Evening out a smile with orthodontic treatment.

This digital smile makeover illustrates a case that shows how the outcome might look if this person chose to have orthodontic treatment.

That's not to say that that's the only way an improvement could be made.

But by showing the type of result that having "ideal" treatment could create, it's easier to explain the difficulties that other approaches would have in trying to get a similar look (see below).

Case issues and concerns:

Most of the issues we notice with this smile have to do with the asymmetry caused by the misalignment of its teeth.

  • On the upper arch, the teeth on this person's left side seem to be at a different level (higher up) than the ones on the right.
  • The gum line level on the teeth on the left is up higher too.
  • The biting edges of the lower teeth aren't uniform in height.
  • The biting edges of some of the teeth on both the top and bottom seem to show signs of some minor chipping or wear.
  • Misaligned teeth give this smile an uneven look.
    Misaligned teeth give this smile an uneven look. Misaligned teeth give this smile an uneven look.
  • After having orthodontice treatment.
    After having orthodontice treatment. After having orthodontice treatment.
 

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Treatment solutions:

As mentioned above, in our "after" picture we've illustrated how this smile might look after having orthodontic treatment.

Advantages

Here's what's so great about utilizing this approach.

  • It can be used to get the biting edges of the teeth back into normal alignment.
  • And at the same time it will also resolve the irregular gum line issues too. (Since the gums are attached to the teeth, they'll adjust as they are realigned.)

In comparison, getting this same look just by placing dental crowns or veneers wouldn't really be possible.

The irregular alignment of the biting edges could be improved by lengthening the teeth on the left side. But the same pretreatment gum line discrepancy would still exist after this work was completed. As a result, these teeth would end up looking much longer than the ones on the right side.

(As a remedy, a minor surgical procedure termed "gum sculpting" could be performed to make the short teeth longer, assuming that the patient would be happy with that look. Here are some examples of how this technique can be used.)

Other changes.

In our "after" picture, we've also illustrated some minor changes for the chipped and worn biting edges of some of the teeth.

For many of them, this type of change might be made just by buffing their edges down a little with a dental drill.

For others, the placement of tooth bonding, or possibly even porcelain veneers, might be the solution that's needed to get the look we've shown. This is a decision that would have to be made by the dentist treating this case.

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