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Before and After 2012: Smile Makeover – Achieving Significant Change in Proportion with porcelain veneers

A Caucasian male patient in his 30s was deeply concerned about the aesthetics of his smile. There are several issues we had to address: most notably, changing the proportion and tooth size within the aesthetic zone, crown-lengthening/gum-contouring, and a replacement of a missing tooth on 14 (right first-premolar).   We selected a Zirconia bridge on 15-13, and lithium disilicate (e.max) veneers for the rest – 12-26 (missing 25), from the right second-premolar to the left first-molar, a total of 10 units.   I must admit that this case was one of the most challenging smile makeovers I had encountered at that time, but the result spoke for itself. The patient was “over the moon” with the outcome.   The key to achieving such a result was...

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Before and After 2009: Soft-Tissue Management at the Socket on Pontic Sites

A Caucasian male in his 70s had presented with failed roots on the lateral incisors (12 & 22). The patient was also concerned about the aesthetics of the overall smile, wanting to have a youthful look. We commenced the case with 2 x Zirconia bridges 13-11 & 21-23.   Fig 1 shows the pre-op condition. 12 and 22 were extracted, and the soft tissue was managed during the temporary stage by the treating prosthodontist. Fig 2 shows the remarkable state of the soft tissue recovery.   Communication in the shade taking is essential between the clinician and ceramist. The shade tab should be placed edge to edge position, as shown in Fig 3. Fig 4 shows the completed Lava zirconia bridges (13-11 & 21-23). Note...

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