Over the years patient had some shifting of his teeth post orthodontics. He had invisalign again at the age of 18. His main complaint was shifting of the lateral incisors which then made him feel the central incisors were too dominant. Made the lateral incisors also appear darker than he wanted.
Patient was home from college. He wanted whiter teeth and wanted his lateral incisors to come further forward in his smile. We discussed orthodontics again, patient declined. We discussed bleaching and possible bonding, patient declined. He wanted the most predictable way to make all his front teeth look aligned and white. Patient is 19. We discussed options with his parents as well, even though his is old enough to make his own decisions. He had grown up in our practice and we wanted to make sure he was making informed decisions. He opted for porcelain restorations on his front 6 teeth. NORMALLY, this is a treatment that we suggest doing 4 teeth or doing 8 teeth in order to make things blend in well. We made an exception for him and I feel that it turned out very well.
We worked with our amazing dental lab to have a wax up done of his 6 front teeth. This wax up allows us to see the final proportions on preparation day. He walks around and functions on these temps just like they were the real thing. A TRIAL SMILE of sorts. He can then give us feedback to what he likes or would like changed. Our dental lab is SO GOOD, that these changes almost never happen because the patient like them so much. This is my FAVORITE appointment with the patient because the results are so dramatic and so fun.
Final custom made porcelain restorations seated. Again, front 6 teeth which I felt worked very well on him. This gave him a confident and bright smile that he had been wanting. It is so fun to see these patients grow up in our practice. Watching his confidence grow has been a blessing. Hearing from his mom that she has “never seen him smile so much” is just the icing on the cake for us as dentists.