Design

At our practice, we believe in transforming smiles to reflect both beauty and functionality, positively impacting our patients’ confidence and quality of life. Here, we showcase an intricate case that exemplifies our commitment to excellence in dental artistry and precision.

Initial Presentation

Our patient presented with dissatisfaction regarding the aesthetics of her smile. She expressed concerns over discoloured and poorly contoured crowns and veneers, along with missing teeth that impacted both her smile harmony and oral function.

Treatment Objectives

Our primary goals were:

• Replace missing teeth to restore function and occlusion.
• Enhance smile aesthetics by improving tooth proportions, shade, and symmetry.
• Ensure long-term stability and health of the restorations.

Clinical Protocol

A comprehensive examination, including digital smile design and intraoral scanning, was performed. A personalised treatment plan was developed, prioritising a minimally invasive and biomimetic approach.

Implant Placement

The missing teeth were replaced using dental implants, placed with precise surgical planning and guided by CBCT imaging to ensure optimal positioning and osseointegration. The implants were strategically placed to support the final prosthetic outcome while maintaining alveolar bone integrity.

Smile Design and Restoration

Using advanced digital smile design software, we crafted a bespoke smile that harmonised with the patient’s facial features. This allowed us to refine the proportions and achieve a natural, yet enhanced, aesthetic result.

Old crowns and veneers were carefully removed, and the underlying tooth structures were prepared conservatively. Temporary restorations were provided to assess function and aesthetics, allowing for patient feedback before finalisation.

Final restorations were fabricated using high-strength ceramics, ensuring lifelike translucency and natural shade gradients. These restorations were meticulously bonded using adhesive protocols, optimising longevity and periodontal health.

Outcome

The final outcome is a stunning, harmonious smile that not only meets the functional demands but also enhances the patient’s facial aesthetics. The patient was delighted with the transformation, experiencing a renewed confidence in both her appearance and dental function.

Conclusion

This case underscores the transformative power of a multidisciplinary approach, integrating implantology, prosthodontics, and digital smile design. By leveraging modern materials and techniques, we were able to deliver a bespoke, natural-looking smile that complements our patient’s unique facial features.