What do you do if when you smile, all your teeth on one side are showing, but on the other, they are all hidden?
No-one is perfectly symmetrical, but the last thing you want is to draw more attention to this!
I’m going to tell you the story of someone who I recently helped to correct this exact problem. Before I do, let me tell you how this is affecting my patients life.
So, he has a job where he is constantly in front of very important people, where a very professional appearance is critical, and he feels that although he can control the clothes he wears – his smile is letting him down.
This is making him feel very self conscious.
So far, he has tried to fix it with invisalign treatment (this is a form of brace treatment done with a near invisible brace).
The problem was that he started this treatment with a dentist in another country, because its cheaper but they didn’t take into account what he was trying to achieve. Hence, the results were not what he wanted, and we are back to square one!
Lets look at doing things properly now!
Lets look at the problem
This is what my patients smile looks like after the attempted Invisalign treatment.
There are two things that he doesn’t like about this smile right now, the first is that its ‘Wonky,’ you can see a lot more tooth on (his) right, than you can on the left.
Also, there is a tooth on his left that is out of place, and is really ruining the overall appearance of his smile.
Now, when you have a situation where you don’t like one thing about your smile, chances are that you will fixate on this!
So let me take a minute to show you how this can be improved, and all the areas I think need some level of improvement.
The Cosmetic “Problem List”
There are lots of things that make smile look great, but above I have just highlighted the main ones that bothered Peter, and the things that we focusing on for his treatment.
Visualise the end result
The only way to achieve excellent results is to plan for them.
In this case, we planned the cosmetic appearance of the smile, by drawing on what I thought was a great smile outline. Super technical – right! 😉
So this now gives us a blueprint of what the end result should look like.
For those who have been paying attention, you will notice that we can only see the bottom of the teeth. It is important to design the top of the teeth as well.
This is because when you feel better about your smile, you will show more gum!
Here is the full design.
In this situation, we have areas of recession (where the gum has gone higher), these are tricky to cover up. There are procedures that you can do to bring the gum back, however in this case, we decided to shape the gums a little, and use a special design in the veneers to give the illusion of the tooth shape being correct.
The Trial Smile
When you are considering this kind of treatment, then would you want to try out your smile before having it fitted?
This is exactly what how I do my smile designs (veneer treatment).
We prepare the teeth for the veneers and build up the new smile in hard provisional material.
This is the trial smile, and initially I thought the teeth looked a little too long, but the truth is that these photos were taken when Peter was numb, so they look deceptive.
Peter really liked the look of them, so we then proceeded to make the final veneers from high gloss porcelain.
The Final Result
The final result looks like they are his own teeth – the look he was going for!
The porcelain veneers have been shade matched to his natural teeth, they are a slightly different colour at the neck of the tooth, then blended to a brighter tip colour – in the same way as normal teeth are!
The final veneers are designed to be textured, just like natural teeth.
If veneers are made very flat, they appear dark and dead!
Texture on the surface helps to scatter light, and if you look at the natural teeth in the photo, you can see they are textured – so it makes sense to copy this!
Its really important that the bite pattern is respected here. This means we needed to adjust the lower teeth slightly so that he wouldn’t break the upper veneers.