Cosmetic smile makeover simulations: before and after

A cosmetic dentistry simulation.

Case history: Adequate oral home care is needed before cosmetic changes should be considered.

There are a lot of issues going on with this case. The most basic and fundamental are that this person is simply not taking care of their teeth. It is easy to see a heavy accumulation of dental plaque a long the gum line of most all of the teeth. Due to this it seems that a cavity has formed at the gum line edge of the upper left central incisor. Additionally, the gum tissue closest to most all of the teeth has a dark red coloration. This is typically a sign of gum disease.

It is possible of course to make cosmetic improvements with cases such as these. Before any changes could be considered at all, however, a thorough dental cleaning and examination would have to be performed. It is quite likely that a serious gum condition exists here. And if so, clearly it must be rectified before any elective cosmetic dental work should be placed. This patient would also need to understand that the long-term outlook for any restorations that are placed will most likely be seriously compromised unless adequate oral home care is begun and carried on.

Our approach to this cosmetic dentistry makeover simulation.

Placing dental crowns on the four upper incisors.: We have simulated making cosmetic changes for the upper teeth by way of placing four dental crowns. The crowns can be used to idealize the shape, color and alignment of these teeth. This person's center-most upper teeth seem to be somewhat flared. If this flaring is dictated by this person's bite, the degree of tooth realignment we have illustrated may not be entirely possible.
Rebuilding, reshaping and replacing lower teeth.: It could be possible that the changes we have illustrated for the lower front teeth might be made simply by placing white fillings on some and trimming others. Those back teeth that are missing might be replaced using a dental bridge, a partial removable denture or else dental implants.

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