Average tooth is 10-12mm at central incisor. The initial measurement shows centrals as being 6.5mm. Therefore gum recontouring is indicated, since the smile line is good.
Direct composite mock up. Build your Smile!
Composite mock up was completed and the patient was happy with the initial effect of gum levels, level of teeth exposure and smile line.
Treatment proposed as per composite mock up that has confirmed amount of gum and tooth exposure required for improved aesthetics and lip support on teeth 13, 12,11,21,22 & 23.
Dr Nalbandian discussed all modalities, risks and benefits of composites, porcelain and orthodontic treatment as well as no treatment. Patient was happy to proceed with composite veneers and accept gum recontouring of 13, 12, and 11,21,22,23, to balance the smile as discussed during composite mock up.
Composite mock up showed that a better more pleasing tooth/smile exposure would be achieved by improving the smile line and restoring “dark lateral corridors” –improving the length and the width of the smile (this will be combined with gum recontouring creating flow, and balancing the smile and pleasing teeth emergence profile.
We discussed all possible options of treatment;
- Ideal treatment using orthodontics and orthognathic corrective surgery (this is a multidisciplinary treatment but with our patient’s timeframe, this surgical-orthodontic procedure was not an option) followed by restorative correction of teeth and further smile enhancement.
- Only restorative correction.
- Traditional porcelain veneers combined with lower orthodontic treatment.
- Composite veneers.