Smile Makeover With Needed Orthodontics

Patient

Age:: 50 - 59
Gender:: Male

Procedure

Profile

**Phillip C. Yancho D.D.S.**

231-941-2201

Procedure Details

This patient wanted a more youthful appearance to his smile. The teeth were severely worn from years of grinding (bruxism). After clinical exam, it was decided to crown the least number of teeth necessary to achieve the desired result. Orthodontics were used to move the teeth so that there was room for the final restorations.

Two photos showing the worn teeth in closed and open positions. The front teeth had lost almost 1/3 of their length from Bruxism (grinding). The patient wished for a more youthful and attractive smile. His teeth were no longer age appropriate but chronologically much older than the patients actual age. More

Braces To Help Final Result

Braces To Help Final Result Braces Removed — Braces Removed

Braces (Orthodontics by William Northway, D.S.S., M.S.) were used to make room for the new tooth length that needed to be added. Not all cases of wear require this, but this Traverse City Dentist wanted the best result for this patient and without crowning all of the teeth, braces would be required to make the room needed. More

Temporary Provisional Teeth

On the top, 11 teeth were prepped for crowns and on the bottom the front 6 teeth. The preparations were done on the same day and records taken for the laboratory (D.H. Baker). The provisional teeth were made chair-side from a custom wax-up of the desired outcome. The patient was able to "try out" the final restorations in advance through this process. The final crowns in porcelain will be exactly modeled from these provisional teeth. The provisional restorations from this Traverse City Dentist often are mistaken by friends and family for the final crowns! More

Final Restorations Completed

Final Restorations Completed Final Smile — Final Smile

The final all porcelain crowns were delivered and the outcome was amazing. The patient loved the result and smiles with full confidence and pride in his teeth! More

Before And After Smiles

Before and After Smiles! More

Before and After Retracted

Before and After Retracted After — After

What a tremendous difference in appearance, function and ability to smile without feeling self-conscious! More

Severely Worn Teeth

This patient presented with severely worn teeth on top and bottom. Years of grinding (Bruxism) had destroyed the enamel on most of his top teeth and compromised the longevity of his teeth. Teeth should always be "age appropriate". The permanent teeth erupt into our mouths starting at around age 6 and the process is typically completed by age 13 or older. When the teeth are in good harmony with the bite and muscles and joint, the wear is minimal and the teeth should look younger than us chronologically. This Traverse City Dentist is going to check your teeth for wear and talk to you about the ramifications of excessive wear if it is discovered on the initial exam in our office. Many dentists ignore wear or do not address it as they are not trained in the ability to repair it. Many patients come to me with severe wear and not realized how compromised their teeth are as the old dentist never addressed it.

When we started the consultation for this case, the patient did not want to crown every tooth to open the bite to compensate for the short teeth. It was suggested that orthodontic braces be used to move the front teeth back into the position that the occupied prior to the severe wear. When teeth wear, they hyper-erupt (move) so that they maintain contact with the opposing teeth. The gap made by the orthodontist (William Northway, D.D.S., M.S.) was accomplished in approximately one year of treatment. Once the braces were removed, the restorations could be completed and the case finished.

The case had a diagnostic wax-up done by the laboratory (D.H. Baker) and this wax-up was used to make the provisional (temporary) teeth.

The teeth were all prepared under local anesthetic in one day and the provisional teeth were carefully fabricated. The patient was able then to "try on" the permanent restorations as they closely mimicked the final crowns. The final restorations were then fabricated and cemented to get the final result shown in the pictures. Happy patient with a more youthful, vibrant smile!

Location

Yancho Dentistry