A cosmetic dentistry smile makeover simulation illustrating the use of Invisalign "invisible braces" and tooth bonding.

Dental History: This picture shows a smile that does have aesthetic deficiencies. At the same time, however, the types of problems that are present aren't those that are best addressed by the types of cosmetic dentistry techniques that we typically illustrate.
     For the most part, the major cosmetic concern associated with this smile is simply that the teeth have an irregular alignment. Yes, there are minor imperfections with the biting edges of these teeth where wear has taken place. But the main concern here is one of alignment. (And, we might mention, if this person's bite were corrected, the tooth wear that is occurring due to this patient's malocclusion could probably be brought under control.)
     It is conceivable that a cosmetic dentist might change the apparent alignment of this person's by placing dental crowns or porcelain veneers. That would, however, be a poor choice. It appears from this picture that overall this person's teeth are relatively sound and healthy. It simply wouldn't be right to grind away tooth structure or to cover healthy teeth over with dental restoration just to make cosmetic changes. If they did so, over the long-term this patient would discover that they had made a poor choice.

Cosmetic Dentistry Treatment Plan: The right choice for this case is to realign the teeth using orthodontic treatment and then place tooth bonding to repair the minor tooth wear that has taken place. This approach, by far, would give the best long-term result.
     This person might have objections to having orthodontic treatment but, considering all of the different types of orthodontic techniques and options that are available (including Invisalign invisible braces), this argument doesn't have carry much weight. There could be financial concerns but of course there will be costs with whatever solution is chosen. And since these problems are just cosmetic, the timing chosen for making a change could be deferred, even some years, until that time where it is affordable.