This was an interesting case which illustrates how we work collaboratively with our patients to arrive at a solution to their problems.
Over the years, this person had had a number of dentists provide varying amounts of dental care throughout her mouth. When I examined her, it was apparent that while her back teeth had need of some dental treatment, her front teeth required immediate care.
Her previous dentistry across the front of her mouth included old porcelain veneers and bonding, all in a state of disrepair. Several repair attempts had been made, but it was obvious to both the patient and myself that she would need some definitive treatment to correct these issues.
While this patient was eager to finally restore the failing bonded teeth and veneers, she felt that the two lower canines, which had no bonding or decay, should not be treated - therefore, we restored the upper six teeth and the lower four incisors while leaving the lower canines untouched. This approach required blending the shades of the new crowns and veneers with the existing shade of the lower canines, while simultaneously striving for the lightest shade possible.
With relatively few exceptions, care such as this can be provided in a phased manner over time. This patient plans to replace some of the failing restorations in the back of her mouth, when the time is right for her. At that time we will be able to more closely match those back tooth shades to her new front teeth. In the meantime, her new restorations have given her back a confident, healthy smile.
© Joseph J Kurtis, DMD. All rights reserved. All images are of actual patients, used with their permission.