Smile Makeover: Toothwear Treatment with Implants and Composite Bonding
Meet our wonderful patient who presented with a worn, unhappy dentition. Frustrated with a denture from a local clinic, he sought a fixed, natural-looking solution to regain confidence in his smile. This case highlights a staged approach to restoring function, aesthetics, and bite harmony.
Case Overview:
- Initial concern: Extensive toothwear affecting aesthetics and bite
- Previous option: Denture provided by a local dentist, not meeting the patient’s expectations
- Goals: Fixed restoration with strong cosmetics, improved bite, and long-term stability
- Plan: Phase 1 completed with hygiene therapy, whitening, bonding, root canal treatments on two incisors, Zirconia crowns, and an implant-supported crown for the missing upper left lateral incisor
- Next steps: Phase 2 to restore posterior teeth
What We Did in Phase 1
Gingival Health and Whitening
- Hygiene therapy to improve gum health and create a solid foundation for restoration
- Professional tooth whitening to brighten the overall smile
Cosmetic Bonding for Bite and Appearance
- Composite bonding applied to worn incisal edges to restore form and help re-establish a balanced bite
Endodontic and Crown Work
- Root canal treatment performed on two upper incisors using a microscope for precision
- Bioceramic sealants used to promote durable, healthy healing
- Zirconia crowns placed on the incisors for strength and natural aesthetics
Implant Restoration
- Dental implant and crown used to replace the missing upper left lateral incisor
- Designed to blend seamlessly with the front teeth for a cohesive smile
Why This Approach Works
- Fixed, natural-looking solution: Reduces dependence on removable dentures and preserves surrounding teeth
- Bite optimisation: Bonding and proper crown height improve function and long-term stability
- High-quality materials: Zirconia crowns and bioceramic sealants offer durability and aesthetics
- Precision endodontics: In-house microscope-guided root canal treatments enhance prognosis
Phase 2: What’s Next
- Restore the posterior teeth to complete the full-arch reconstruction
- Continue to refine bite harmony and ensure long-term function and aesthetics
Outcome
- The before-and-after images showcase a dramatic transformation in both smile aesthetics and bite function
- Our patient reports increased confidence and happiness with his new smile
Treatment Gallery
Before Treatment
After Treatment
Before Treatment
After Treatment
Before Treatment
After Treatment
Before Treatment
After Treatment
Before Treatment
After Treatment
Am I a Candidate?
If you’re unhappy with a worn smile, have missing teeth, or want a fixed, natural-looking replacement, our expert team can tailor a comprehensive plan combining endodontics, cosmetic bonding, implants, and crowns to achieve your goals.
