Click Images below for a more detailed view.Individual results may vary.
Worn teeth and broken teeth are often tell tale for misaligned bites and/or TMJ pain. It is easy to see how this ladies misaligned bite prematurely wore her teeth down. Notice she had multiple crowns placed through the years as they continued to break. She felt as if she did not have a home for her bite and suffered from facial pain as well as felt as if her face was aging too.
Dr. Konig treated this case in a manner of a non-surgical facelift in the dental office, first correcting her bite then restoring her teeth to the correct physiologic bite and function. Notice the change in the lower 1/3 of the face which is more youthful and not sagging.
This case shows how an overbite can be corrected conservatively to create a beautiful smile and relieve TMJ pain. Not only did this relieve pain it changed the patients lower 1/3 of her face which had collapsed due to the overbite. The retruded chin and aging appearance was corrected essentially created a non-surgical facelift with dental procedures. No braces or surgery needed.
The bite was addressed first with computer assisted analysis and comfort ascertained then porcelain used for long term stabilization. A combination of crowns and porcelain veneers was utilized.
Discolored and worn teeth are a telltale sign of age and a misaligned bite. One can look at this as a car out of alignment, simply replacing the tire will not correct the problem unless you align the car. Simply placing a crown on teeth does not align the bite. The good news is that it is possible to correct a misaligned bite and create a beautiful long-lasting smile with customized porcelain veneers.
This case is a young gentleman who was unhappy with his current smile. His concerns were:
Dr. Konig utilized his digital smile design to do a “test drive smile”. The final porcelain veneers were layered in shades for a beautiful appearance. The teeth were lengthened to the correct physiologic length for form, function, and esthetics. End result: a very happy guy with a confident smile.
This is an interesting case as this gentleman presented with severe TMJ disorders and teeth that were worn, decayed, and misaligned. His TMJ pain included headaches, neck pain, trigeminal pain, and inability to chew well.
Before: Broken and worn teeth due to misaligned bite and TMJ disordersAfter: TMJ treated, bite aligned, and then full mouth reconstructionBefore: worn teeth and misaligned bite and TMJ painAfter: TMJ treated, bite aligned, and a life changing smile
When his symptoms were resolved, Dr. Konig then addressed the smile. His newly found physiologic bite position was then used to create a beautiful, healthy, and functional smile design with full mouth reconstruction.
Many factors go into planning these types of cases from chew cycle to contours, shade, and bite design. Every case is designed based on the individual.
End result is a very happy pain free patient with a captivating and life changing smile. Many call this a non-surgical facelift that can be done in the dental office, as it changes the lower one third of the face, reduces wrinkles, and aging.
This case portrays a young man who has always been unhappy with his tooth size, appearance and open bite that was uncomfortable. Each issue was addressed and Dr.Konig designed this smile to fit his face andto fulfill the patient’s desire for a natural appearing smile as well. Note the contours and natural flow of the veneers to blend in with the other teeth. Additionally, the lower teeth were conservatively whitened.
Dr Konig explains, ” Listening to the patient’s concerns and desires are paramount to successful outcomes in the eyes of patients, no two smiles should be alike.”
Can porcelain veneers be designed to create a more youthful and vibrant appearance?
Before Smile: chipped and discolored teeth from a bad bite
After Smile: smile makeover with custom porcelain veneers
Yes, and interestingly we have had numerous patients come for smile design consults as they did not like their aging appearance or interestingly, did not like their appearance on ZOOM calls. This gentleman had several concerns with his smile:
When considering a smile makeover, one of the most overlooked considerations is evaluating what caused the teeth to breakdown in the first place. In this case, his misaligned bite which had caused excessive forces and wear on the front teeth. He was asymptomatic and no TMJ symptoms were present or noted on his CBCT scan so bite correction was incorporated into his smile design.
Dr. Konig explains, “With all our smile makeover cases, we do a “test drive smile” for our patients. This allows patients to see the shade and shape on their teeth prior to fabricating the customized porcelain veneers.”
The final photos show the beautiful results along a with very comfortable and stable bite.
If you have any questions regarding Houston Porcelain Veneers or Houston TMJ, please feel free to contact our office, Ronald W. Konig DDS, FAGD, LVIF, 713-668-2289.
Smile Makeovers are an art and science. Careful attention should also be paid to the patients desires and bite as well.
This case was completed with upper and lower custom porcelain veneers. A “test drive smile” was used with the temporaries so the patient could see how the shape and color would look before placement of long term veneers. The photos show his happiness with his more youthful and brighter smile.
Many patients, unfortunately, have tetracycline stains or dark teeth. In these case specialized cosmetic dentistry was utilized to solve this patients concerns which were:
Dark Teeth
Small Size of the Teeth
Lack of lip support causing aging face
Porcelain Veneers were utilized to correct all these issues. The comfort and esthetics was verified by doing a “test drive smile” so that the patient can make sure they like the smile design and the shade before placing the long term porcelain veneers. The veneers were layered in shades to mask the dark stains. She was elated with her normal sized teeth and the natural color. Finally she feels as if her upper lip does not sink in causing an aging face.
