A natural smile is something that both my patients and I sought after. 😁After all, natural beauty is the best beauty ain’t it?✨
Anyways, welcome to another case that made me go “Hmm how do I improve a smile that is already nice?”😂
To achieve this result:
Smile Design • In-Office Whitening • No-Prep Composite Veneers
First off, retained deciduous (“baby teeth”) and missing permanent upper right premolars are what first caught my (and I assume, all dentists’) eye. That explains the space on the right side of her smile.
But patient’s concern is somewhat different. She completed her orthodontic treatment elsewhere,and was concerned about the retroclined upper anteriors (front teeth) after her ortho treatment. We discussed about the possibility of orthodontic re-treatment to correct the retroclination but patient opted for other forms of correction.
Now, let’s jump back to the deciduous. We discussed about the possibility of dental implants in the future. Given that the deciduous are not mobile now but with shortened root length, it is a matter of time. We’ve decided to KIV for exfoliation (shedding) of the deciduous, at the mean time camouflaging her deciduous with composite veneer buildup. Of course the longevity of the restorations are well-informed and patient is very understanding.
I’ve increased the buccal thickness of the teeth (one of the thickest veneers I’ve ever done!) to make sure the Incisal edge of the front teeth lies the proper lip border, whilst making sure her phonation (speech) is unaltered and resting lip position is proper. Speaking about principals of smile design.
Placement of 8-units composite veneers with injection molding technique with GC Malaysia G-aenial Universal Injectable Composite (Shade A1) , and minor touch ups with @dental2u composite instruments.
Patient can now smile confidently in front of the camera and no longer have to worry how she looks like from the side (tho in my option she already looks beautiful enough!🙈). She told me that I’m more excited than her when I’m taking post-op pics, and I really was! The satisfaction after a good case is just amazing. 🦷🤗
Special thanks to my mentor dr @hakienoon for the guidance!☺ @ Subang Dental Specialist Clinic
