This patient presented with older dentistry that was no longer aesthetic enough. She wanted a whiter smile and a more natural look. Treatment consisted of take-home whitening and then an all porcelain bridge involving her two front teeth and the left lateral incisor as well as some direct bonding on several of her back teeth.

This patient presented with concerns being the gap between the upper two front teeth and the length of those teeth compared to the other front teeth. Her career puts her in the public eye and wanted a more professional and mature look. Treatment consisted of take-home bleaching followed by four porcelain veneers designed to lengthen the two side incisors, widen them and then close the front gap. Objectives in design were to keep the front teeth the original length, but to have them blend in with the others as well as to proportion the widths of the teeth to evenly close the gap. This treatment consisted of two appointments over a one week time period.

This patient presented with a very narrow looking smile with a cross-over of the front teeth and blocked out lateral incisors. The gums were extending over the tops of the lateral incisors. There was pronounced crowding of the lower incisors as well. Treatment consisted of take-home bleaching followed by trimming of the gums over the upper later incisors. After a short period of gum healing, eight upper and eight lower porcelain veneers were fabricated. The time requirements consisted of four appointments over a one month period.

This patient presented with obvious crowding and a very wide smile. The crown on his upper left central incisor was far lighter than the rest of his front teeth. An effort to preserve the existing crown was made and this result was achieved by the use of only three porcelain veneers on the two teeth to the right and one on the left of that crown. The outside areas of the the two lateral incisor veneers had to have extreme shade gradations to blend into the eye teeth beside them and give the effect of a uniform bright smile.

This patient presented with not only very crowded looking teeth with the upper lateral incisors tucked in behind the other teeth, but with a very narrow looking smile and a poorly restored broken lower incisor. Treatment consisted of at-home bleaching followed by the fabrication of a lower all porcelain, zirconium based crown and eight upper porcelain veneers to not only smooth off the crowded appearance, but also to achieve a wider looking smile. The metal fillings in the back were replaced with composite resin natural looking fillings.

This patient presented with a number of functional and cosmetic concerns. The obvious aesthetic problem was the position of her right lateral incisor far back in the palate. This resulted in the right side eye tooth being forced forward, a space between it and the right side central incisor and a midline shift of the front teeth to the right side. The gum was also overgrown over the left side lateral incisor compromising any aesthetic correction. Treatment objectives were to eliminate the right lateral incisor and replace it with a substitute in line with the others, correct the midline shift,and lengthen the look of the left lateral incisor. Treatment took approximately one month and consisted of trimming of the gums, extraction of one tooth, fabrication of an all porcelain zirconium bridge from the upper right eye tooth to the central incisor, an all porcelain zirconium crown of the other incisor and a porcelain veneer on the left lateral incisor.

This patient presented with an obviously darkened front tooth and discoloured older fillings between some of the other front teeth. The dark tooth required Root Canal treatment, with placement of a post and a porcelain bonded to metal crown. The crown was bulked out towards the front to even off the look of the overall appearance. Several fillings were replaced on the front teeth including direct bonding to repair the chip on the right front tooth.

This patient presented with older porcelain bonded to metal crowns on his two upper right front teeth. They were no longer aesthetic and the patient wanted a more attractive smile. Treatment consisted of at-home bleaching followed by replacement of the two old crowns with new all ceramic, zirconium based crowns and a matching porcelain veneer on his other front tooth. With these particular treatment choices, the aesthetics should remain acceptable for many years.

This patient presented with an old bridge on the upper left and spacing between her remaining other front teeth. Due to numerous missing back teeth, the space between the front teeth had opened with the teeth drifting outwards. Treatment objectives were to stop the drift of the teeth by providing enough verticle support of her jaws with more back teeth and attach the others together for stability. This was to be accomplished in a way that provided an aesthetic replacement for the old bridge. The final result was achieved over a three week period.

This patient presented with an old bonded-on bridge replacing the left front tooth. It had come off and was recemented with superglue. The cement had turned dark resulting in an obvious aesthetic concern. Treatment comprised the replacement of the bridge with a three unit fixed all porcelain, zirconium based one. Time consisted of two appointments over approximately one week.