Comprehensive Smile Makeover
Discover how we transformed a patient’s smile and bite with a multidisciplinary approach, combining restorative dentistry, orthodontics, and cosmetic bonding. This case highlights the benefits of a unified treatment plan for function, aesthetics, and long-term oral health.
The Patient
Our valued patient presented with:
- A failing upper left lateral incisor featuring a fractured root and a post-crown that repeatedly loosened.
- Unsatisfactory old crowns displaying dark margins from metal-ceramic restorations.
- Crowded and slightly rotated lower incisors contributing to uneven bite forces on the upper front teeth.
These issues not only affected aesthetics but also risked further tooth damage and compromised function.
Diagnostic Assessment
Our clinicians conducted a thorough evaluation, including:
- Clinical examination and bite analysis
- Periapical radiographs to assess root integrity and CBCT scan for implant feasibility
- Occlusal analysis to understand force distribution between the arches
- Cosmetic evaluation of shade, margins, and overall smile aesthetics
Findings:
- Fractured upper left lateral incisor with a non-restorable root
- Recurrent loosening of a post-crown on the same tooth
- Dark-margin metal-ceramic crowns on the anterior upper teeth
- Mild crowding and rotation of the lower incisors causing functional imbalances
Diagnostic Assessment
To achieve a harmonious, functional, and aesthetic result, we implemented a staged, multidisciplinary plan:
Lower Arch Orthodontics
- Align and de-rotate lower incisors
- Improve occlusion and functional harmony between upper and lower teeth
- Create optimal space and angulation for future restorations
Extraction and Immediate Implant in Upper Left Lateral Incisor
- Remove non-restorable tooth and root
- Place a dental implant with proper angulation and load considerations
Upper Anterior Restorations with Full-Body Ceramic Crowns
- Replace upper incisors with modern full-ceramic zirconia crowns
- Achieve ideal vertical and horizontal positioning for natural aesthetics
- Eliminate visible metal margins for a brighter, more lifelike smile
Cosmetic Composite Bonding
- Accent and refine the shape of the upper canines and premolars
- Enhance smile symmetry and light reflectivity
- Provide a seamless transition between crowns and natural teeth
The Outcome
Aesthetic transformation: A brighter, more natural smile with no dark margins visible from metal-ceramic restorations.
Functional improvement: Better bite harmony due to coordinated orthodontic alignment, implant restoration, and crowns.
Long-term health: Restored structural integrity of the anterior teeth, improved occlusion, and reduced risk of future wear or root fracture.
Before and after images clearly show a more harmonious and confident smile, with enhanced harmony between the upper and lower arches.
Treatment Gallery
Before Treatment
After Treatment
After Treatment
After Treatment
After Treatment
After Treatment
After Treatment
After Treatment
After Treatment
What’s Next?
- Whiten the lower incisors to further harmonise the smile.
- Continue routine preventive care and bite therapy to maintain the results.
Why Choose This Multidisciplinary Approach?
- Addresses both aesthetics and function
- Reduces risk of future tooth wear and fractures
- Improves patient confidence and quality of life
- Provides long-term stability through a coordinated treatment plan
