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Before and After 2023: Refining the Fine – Subtle Aesthetic Enhancements with Major Impact

At first glance, Sherelle’s pre-operative condition (the image on the left) appears almost flawless. Her smile is bright, symmetrical, and generally well-aligned—qualities many patients would already consider ideal. And yet, as with many high-performing professionals in the dental field, even minor imperfections can weigh heavily on one’s confidence. Sherelle is no ordinary patient. As the receptionist at Smile Doctor Mona Vale—one of the most respected dental practices in Sydney’s Northern Beaches—she plays a crucial role in patient communication and care. In fact, she often uses her own journey as a live example to help patients understand what’s possible with thoughtful smile design. This case reminds us that aesthetic dentistry isn’t just about fixing the obvious—it’s about listening, understanding subtle dissatisfaction, and finding...

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Before and After 2020: Missing Tooth Replacement on Lateral Incisors (Part 2)

A Caucasian male patient in his youth was introduced to me upon a failure of the previous Maryland-Bridges on 13-11, 21-23. The restorations only lasted for a few months (done by another technician), and I couldn’t identify its cause or never given a specific reason by the treating clinician.   In part 1 of the ‘missing tooth replacement’ (click here to read), I presented implant restorations in Zirconia with Ti interface abutment to replace the lateral incisors. For this case, I present more of a conservative and cost-effective option – Maryland-Bridges in lithium disilicate (e.max) for optimum bonding strength.   Figs 1-2 show the pre-op condition.   Fig 3 shows my standard protocol in shade taking. I make sure to use three different shade guides to identify the...

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