Using partial orthodontic treatment and over-sized crowns to establish smile uniformity.
When this person submitted photos for consideration for a smile makeover simulation, they explained that they had already sought opinions about their situation from their dentist and an orthodontist.
And of the options that had been discussed, the treatment plan that they were most curious about was one where:
- The small single upper front tooth (the right lateral incisor) would be extracted.
- Next some degree of orthodontic work would be performed so to improve the alignment of both the upper and lower teeth.
- And then additionally for the upper teeth, place dental crowns on them that help to mask the fact that both the right and left lateral incisors are missing.
Case issues and concerns:
Much of what can be said about the difficulties of this case are fairly self-evident in the "before" picture. There are however, two factors we will point out.
a) Can a normal-looking result be created?
One of the biggest problems with this case is that of the missing lateral incisors.
Each of a person's six front teeth have a characteristic size and shape in relation to each other. And when that configuration is not present, even if a smile looks uniform, it may not look entirely "right."
b) A low lip line.
Something that will tend to help out with the above difficulty is that this person seems to have a low lip line. From the look of their grimace in the picture, it seems as though this person's upper lip covers over a large percentage of their upper teeth. If so, that will help to mask any irregularities that actually exist.
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