Patient presented looking to start with improving the appearance of his smile.
There was severe deterioration of his front teeth, but all the teeth were alive & vital!
iTero scans were taken, and digital smile design was created by the maestro @ewerton_de_castro.
All restorations and decay were removed, and I found there wasn’t a whole lot to work with 😅.
After diode laser crown troughing, the teeth where air-abraded, etched, bonded and built up with a cold dual cure fibre reinforced composite. I picked up this technique courtesy of @billstruppddsfaacd who recommends using it directly from the fridge so the resin cures slowly and shrinkage forces dissipate through the core slowly.
After a 10 hygiene exam with a chatty patient I aimed to do a vertical style preparation with a slight chamfer. In retrospect I wish I prepped a bit more subgingival to make the prep a bit longer and hide the margins better.
Shoutout @creationsdental for the assist on some gorgeous zirconia work for incisors. Canines restored directly with Reflectys composite resin.
Young patient comes in, tells me she hates her smile and mum says she never smiles ☹️.
Budget was tight, ortho out of the question so offered to close the diastema with some resin.
Probably a hundred things I would do differently and tweak, but her face when she saw her new smile (and her mum’s) made all of that irrelevant 🙌🏾