Changing Smiles – Case Studies – Part 3

The view on the image below shows the extent of the crowding of the from above and behind that is not seen by the patient and everyone else. One tooth is rotated, tilted and overlapped in three dimensions. Tough position!

So how did we decide it was a good move to build up the teeth?

The Mock Up

What this means we add material to the tooth withou prepare the tooth to hold the build up. It’s a “try before you buy” but not a digital version but a REAL version. We get a real sense of the change. In the situation the material was placed on the tilted back tooth to bring in line with the rest of the teeth. So we went ahead for real. Then we flick off the material without any effect on the tooth.

The build up and adjustment

The tilted back tooth was built up by adding matertial to align it with the adjacent front tooth.

 The  rotated tooth adjacent was built up to look flatter and to also be aligned to the corrected shape of the titled tooth.

The canine, which was also rotated, was built up to match the canine on the opposite side.

The final treatment was to deal with the overlapped tooth. The tooth that overlapped that tooth created the appearance of the adjacent tooth as being narrow. The overlappping tooth was reshaped to make the biting edge (incisal) level with the teeth. Then its shape was slightly altered to reveal the full natural width of the adjacent tooth.

Smile completed in one visit.

The lip will find the new shapes of the teeth a little weird for a couple of days, but that will pass.

ENJOY