Cosmetic Dentistry- Patient case report

Cosmetic Dentistry- Patient case report

Problem: Patient wanted a fuller smile, whiter, brighter teeth. On the upper right side the canine was too long and prominent. Next to it the lateral incisor was rotated. The central incisors were too long resulting in 50% overbite. Upper left canine was missing causing the lower left canine to super erupt. The space for the upper left canine was only 4 mm wide & 5 mm high- not enough for a tooth that should be 11 mm tall (incisal to gingival margin) and 8 mm wide. Patient did not want to spend 18/-24 months in braces. 

Solution: We fabricated Lava crowns #4-12 to give him a fuller smile. We made upper right canine smaller, less prominent, corrected the rotation of upper right lateral incisor, reduced the length & width of the central incisors to create enough space for the upper left canine. I reduced bone & gingival tissue in between the upper left lateral and canine to create enough space for a full size canine. I chose Lava as material of choice because it has a zirconia coping with feldspathic porcelain overlay, giving the best combination of strength & aesthetics.