When your smile needs more than a quick fix
Worn teeth. Damaged teeth. Old crowns.
Multiple restorations. Missing teeth.
A smile that no longer feels like you.
Comprehensive Smile Rehabilitation
Beautiful dentistry, thoughtfully planned for function and longevity.
Meet Dr Sefa Ahiaku
Prosthodontics | Dedicated to Comprehensive Smile Rehabilitation
I am an award-winning dentist with advanced postgraduate training in Prosthodontics, having completed my MClinDent with Distinction at King's College London in 2023.
My focus is on comprehensive smile rehabilitation, particularly for patients whose needs go beyond a single cosmetic treatment. Whether teeth are worn, damaged, heavily restored or simply no longer feel right, I take a comprehensive and personalised approach to planning your care.
For me, great dentistry isn't about creating a smile that looks perfect. It's about creating one that looks naturally yours, functions beautifully and gives you the confidence to smile.
Your smile. Your face. Your treatment plan.
I don't believe in cookie-cutter smiles. Your treatment should be designed around your face, your personality, your goals and your oral health, creating a result that feels authentically yours.
What happens at a consultation?
A considered approach from the very beginning. Your first consultation is about understanding where you are now, what you would like to change, and what is realistically achievable.
We listen. We assess. We plan.
Discover what to expect from your consultation.
Exceptional dentistry should look natural.
Every smile has a story. Every treatment plan is different.
Explore a selection of cases to see how I approach different aesthetic and restorative challenges, from subtle changes to comprehensive smile rehabilitation.
The Challenge
Managing spaces in a smile well requires a keen attention to detail and meticulous planning to make sure that teeth look well proportioned and natural. In this case, not only did we have spaces between teeth at the top, but we also had an anterior open bite (space between the teeth on the top and bottom jaw). This was coupled with tooth wear affecting the enamel of the upper teeth and proclination (a tilting forward position) of the upper teeth. This combination of features tests the limits of what can be provided by a singular treatment in the pursuit of an improved smile.
The Treatment
We considered a few different things in isolation and combination here, including;
Orthodontic treatment to improve the position and angulation of the teeth which would have allowed us to redistribute the spaces in the smile.
Porcelain veneers for their hard wearing nature and their ability to make large global changes predictably. Given we had already lost some tooth due to toothwear, we could capitalise on the reduced need for tooth preparation making this a more conservative option than would be traditionally considered.
Composite bonding to camouflage the natural position of the teeth, but to maintain the healthy tooth tissue that remained. We considered this knowing we would be working at the edge of what could be achievable with composite, whole still providing a natural smile.
We finally used a combination of tooth whitening and guided composite veneers to plan and provide the final position of the anterior teeth.
The Challenge
Yvonne came to me with the vision of smiling on her 30th wedding anniversary as she and her husband renewed their vows. After years of single tooth dentistry, she felt she had a patchwork quilt of colours, shapes and sizes in her smile, and she desperately wanted to have a smile that felt cohesive for her celebration. Aside from the visual challenges this case presented, there were some functional fundamentals that needed some serious attention, including cracked and decayed teeth, old worn restorations and periodontal disease (gum disease), all of which had left a mark on her smile. This case required the understanding of many dental disciplines to plan well.
The Treatment
We used a wide variety of treatments to first stabilise Yvonne's mouth, and subsequently rehabilitate her smile. This included, non-surgical periodontal treatment, gingival margin repositioning, root canal treatment, internal tooth whitening alongside conventional whitening, porcelain veneers and porcelain crowns.
The Challenge
An unexpected broken tooth is most patient's worst nightmare and certainly poses clinical challenges. Whatever decision is made in the first instance can impact options that are available further down the line. This combined with the discoloured teeth, with crowding and rotations put this patient immediately at a cross roads: do you choose a definitive fix for your gap right away. or choose something less definitive to keep the options open to make a more comprehensive plan.
The Treatment
This treatment occurred in two phases - an initial stabilisation to ensure that the exposed root canal treatment in the broken tooth was not infected, and then this tooth's subsequent reconstruction with a post and core. Following this, we designed a new smile and trialled this out directly on the patient's teeth. We whitened this patient's teeth and finally we used a combination of Porcelain Veneers & Crowns.
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