healthy enamel. The cases shown illustrate typical indications: stable, superficial spots on front teeth. At the practice in Levallois-Perret, Dr Bruno Abehassera carries out a precise differential diagnosis before confirming the indication, as not all white spots are suitable for this technique.

Performed within the framework of a university diploma (D.U.) in therapeutic injections in dentistry (Université d’Évry, 2023), the hyaluronic acid injections at the practice target the perioral areas that have a direct impact on the appearance of the smile: loss of lip volume, nasolabial folds, marionette lines. This practice is part of an overall vision of facial harmony around the smile, never as a substitute for dental treatment but as a complement to it. At the practice in Levallois-Perret, Dr Bruno Abehassera adapts the cross-linking of the gel (low, medium or high) to the injection depth and the perioral area treated, in strict compliance with article R.4127-218 of the French Public Health Code.