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Denise before we
addressed her main concern with her recently placed LUMINEER porcelain
veneers from another dental practice. She had had her six top front
teeth veneered. |

Just over an hour later
Denise is a very happy lady! Some artistic recontouring of her new
porcelain veneers made all the difference to her. See if you can detect
the changes below. |
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Denise
before our smile makeover. She was concerned that the look she
wanted had not been achieved. The teeth looked too big, as she stated,
"like horse teeth" to her. |

We
narrowed the teeth, shortened some of the incisal edges, cut back the
porcelain at the line angles and margins, deepened the incisal
embrasures to make the difference. |

Now, after our
recontouring and polishing of the porcelain, note the more natural
appearance of the teeth at the gum line, the narrower look of the entire
group of six teeth, and the difference in the way the light reflects off
the recontoured teeth. |

Note that the initial
porcelain veneers were lacking in definition and individuality. The
rounded gum line and square look of the teeth was unattractive to the
patient. We agreed with her. |

Notice that the teeth
look dull and lifeless here. This is because the light is reflected too
evenly. Also note that the front six teeth are much longer and much
wider than her posterior teeth adjacent to her veneers. This size
difference was unacceptable to Denise. Another area of concern to us was
the untrimmed margins that were digging into her gums, creating bleeding
and swelling. This was a major flaw in the original fitting of these
veneers and needed to be corrected to avoid periodontal breakdown. |

With careful listening,
we determined that Denise wanted smaller appearing teeth, more to match
what she had had in the past. This was accomplished and she was very
happy with our result. The natural anatomy of the teeth was
re-established allowing light to bounce off the tooth in many angles,
creating the illusion of reality! Once the bulky, overhanging margins
were properly trimmed, the look of the teeth at the gum line improved
dramatically and the health of the gums returned within just a few days. |
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Now,
after our makeover of her makeover, she is one happy girl!
Enlarged
Photo
After 30 years of dentistry,
we still enjoy this kind of case because it just makes your day to help
people feel good about their smiles. |

Denise
was fortunate that the work done could be rescued without major
replacement of any of the veneers. Our only investment in her care was
time....time spent listening and time spent performing some artistic
recontouring and polishing of her existing veneers.
Enlarged
Photo |
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Denise
and her lovely pearly whites!
Enlarged
Photo
Dr. Williams is a Sustaining
Member of the American Academy of Cosmetic Dentistry and a Master of the
Academy of General Dentistry. Much of the artistry he has learned comes
from the teachings of these academies. |

Notice that the tooth is
nearly straight with little bend at the gum line. This is where the bulk
was most severe and overhanging into the gums.

Notice
now in the corrected situation (lower photo), the individuality of the
incisal edges, the larger gingival embrasures, and the proper emergence
of the porcelain from the gum line. |