Sometimes you are fortunate enough to get to a point where you can electively fix something that has bothered you for a long, long time. That is where we were at with this patient. He had never really liked his smile. He did not like the shape of his teeth, the spacing or the color. So he allowed us to fix it. This case consist of a combination of porcelain crowns and veneers (which if made the same, look the same). We were able to do the upper teeth first, and then come back and do the lower ones later. It does not always work out to where you can do the treatment that way, but in this case it did. Great patient, and a great result.
A dark front tooth, worn incisal edges, and a pretty lady that wanted those issues corrected provided a great opportunity to enhance already pretty smile. Porcelain veneers, and a porcelain crown on the dark tooth gave us a excellent result. It takes a master ceramist to overcome the dark substructure of one tooth and make it match the others. We have been fortunate to work with a couple over the years. The ceramist who did this case with us, went on to gain his Fellowship in the American Academy of Cosmetic Dentistry. He is one of three ceramists that we have helped to achieve that prestigious award. The patient and I are both very thankful. Gaining this type of result makes what we get to do fun!
This patient came to me wanting to close the spacing that she had with her front teeth. Her options were to use porcelain veneers, or composite direct bonding veneers. She has a son who is about to enter college, and the finances were not in place to do porcelain at this time, so the choice was made to use direct bonded composite. This treatment was all superficial, so no preparation of her natural tooth structure was required making this treatment very conservative. The composite looks great, and at some point down the road she can switch to porcelain, or even remove and redo the composite. Elective treatment sometimes has to fit into the financial grand scheme of life, and I am glad we were able to effectively reach her goals using a less costly procedure. Great smile!
If this case looks similar to another on my site, it is because this is a family relation. Mom was so pleased with what we had done for her that she decided to do the same for her son. Again, direct bonded composite, conservative and will look great for years. Can easily be replaced or redone if needed someday. With some offices, this type of treatment takes hours, if not several visits over several days. I, with my ceramist, have developed a technique that makes this a much less time consuming procedure, while yielding a excellent result. While not quite perfect in my eyes, this case took us about 3 hours to complete, which is a long appointment, but not too long for the amount of work and the results that we accomplished. A nice result, that lead to a smile that was still glowing as he walked out of the office. This was a fun morning!
This patient came to us with what seems to be a simple request. All she wanted was for us to make the crowns on her front teeth match her natural teeth. Should be easy right? Actually, trying to make something man made match what God gave you is one of the most difficult things we do. It requires great discipline and attention to detail on our part, and it requires the same from a very talented ceramist. When we do this type of dentistry, I utilize ceramists that are Accredited with the American Academy of Cosmetic Dentistry, the same as I am. These guys are my partners in this type of dentistry. I cannot do what I do to the level in which I like to do it, without them. So a lot of tedious information is recorded using a lot of photography and models, so that we can show the ceramist exactly what we need. When we communicate well, we end up with a great smile like we have now with this patient! Thank you for allowing us to help you with this. Your smile makes us smile as well.