Before and After Photos
Dr Chenman. These are typical results, but every case and result is different depending on several factors. Some of these factors can be cost, time to completion, and the level of the patients expectations. These decisions are usually made at the treatment planning visit and will vary by patient.
PD came into the office to have her right front tooth fixed, which was chipped in an auto accident. While discussing different treatments, the option of “smile enhancement” was presented. This patient has what we refer to as a “reverse smile line” and excessive spacing between the teeth.. With a commitment for 6 veneers, we were able to correct her smile line and gum line at the same time.
Kathy C needed a “smile makeover”. Her old crowns and bridge were approaching 15 years of service.Whitening (bleaching her teeth) and a re-design of her upper smile would give us a better balanced arrangement. We started with bleaching followed by new crowns for the upper teeth. The patient was very involved throughout the design process. She was shown samples of various “smile arrangements”. Once she decided the “look” she wanted, that information was transmitted to our lab. The technician then provided a wax-up for her to see what the finished product would look like. Before the lab shipped the case, we were e-mailed pictures to verify that the final product was as specified. This result requires involvement of the patient, doctor, and dental lab.
Patient TK had just come from having her braces taken off, and prior to impressions being taken for retainers came into the office to have some spaces closed, teeth reshaped, and her smile improved. I had 2 hours before she was to return to the orthodontist. This is what we were able to accomplish in 1.5 hours. Patient and orthodontist were very pleased. The 2 lower pictures demonstrate how we were able to close the space between two teeth using bonding techniques. Future veneer case.
Patient KH had completed orthodontics with a great result, although she was not happy about some spacing between her teeth. A little reshaping and bonding and 1.5 hours later a new smile that everyone was happy with.
JU chipped his 3 front teeth in an accident. Fortunately the nerves in the teeth were not exposed (did not require root canal therapy), and there was enough tooth structure remaining that we were able to use bonding to restore these teeth. Due to the amount of tooth structure lost, 2 of the teeth will require crowns in the near future.
DM was missing her adult canine (it was impacted in her palate). She was given the option of exposing the canine and orthodontically (braces) moving into the proper position. An alternate treatment plan was to extract the “baby” canine tooth and leave the adult canine in the palate. The alternate plan was accepted due to time constraints. A 3-unit bridge and 4 veneers
accomplished the “after” result.
Patient BL was not interested in any extensive cosmetic treatments. We felt that with some reshaping of the teeth and removing the chipping on the edges of her teeth, we would be able to get an improvement. Nothing was done other than blending and smoothing with the drill. Total time: 20 minutes.
Patient CB came in for a replacement set of upper and lower implant retained dentures. The old set had more of a masculine look and insufficient lip support. We wanted to give her new set a more youthful appearance and a softer feminine look with improved lip support. The denture teeth used were made in Italy and contribute to the natural look of the arrangement.
This is a case were bonding was done at another dental office. The patient opted to go with no preparation veneers (no drilling). Prior to the case being made, a wax up of the final case was shown to the patient so that we could be sure that the patients concerns were met. Communication with the doctor, patient, and lab are vital for the successful outcome of these cases.
This young man did not want the option of braces, but instead was looking for a cosmetic result that would not involve drilling the teeth, and could be done in one visit. He was given the option of cosmetic bonding with minor tooth reshaping. He was very happy with the result and the appointment length was 1.5 hours.
Patient Joe C had lost several upper teeth over the years. He had 5 teeth left that were holding his upper partial. Due to bone loss these teeth were now compromised and could no longer adequately support his partial. The treatment plan in this case was to remove the remaining upper teeth and insert an immediate upper full denture the same day as the extractions. He did not leave the office without being able to smile or eat. Since there is no time for full healing, the first denture is considered to be a transitional or temporary, with a replacement to follow approximately 1 year later. Later this year we will address the lowers with an immediate full denture, at which time we will reset the teeth that are not in perfect arrangement due to the position of some of the lower teeth. This case is another example of a close working relationship of the dentist, the lab technician, and the patient.
This bleaching result was achieved at home in 2 weeks using the product for 15 minutes a day Our experience has shown that the 1 hour in office bleaching is very expensive with questionable results. Many offices in order to give the patient a satisfactory result will include a take home kit with the chair side treatment. Why pay as much as double when you are going to do it at home anyway?
SA did not like the look of her removable partial denture. The color and the shape of the replacement teeth did not fit her. After selecting an appropriate shade and shape for the replacement teeth, a try-in of the teeth before final processing was done. With the patients approval the case was finished. At the insert visit there were no surprises. A satisfying result like this often requires try-ins and evaluations before completion.
GL was unhappy with previous veneer case. The final result was achieved with input from the patient and working with the lab technician. Successful cases usually require involvement by all three parties, the patient, the lab tech, and the doctor.