Smile Gallery

The Presentation & Assessment

The client presented with a traumatic fracture to the upper left central incisor. While the structural integrity of the root remained intact, the visual disruption to the smile's symmetry caused significant aesthetic concern. The requirement was a restoration that would be undetectable to the naked eye.

A rigorous vitality assessment confirmed the nerve remained healthy and responsive, ruling out the need for invasive endodontic therapy. The biological canvas was healthy, allowing us to prioritize a solution that preserved the maximum amount of natural tooth structure.

The Protocol

The Presentation & Assessment

The client, in her fourth decade, sought to rejuvenate the overall luminosity of her smile. Beyond general discolouration, specific chromatic imperfections—manifesting as dark abrasions on the maxillary incisors—compromised the visual harmony.

Clinical evaluation revealed a sound biological foundation marred only by superficial pigmentation and enamel inclusions. The diagnosis favoured a conservative pathway, prioritizing the preservation of natural structure while enhancing brilliance.

The Protocol

The Presentation & Assessment

The client attended with a concern regarding the chromatic density of his dentition—specifically a yellowish hue that compromised the aesthetic freshness. The presence of existing mandibular restorations presented a specific challenge for shade integration.

Clinical assessment confirmed that the natural enamel was suitable for oxidative lifting. We established a clear expectation: the natural teeth would brighten, while the existing composite fillings would remain shade-stable, potentially requiring future replacement for perfect uniformity.

The Protocol

The Presentation & Assessment

The client presented with a challenging aesthetic disruption involving the upper central incisors. Historical trauma had compromised the vitality of the right central unit, manifesting as a persistent internal discolouration. Combined with incisal edge wear, this created a dissonance in the smile's symmetry and luminosity.

Clinical evaluation verified the integrity of the previous endodontic therapy. The challenge was distinct: to neutralize the deep chroma of the non-vital tooth structure without creating an opaque, 'flat' appearance, while simultaneously reconstructing the worn incisal silhouettes.

The Protocol

The Presentation & Assessment

The client presented in 2015 with a history of aesthetic compromise. Repeated failures of composite bonding on the anterior teeth had led to a loss of confidence and a reluctance to smile. The objective was definitive: to break the cycle of repair and establish a lasting, stable aesthetic.

Clinical examination identified that the existing bonding was mechanically insufficient for the occlusal forces. To achieve long-term stability without compromising the biological width, a transition to high-strength porcelain was indicated.

The Protocol

The Presentation & Assessment

The client presented with a pervasive dissatisfaction regarding the visual cohesion of her dentition. Citing a 'chromatically compromised' appearance and structural fatigue in existing bonding, her concerns were multifaceted: diastemas (gaps), uneven shade distribution, and a general lack of symmetry.

Comprehensive analysis revealed that minor additive measures would be insufficient to address the structural and aesthetic deficits across both arches. The clinical consensus favoured a definitive rehabilitation: a complete redesign of the visible dentition to ensure longevity and perfect harmony.

The Protocol

The Presentation & Assessment

The client, a young woman in her twenties, attended with a profound emotional burden regarding her smile. Years of dissatisfaction with previous restorative attempts—specifically ill-fitting fillings and an unnatural veneer—had led to a complete loss of confidence. Her primary concerns were diastemas (gaps), generalized discoloration, and pervasive asymmetry.

It was evident that previous piecemeal dentistry had failed to address the overall harmony of the smile. The clinical consensus was for a comprehensive yet conservative approach: first to lift the fundamental value of the dentition, and then to architecturally correct the anterior aesthetic zone.

The Protocol

The Presentation & Assessment

The client, a female in her late fifties, presented with dissatisfaction regarding the aging appearance of twenty-year-old restorations. Her concerns were multifaceted: incisal wear, chipping, underlying decay, and a smile architecture she felt was 'too masculine' for her personality.

Clinical evaluation confirmed the biological failure of several existing units due to recurrent decay. The aesthetic diagnosis highlighted a need for softer, more rounded line angles to feminise the smile, alongside a lift in value (brightness).

The Protocol