Gotta be honest, this is one of the most challenging cases I’ve done so far. Single anterior discoloured tooth is always hard to deal with, especially with a gummy smile. But I’m excited to share!🤗
To achieve this result:
Smile Design • Gingivectomy • In-office Dental Whitening & Internal Bleaching • Mock-Up • 7 unit Composite Veneers & 1 unit Ceramic Crown
Patient has excessive gingival display (“gummy smile”) with hyperactive upper lip elevator muscle. We’ve discussed the options of:
🦷Orthodontic TX with TADs (“bone screw”)
🦷Botox injection to help reduce the upper lip elevation upon smiling
🦷…or simply accepting the profile and patient just have to learn to smile a little less wide
Patient opt for no Ortho tx nor Botox, and only the treatments I’ve mentioned above. Fully understanding the limitations of the improvement we can bring her, she trained herself to smile to her ideal height and I actually think it looks good.😊Sometimes, no treatment is also a form of treatment, don’t you agree?
Composite veneers weren’t too hard to place. However, it was difficult to mask the discoloured tooth. Root canal treatment was done many years ago and we can actually see the root discolouration showing through the gingiva. (Watch my story to learn more) Even with internal bleaching, the improvement was limited, unless we carry out soft tissue surgery to increase the thickness of the 21 buccal gingiva to mask the root discolouration.
We managed to mask some of the crown discolouration on 21 with procelain-fused-zirconia crown (to match the crown to the rest of the tooth was difficult as well) and the help of a little opaquer, yet there is still room for improvement in my opinion.
Although challenging, I’m blessed to have a very kind patient who’s willing to go through the whole treatment with me. There’s no difficult treatments, as long as our partner (aka patient) is a great one. Of course, it is cases like this which help us become better clinicians. Looking forward to more challenges in the future!🤩
#AestheticDentistry #Dentistry #Veneer #Crown #RestorativeDentistry #Whitening #DentalVeneer #Smile #Makeover #SmileMakeover #CeramicVeneer #CompositeVeneer
同時也有10000部Youtube影片,追蹤數超過2,910的網紅コバにゃんチャンネル,也在其Youtube影片中提到,...
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smile design treatment 在 Dr. Kayla Teh Facebook 的最讚貼文
Happy Independence Day Malaysia! 🇲🇾✨
Let’s take a look at this case where the central incisors decided to be “independent” of each other….Yeap, we’re talking about Median Diastema [spacing between your front teeth].🤗
Why not Braces? 🤔 Answer’s in the second part of this caption.☺️But first, let’s walk through the treatment. 🦷
To achieve this result:
Composite Restoration removal • Smile Design • In-office Dental Whitening • Mock-Up • 8 unit Composite Veneers
Patient initially came in with old, overhanging composite filling on her centrals (swipe left to see). Note that how the overhanging margins have caused Gingivitis!
We discussed about the treatment option of getting Orthodontics treatment (“braces”) to close the gap after filling removal, but before that, we have to consider 2 things:
🦷 Width of the Central Incisors and the Laterals might not be of the proper proportion after filling removal. IPR may be required on the laterals to balance out the ratio.
🦷Patient still has a Class III occlusion (lower teeth are in a more “frontward” position) despite having Braces done before. We might need lower IPR/premolar extractions/retraction with TADs if we were to close that upper teeth gap.
A few other treatment options were discussed and in the end, she decided to proceed with composite veneers.
It is important to discuss treatment options with the patient and go through the pros and cons with them. I always allow my patients to think about their treatment options for a few weeks prior finalising the treatment plan to better the outcome and expectations.☺️
Have a great holiday and a great week ahead yall!🤗
#SmileMakeover #Whitening #CeramicVeneer #CompositeVeneers #resin #MedianDiastema
#CompositeRestoration #AestheticDentistry #Dentistry #Compositefilling #DirectRestoration #ConservativeDentistry #RestorativeDentistry #Composite #Veneers #Aesthetic #Dentistry #AestheticDentistry #Dental #CeramicVeneers #Veneer #Dentist #DentalPhotography
smile design treatment 在 Dr. Kayla Teh Facebook 的最佳解答
Back with another patient who wants her bunny teeth corrected.🐰 I think it looks pretty cute on her, but patient wants it corrected so let’s see what we can do!
To achieve this result:
Smile Design • In-office Dental Whitening • Mock-Up • 8 unit Composite Veneers
Despite having Orthodontic tx completed few months ago, she is still unhappy about the length of her central incisors. We advised for Ortho treatment to intrude her centrals since that is her concern but she isn’t keen on re-treatment. She initially wanted her central incisors to be trimmed off as she dislike the length. After a round of discussion (I explained about the centrals’ length as well as her small laterals giving the illusion of “even larger centrals”),we decided to proceed with a mock up (“smile try-in”) without reducing the length of the front teeth and see how it looks. Although it means more work and clinical time, but it’s in patient’s best interest.
After mock up, she still think that the centrals are tad bit long and with the increased length of other teeth, it affected her phonation (speech) as well, so we proceed with Enameloplasty on her centrals as well as composite veneers from 4-4z
Conservative dentistry is our goal, but in certain cases where patient’s request is within reasonable range, I’ll let patient make the final decision since their set of smile ultimately belongs to them. 😁
Btw, like the last pic? Concept from @drkimmkwang !😍 Love her style haha!
Have a great week ahead yall!🤗
#SmileMakeover #Whitening #CeramicVeneers #PorcelainVeneers #CeramicVeneer #CompositeVeneers #resin #bonding
#CompositeRestoration #AestheticDentistry #Dentistry #Compositefilling #DirectRestoration #ConservativeDentistry #RestorativeDentistry #Composite #Veneers #InjectableComposite #CompositeInjection #Aesthetic #Dentistry #AestheticDentistry #Smile #Dental #CeramicVeneers #Veneer #Dentist #BiomimeticDentistry #DentalPhotography
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smile design treatment 在 大象中醫 Youtube 的最佳貼文
smile design treatment 在 The Smile Design Process - YouTube 的推薦與評價
Key moments. View all · scheduled for two additional appointments · scheduled for two additional appointments · prepare your teeth for the veneers. ... <看更多>
smile design treatment 在 Smile Design Cosmetic Procedure - YouTube 的推薦與評價
Dr. Trent Smallwood, of Tempe, Ariz, discusses successful smile design for a patient seeking a brighter, broader smile. Teeth Nos. ... <看更多>