Before Smile: chipped and discolored teeth from a bad bite
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:
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.
This case shows how a complex cosmetic dentistry cases can have beautiful results. The challenges and patients concerns were:
Baby tooth failing
Hypo-calcification of her teeth
Short and worn teeth
She has always desired a less gummy smile, larger teeth, and natural aesthetics. The conventional approach with dentistry would have been to place new veneers and a bridge. this would not acheive the results desired and she would still have had a gummy smile and short teeth.
With advanced planning and smile design, we completed a gum lift, removed the baby tooth and placed a dental implant, and made her teeth more proportional in size for her face. Note the beautiful tissue result around the implant as well.
Life changing results for this lovely lady!!!
Functional Cosmetic Dentistry: Severe wear and gum recession due to a bad bite. Veneers and ceramic crowns used to correct the bite and create a beautiful and healthy smile.
This patient was a young lady with different sized teeth, broken fillings and a failing implant. She received an aesthetic upgrade with cosmetic dentistry using porcelain veneers, dental implants, and crowns to rejuvenate her smile. Notice how naturally her new smile fits her lips and mouth contours.
Severe wear from TMJ dysfunction and bite problems. Bite correction and stabilization completed, then porcelain veneers and crowns utilized for long term support and a great smile
Discolored and worn teeth, veneers and crowns used to create her new smile that lights up her face and eyes.
Patient had gum disease due to poorly fitting crowns and bite issues. Bite corrected, laser periodontal treatment and new porcelain crowns to restore bite and health. Additionally, patient no longer snores as the corrected bite allowed for opening the airway.
This case shows a gumlift to even the smile line and eliminate the gummy smile as well as porcelain veneers and crowns to give her a beautiful and natural smile.