By: Dr. Elizabeth Eggert
How did this start?
Patient LK (this patient asked that we only use her initials) started her anterior restoration treatment with us after she chipped a filling out of one of her front teeth. LK had previously chipped this same filling, mostly because of how her bite comes together, and she was looking for a more permanent option. She also did not like the black triangles that were visible between her teeth when she smiled.
What was involved?
Upon examination it was noted that LK’s teeth had worn significantly at the edges which made her teeth look shorter. It was recommended that she undergo the records process to determine ideal treatment and what potential alternatives she had.
Through the records process with Dr. Elizabeth Eggert, LK’s treatment plan was developed. The records process involves an evaluation of muscles, jaw function, teeth, and their relationships with each other. Photos are taken of the mouth to help in visualizing how everything fits together and moves. Impressions are also made in order to create a 3D modeling of the patient’s teeth.
Through the analysis of the records process, it was recommended that LK consider doing orthodontic treatment in order to move teeth into a more functional position and prevent further breakdown of her teeth and potential restorations. It was also recommended that LK veneer her eight front teeth. Four on the upper arch and four on the lower arch. The analysis showed that the reason LK’s filling kept coming out was because her teeth are hitting too heavy against each other. The orthodontic tooth movement and 8 veneers would be able to create better functional harmony as well as redesign the teeth to correct the wear that had occurred.
What did LK want?
During the consult appointment, LK noted that she was not interested in orthodontic treatment and she planned to veneer only her two front anterior teeth. LK was willing to take the risk that her new restorations may not last long-term due the disharmony in her currently functioning system. Since LK would not be doing orthodontics, Dr. Elizabeth Eggert let her know that using a splint to protect her new veneers would be critical in order to improve our chances for success.
LK was concerned that it would be hard to get a good color match but when she saw our assortment of colors she was less concerned. LK thought about bleaching her teeth, but was worried they would be sensitive. She had tried over-the-counter products in the past, but had sensitivity issues. After reviewing her bleaching options, LK decided she would match her new veneers to her current color so she would not have to maintain the color long-term. Dr. Elizabeth was able to improve the esthetics of LK’s front teeth by restoring them to their original size and appearance. LK was very pleased with the result and stated, “It was like Christmas!” Thanks for putting your trust in us LK, it is always a pleasure working with you!