Orthodontic setup for conservative dental cosmetic makeover

Chipped and worn teeth of a person who bruxes

Before:

Smile re-alignment can be an additive-reductive process

Often times patients request veneers when their teeth are significantly crowded, rotated, or poorly spaced. It is beneficial to limit the amount of tooth structure removal when doing cosmetic veneers. Far less tooth structure is lost if an orthodontist is employed to fix tooth alignment prior to doing the veneers. This patient just finished orthodontics. The orthodontic goal was to improve her occlusion and to align the tooth roots and to create a natural symmetry of the gum tissue. The front worn tooth edges were left uneven because that is much more easily fixed with veneers.

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After:

Pre-prosthetic alignment of teeth to lessen amount of tooth preparation

Treatment consisted of subtle teeth reshaping, lower tooth surface smoothing, bleaching, and 6 Feldspathic veneers were done on the upper front teeth. She wanted very smooth surface texture and natural coloration of her new veneers.