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.