Smile Designing | Joshua Anthony
History
- Known Smoker – Generalised yellowish discoloration noted.
Dental History
- Was advised orthodontic treatment followed by implants by an earlier dentist was unwilling due to the cost and duration of treatment.
Extraoral Examination
- Thin upper lip.
- Low smile line.
- Midline shift.
- Congenitally missing lateral incisors.
- Canines in place of lateral incisors.
- Retained deciduous canine (63).
Treatment Plan
- Endodontic therapy for 14-24.
- Extraction of 53.
- All ceramic bridges across 14-24.
Extraction of Retained Deciduous Canine (63)
Crown Preparations Done IRT 14-24 (All Ceramic Preps)
Temporary Bridge
Bad Post OP Pictures
Camera Issues
- Looked highly aesthetic in person.
Before After Comparision
A shift in the dental midline would cause a misalignment with the interdental papilla. It would appear unaesthetic during a strained smile.