Porcelain Veneers Correct A Variety of Dental Aesthetic Shortcomings
This patients requested porcelain veneers to address a variety of dental concerns. She wanted a "prettier" smile. Her goal was to have whiter, healthier looking, yet natural teeth. She had tried various tooth whitening regimens, which had not given the result that she had hoped for. In addition, her teeth became very sensitive to the bleaching agent. In addition, she was concerned about other aspects of the appearance of her front teeth, such as dental misalignments, some wear, and lack of aesthetic harmony among her teeth.
The above image highlights the principal aesthetic shortcomings of her natural upper front teeth:
A = The two upper contral incisors are asymmetric due to misalignment, differing degrees of eruption, and uneven gum lines.
B = The three arrows point towards the incisal edges of the upper central and lateral incisors and the canines. The lateral incisor is too square-looking (C)and should be narrower relative to the central incisor.
D = The upper left canine displays a significant wear facet the cause of which needs to be diagnosed prior to the development of her smile design.
The longevity of the new smile was optimized by finding the home position of the temporomandibular joints and the way her upper and lower teeth function against each other in that position. I light equilibration of her occlusal contacts was necessary. Hence, a possible trigger to her grinding habit that produced the heavy wear facet at her upper left canine was eliminated.
Points A, B, C, and D were addressed and corrected. In addition, the patient desired playful incisal translucencies that would give her a more youthful appearance.
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