Correcting Failed Smile Makeover with Premium Zirconia Crowns
Patient's Name
Mr. Shantanu (Name has been changed for privacy concern)
Gender
Male
Clinic/ Hospital Name
Jaydev Dental Clinic, Jubilee Hills, Hyderabad
Patient's Age:
45
Patient Background
A failed smile makeover can significantly impact both the function and aesthetics of a patient’s teeth. In this case, a 45 year old male patient, dissatisfied with his previous smile makeover, sought correction at Dr. Jaydev Dental. The original makeover involved the upper and lower anterior six teeth, but the result left the patient with noticeable occlusal imbalances and aesthetic concerns.
Chief Complaint
The patient reported significant dissatisfaction with his previous smile makeover. He noted the presence of a visible smile cant (tilted smile), poor anterior aesthetics, and discomfort while smiling and speaking. These issues affected his daily interactions and caused considerable distress about his appearance, which in turn, lowered his self-confidence.
Diagnosis
Upon examination, it was clear that the previous smile makeover had resulted in:
- Improper occlusal plane (alignment of the upper and lower teeth)
- Noticeable smile cant (misalignment of the smile)
- Aesthetic imbalance across the anterior teeth
- The need for correctional root canal treatments on previously treated teeth to restore health and stability.
These issues were thoroughly evaluated in the treatment planning stage, and solutions were designed to address both the functional and aesthetic needs.
Treatment Planning
The treatment plan focused on addressing the patient’s aesthetic and functional concerns while ensuring long-term biological stability. Key components of the planning included:
- Facial harmony: Ensuring that the smile aligned well with the patient’s natural features.
- Occlusal correction: Correcting the bite to restore functionality and comfort.
- Biological stability: Ensuring the teeth and gums were healthy for long-term success.
- Long-term predictability: Ensuring that the results would last for many years, with minimal maintenance required.
We incorporated Digital Smile Design (DSD) and digital face bow transfer to accurately plan the makeover, ensuring that both aesthetic and functional goals were met while aligning with the patient’s expectations.
Treatment Protocol
Correctional Root Canal Therapy: Root canal treatments were performed on the affected teeth to ensure biological stability before proceeding with the restoration.
Premium Zirconia Crowns: The upper six and lower six anterior teeth were restored with high-translucency zirconia crowns, providing both durability and a natural aesthetic.
Outcome
The patient achieved:
Excellent smile symmetry
Natural aesthetics
Stable occlusion