Issue – He wanted to completely revitalize his smile. Particular focus was placed on the darker color, the vertical lines on the front teeth, and the low gumline on one of the front teeth.
Solution – Gum recontouring on the upper right lateral incisor to raise the gum line to a more symmetrical position and ten veneers to restore proper length, proportions, and a brilliantly bright smile.
Issue – Significant loss of enamel had created a smile showing discoloration, chipped, and broken down teeth.
Solution – A full mouth approach to restoring a proper bite position and function allowed us to return the teeth to an ideal length at the same time as creating the esthetic smile he wanted.
Issue – A lot of enamel damage had created cavities, discoloration, misshapen and sensitive teeth.
Solution – A complete restoration was completed using all ceramic crowns to recreate a full and brilliantly white smile.
Issue – Dark cavities along the gum line, length differences between upper front teeth, and more prominently sharp points on the canines than she liked.
Solution – Six veneers were used to restore the cavities, create more desirable tooth lengths, and soften the shape of the canines.
Issue: An unaesthetic mix of existing veneers on the front teeth made at different times coupled with a functional issue that continued to break the veneers on her upper right canine and front tooth.
Solution: Very conservative all ceramic crowns of a consistent and natural appearance were placed from canine to canine on the upper front teeth to restore the smile she desired.
Issue – Her front two teeth had failed root canals that were infected and the teeth were not restorable. She also wanted to improve the darkness of the side front teeth and the notching along the gum lines of the canines and premolars.
Solution – Two implants replaced the front teeth after they were removed and the sockets were grafted. Lower teeth were straightened with Invisalign while implants were integrating. Custom abutments and crowns were used to restore the implants at the same time as new crowns were placed back to the premolars on each side to create the ideal smile she desired.
Issue: Missing side front teeth, failing bridges, and significant gum recession on the front teeth and canines.
Solution: Pinhole gum rejuvenation was used on the upper jaw to reposition the gum tissue and cover the areas of gum recession. Two new three-tooth bridges were made, each connecting a canine to a front tooth.
Issue: New cavities and staining around old bonding were creating a smile she wasn’t comfortable showing.
Solution: Six veneers provided the beautifully natural, bright, and color consistent smile she was desiring.
Issue – Tooth decay and discoloration wrapping around the majority of the upper teeth. The upper right canine was not restorable and had to be removed.
Solution – Ten upper all ceramic crowns including a bridge on her right side to replace the missing canine.
Issue: Improperly angled front crowns, unnatural coloring of old crowns and bridge, asymmetrical tooth size, and visible areas of recession above old crowns.
Solution: New zirconia crowns and bridge to restore proper and natural appearance of the upper front teeth.
Issue: She was concerned about the continued loss of enamel that was becoming more noticeable on her back teeth as well as the chipping edges of her front teeth. Back teeth were becoming sensitive and she wanted to replace the missing molars as well. The nightguard she had been prescribed by a previous dentist was not stopping her teeth from wearing down and chipping so she wanted to fix the cause of the problem rather than treating just the symptoms.
Solution: A diagnostic plan was developed to replace missing teeth and improve her bite and function. This allowed us to rebuild the damaged teeth in a way that they could work together and not continue to chip and break down. This also allowed the teeth to be brightened and create the other changes to her smile she desired – check out the before and after changes in the chewing surfaces of the teeth in our Full Mouth Rehabilitation section.
Issue: Crowded and rotated teeth, chipped edges on the two front teeth, and a general color darker than what she wanted.
Solution: Invisalign clear aligners were used to expand the narrowed upper arch and improve the rotations and overall position of the teeth. A combination of crowns and veneers were then used on the upper eight teeth to create the broader, brighter smile that she desired.
Issue – He did not feel confident with the spacing between his front teeth and the sharp edges and corners.
Solution – Injection molded composite resin veneers on the front four teeth to close the gaps and create ideal tooth width and edge shapes as well as reshaping the canines to soften the sharp edges.
Issue: An old existing bridge was no longer esthetically acceptable to him. The midline of the two front teeth looked tilted and the space between the replacement teeth and the gums created a visible darkness in his smile.
Solution: The old bridge was removed and a new all ceramic bridge was made to straighten the midline, fill in the dark spaces, and create more natural appearing gum contours. The upper right canine and lateral incisor as well as the upper left lateral incisor are replaced by this bridge.
Issue: Several genetically missing and undersized teeth led to years of temporary fixes that kept breaking. He desired a long term smile makeover option that wasn’t removable and would function without constant breaking and need for repair.
Solution: A combination of zirconia crowns and bridges were used on the upper teeth to correct the way they function with the bottom teeth, resize the teeth that were too small, and replace the teeth that were missing. Eventually the plan will be to perform a similar workflow on the bottom teeth to match the appearance of the uppers.
Issue – Young patient coming out of braces – missing one side front tooth and an undersized other side front tooth, goad to improve overall color
Solution – Kor whitening system used to improve overall color, composite resin placed on both canines and the undersized side front tooth to improve tooth shape until she is old enough for porcelain veneers, and a Maryland Bridge to replace the missing side front tooth.
Issue: Uneven gum line on the two front teeth and a mismatch of color and translucency across the teeth, fillings, and crowns visible in the smile.
Solution: A minor gingivectomy to improve the gum line symmetry of the front two teeth, new crowns on the upper front four teeth, and veneers on the canines.
Issue: Broken and stained bonding on front teeth, dark space at the gumline between the front two teeth
Solution: As a more economical alternative to porcelain veneers, bonded resin veneers were hand applied to the front four teeth. A 3D printed digital mockup allowed us to make a custom matrix which we used to place injection molded composite resin onto the front four teeth – improving contours and creating a consistent bright color.