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The Art of Crafting the Ideal Smile

February 9, 2011

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I would like to show you this case that we recently completed to demonstrate the nuances of creating a beautiful smile that is in harmony and balance with the lips, mouth and face.  When we treatment plan a cosmetic case, it all begins with a thorough examination and consultation with a very critical eye to determine what we have and what is possible given the teeth and soft tissue as it exists.  Then, by visualizing the ideal end result, it is possible to outline the treatment sequence that will give the desired outcome.  No two cases are alike and there are a lot of technical considerations that we will not discuss in this setting but lets start by looking at the before pictures above.

As you can see in the shots, we have a scenario where we want to increase the length of the teeth and decrease the amount of gum that shows at a full smile.  We want to change the shape of the teeth to a more youthful appearance and correct the wear evident.  Additionally, we want to close the small spaces between her teeth and mask the tetracycline discolored dentin that is particularly evident in the lower half of the tooth, making the overall shade whiter and the smile brighter while maintaining a natural look.  

The solution was to do a gum lift which gives her a good tooth to gum ratio in her smile.  Then, we placed porcelain/zirconia crowns from the cuspid back for strength and esthetics.  Porcelain laminates (veneers) were done on the front four teeth so we could be conservative with the tooth preparation and still achieve the desired shade and shape change.

I think you will agree that the result was a fantastic natural smile that is truly in harmony and balance with the rest of her face.

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