BEFORE & AFTER
SMILE MAKEOVERS

The patient requested we replace the crown on the left central incisor for esthetic reasons. While it was a decent match for a 20-year-old crown, she felt we could do better.

The patient noticed rather rapid recession over her right central incisor. Tissue grafting was the treatment of choice, with virtually all the lost tissue redeveloped for a more pleasing smile.

This patient disliked the appearance of her upper front teeth. Veneers were designed to improve color and shape while also closing the gaps between the teeth.

Occasionally, orthodontists are unable to solve crowding without causing other bite issues. After the orthodontist advised against tooth movement, we opted to perform selective reduction of the cuspids, then place ceramic veneers on the four incisors to give our guest the smile she desired. Tooth preparation was aggressive, but necessary in order to even out the crowding.

 A martial artist asked if we could help repair what happened when he didn't duck fast enough many years ago. Treatment was straightforward: Three feldspathic ceramic veneers and a small bonding effort on the left lateral incisor were all that was needed to treat these previously root-canal treated teeth.

These gold restorations were done by Dr. Koch over 20 years ago and are as good as new. While the appearance of gold is not to everyone's liking, it is the finest restoration we can offer.

Another mouth restored with gold. These restorations have been in use for 25 years and look almost the same as when they were inserted.

 A tragic fall on an icy sidewalk damaged the two front teeth. Root canals and ceramic crowns were the solution to an otherwise awful event for a young adult.

A childhood accident resulted in the loss of an incisor tooth and subsequent placement of a fixed bridge. The patient requested improved esthetics. Orthodontics was performed, and a new Zirconium bridge was placed that mimicked a more natural appearance.

The patient's old dentures were worn out. A set of new dentures offered the patient better function and a younger smile.

This patient's bite and teeth were hopeless, and the smile was compromised. Implant-supported dentures were fabricated so the patient can smile and chew with confidence.

An accident crippled this smile, pushing up the teeth and affecting the soft tissue symmetry. With one tooth soon lost to root resorption, a treatment combination of orthodontic extrusion, implant placement, and ceramic veneers put things right.

This young patient had congenitally missing lateral incisors. Orthodontics was performed to provide adequate space, and two implant porcelain-over-metal crowns restored the smile.

The patient lost all four lower incisors to gum disease. Two implants and a one-piece all ceramic prosthesis restored his smile and his love of corn on the cob.

Periodontal care was complete when we met this patient. Implants were placed according to our prosthetic plan. Finally, E.Max ceramic crowns and Zirconia implant bridges were employed to restore speech, chewing, and a winning smile.