AA002

Her left front incisor is shorter than her right front incisor

AA003

Her smile line is pleasant, the short left front incisor is the only distraction.

AA004

We mock up a proposed tooth using composite resin to test out the effect on her smile. Patient was pleased.

AA005

Close up of the mock up to mirror her natural front right incisor. We use this mock up as a guide.

AA006

Crown lengthening was a small gum surgery to make the tooth longer.

AA007

It takes 8 weeks for the gum to stabilize. We refined the temporary crown during this period.

AA008

When the gum has healed, we removed the temporary crown to take impression.

AA009

The final crown looked natural. Gum has adapted well to the ceramic crown.

AA010

The final result is a natural and balanced smileline.

AA016

A happy patient.

AC002

Center line of the upper front incisors did not match the lower.

AC003

Gaps are visible when he smiles.

AC004

Note missing teeth and gaps of the upper jaw. There is a retained baby tooth.

AC005

Generally his teeth are small. We realized that veneers are needed to increase the width of his front teeth.

AC005A

Braces were put on both upper and lower teeth to move teeth. It took 24 months.

AC006

Generally his teeth are small. We realized that veneers are needed to increase the width of his front teeth. As teeth have moved to the desired position, we use composite bonding to widened the teeth temporarily and to secure the position.

AC007

Once the final position of teeth confirmed, upper braces was taken out to allow implant placement.

AC008

Upper left side before implant placement.

AC009

Implants ready for exposure.

AC010

When the bone has grown around implants to become firm, temporary posts were put on to make temporary teeth.

AC011

Upper front teeth restored with veneers.

AC012

Side view after completion of treatment.

AC012a

The final implant crowns and veneers appeared natural.

AC013

Three dental implants were placed in the upper jaw.

AC014

The lower jaw did not need implants because the orthodontist managed to close all the gaps.

DB001

Patient smile line showed short lower face and strong cheek muscle indicative of overactive chewing or bruxing.

DB002

Upper front teeth are much shorter than lower front teeth. They are in

DB002A

Bruxism is a term used to describe hyperactivity of the jaw muscles which bring teeth together at times other than eating and chewing.

DB002B

During normal function, upper and lower teeth only come into contact for 15 minutes in 24 hours.

DB003

The upper front teeth are so worn that dentine was exposed. During bruxing, teeth come together for hours. In

DB004

The lower front teeth were mildly affected. However, the molars had repeated history of lost fillings---another signs of bruxism.

DB005

Patient facial proportion was restored.

DB006

The upper front teeth now overlap the lower front teeth so that they are protected from the bruxing forces.

DB006A

Natural appearance of crowns

DB006B

Side view of bite

DB007

The molar teeth were replaced with gold crowns because gold being a soft metal, can adapt to changes in bite. It can be worked to very fine thickness.

DB008

Lower molars were restored with gold onlays.

DB009

Upper front teeth were replaced with porcelain fused to high-precious metal crowns for cosmetic results

DM001

Her chin and lower jaw swing to the right as she bite together.

DM002

Teeth on her right side is higher than the left side.

DM003

Most of her upper teeth were filled with amalgam fillings. Her right front teeth were capped with crown and bridge.

DM004

Some of her lower back teeth had amalgam fillings. Her teeth were not symmetrically arranged.

DM004A

Her smile line is inverted.

DM004B

The upper left front teeth are worn and are shorter than the right counterpart.

DM005

A splint was worn to reposition her lower jaw to the center.

DM006

The splint also increased the height of her bite.

DM007

This splint is made of hard plastic. It is worn at all times except during meals.

DM008

Once the new bite felt comfortable, a set of temporary crowns were made according to the new bite.

DM009

The smile test to check out all cosmetic aspects. Note her chin is repositioned to the center.

DM010

Her smile line is low, gum does not show when she smiles. We have decided not to change her gum line.

DM011

All her upper and lower teeth were capped with full ceramic crowns and bridges.

DM012

Teeth which she can be proud of.

DM013

The smile line is now in harmony.

DM014

Side view of well constructed crowns and bridges.

JE001

His smile line is high showing gums.

JE002

His front teeth were prominent and uneven.

JE003

Mild overlap of upper front teeth.

JE004

Gum recession of the lower front incisors.

JE005

His upper teeth were healthy with minimal fillings.

JE006

His lower front teeth were rotated. Minor amalgam fillings in the molars.

JE007

Teeth in good condition are more suitable for veneer rather than crowns.

JE007As

Gum recession noted in the upper left canine.

JE008

Final result with upper and lower veneers.

JE009

Gum recession was treated with gum grafting.

JE010

Note gums are well adapted to the ceramic veneers.

JE011

Realistic appearance of veneers.

JE012

Unevenness was camouflaged with veneers.

JE013

Veneers are bonded to the front side of the teeth.

JE014

Veneers on lower teeth.

JE015

Right side view.

JE016

Left side view.

JE017

Improved colour and harmony of his smile.

JE018

Happy smiling patient.

LSY001

Upper front crowns showing leaking margin.

LSY002

Broken tooth from excessive biting pressure on front teeth.

LSY002A

Upper front teeth are restored with crowns and bridge.

LSY003

Lower front teeth are crowded and rotated.

LSY004

Lower right molar teeth are missing. Lower teeth had overclosed.

LSY006

Lower left molar tilted. Upper left molar is non-functional.

LSY007

Final results achieved with implants and crowns.

LSY008

Upper broken teeth were removed and replaced with dental implants.

LSY009

Lower front teeth were restored with crowns, back teeth with implant crowns.

LSY010

Teeth are arranged so that there is more space between upper and lower teeth.

LSY011

The missing lower molars were replaced with implant crowns.

CMY001

Note the long span bridge of 10 teeth from right to left. Caries developed under bridge.

CMY002

Upper left first molar was removed. Upper right first and second molars are missing.

CMY002A

Lower right second premolar and lower left first molar is missing.

CMY003

Lower right second molar tilting into the empty space.

CMY004

There is grey-brown tetracycline stain of the lower front teeth.

CMY005

Upper front teeth are restored with implant-supported bridge.

CMY006

The upper right molars are replaced with 2 medium size implants.

CMY007

Bone graft and soft tissue graft added volume to the front gum.

CMY008

The lower left molar was replaced with a small implant. As we keep the natural teeth as single individual crowns, patient can floss and keep teeth clean preventing caries.

NM01

Patient was not happy with her front teeth. It has large fillings and space between teeth.

NM02

Space between front and side teeth.

NM03

Teeth are well aligned. Other front teeth had no fillings.

NM04

Four veneers transformed her smile.

NM05

Good colour match with other teeth.

NM06

Veneers closed black triangle between teeth.

NM07

Very conservative preparation.

NM08

A very happy patient.