A cosmetic dentistry smile makeover simulation illustrating the use of gum sculpting and dental crowns.

Dental History: This person is missing a front tooth. The tooth that is missing should lie between the teeth labeled #1 and #2, and should be similar in shape and size to the tooth marked #4. This person has stated that they do not want to have orthodontic treatment.

Treatment Plan Comments: The goal with this plan will be to create a smile that is more regular and uniform in appearance, so it is less obvious that this person is missing a tooth.

Cosmetic Dentistry - Step #1: Periodontal surgery (gum surgery). The height of the gum line on teeth #'s 1 and 2 is lower than that found on the teeth on the left side. Periodontal surgery can be used to reposition the gum line on these teeth.

Cosmetic Dentistry - Step #2: Make the biting edge of tooth #3 more even and regular. This might be accomplished by just trimming this tooth, or else by placing dental bonding or a porcelain veneer.

Cosmetic Dentistry - Step #3: Create a dental crown for tooth #2, establishing its biting edge in line with tooth #3.

Cosmetic Dentistry - Step #4: Create a dental crown for tooth #1, but make this tooth's biting edge straighter and less pointed than it was originally.

Cosmetic Dentistry - Step #5: Trim the biting edge of tooth #5 so it is less pointed.