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Before After
Case 1. Homemaker 42 y.o. Bryn Mawr, PA. Chronic wear and chipping of upper front teeth. Porcelain veneers (2) utilized to restore fractured central incisors and correct the bite to prevent future chipping. Notice color match, slight unevenness to enahce understated natural appearance, healthy gum tissues and harmony with adjacent teeth.
Before After
Case 2. Surgeon 48 y.o. Villanova, PA. 12 yr. old crowns (4) on upper front teeth are too short and square. Soft tissue contouring was performed to decrease "gummy smile". New all-ceramic (no metal) crowns exhibit correct width/length ratio. Increased tooth display provides a more youthful appearance. Note translucency, craze lines and degree of special effects created to match the natural dentition.
Before After
After After
Case 3. Former model 45 y.o. Gladwyne, PA. Esthetic issues include old bonding on upper front teeth, reverse curve smile, as well as chipped, uneven lower teeth. Excellent results are evident with conservative treatment, consisting of porcelain veneers on the 4 upper front teeth plus instant straightening of lower front teeth with cosmetic reshaping.
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After
Case 4. Periodontist 53 y.o. Bala Cynwyd, PA. Upper front crowns have failed repeatedly due to severe grinding and clenching habits. Esthetic complaints include short/square teeth and excessively "gummy smile". Following detailed diagnostic planning, periodontal plastic surgery was performed to increase teeth length. Bite issues and esthetic concerns were addressed with a porcelain/gold alloy bridge on the 6 upper front teeth. No complications exhibited during a 10 year follow up period.
Before
After
Case 5. College student 23 y.o. Bluebell, PA. Patient was victim of hit-and-run automobile accident, resulting in many fractured teeth. Hopeless upper right front tooth was replaced with an implant. High level of esthetics was achieved with a combination of all-ceramic crowns and porcelain veneers. When proper technique is utilized, gum tissue around implant can be made undistinguishable from that on natural teeth.
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After
Case 6. Accountant 36 y.o. Paoli, PA. Patient diagnosed with aggressive periodontitis since her mid-twenties. Complex case with advanced bone loss, loose teeth and gum tissue deformities. Multidisciplinary approach included periodontal therapy, orthodontic movement, and a full-arch reconstruction. Restorations designed with all porcelain margins conceal appearance of metal-ceramic bridgework, thus addressing functional and esthetic concerns. Please note smile transformaion, harmonious gum-tissue profile, lack of open spaces and improved tooth form.
Before After
Case 7. Pharmacist 41 y.o. Bryn Mawr, PA. Complex case with congenital syndrome that included open bite, altered passive eruption (excess gum tissue) and amelogenesis imperfecta (defective tooth structure). Even though patient refused jaw surgery and orthodontics, dramatic results were nevetheless achieved with a combination of advanced bite therapy, periodontal plastic surgery, dental implants and a full-mouth reconstruction utilizing fixed metal-ceramic prostheses (bridgework)
Before
After
Case 8. Orthodontist 48 y.o. Philadelphia, PA. Complex case exhibiting severely worn teeth. Esthetic issues include a gummy smile, short tooth syndrome, inadequate dental proportions and discoloration. Previous treatment in Manhattan and Center City Philadelphia was unsuccessful. Smile design emphasized increased tooth display and facial harmony to create a brighter, younger appearance. Esthetic success was achieved with periodontal plastic surgery, laser contouring and a full-arch upper recontruction featuring metal-ceramic crowns with full porcelain margins.
Before After
Case 9.  Hedge fund manager 44 y.o.  Devon, PA.  History or chronic periodontal disease, loose upper anterior teeth and upper front crowns replaced on numerous occasions. Note gum recession, open spaces and smile disfigurement prior to treatment. Additionally, front teeth were elongated and out of proportion.  Following a combination of periodontal therapy, orthodontic movement and a fixed upper front bridge; teeth were stabilized and gum tissues regenerated. Vastly improved smile is evident post-treatment.

 

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