The patient was referred to our clinic for esthetic evaluation of the maxillary anterior teeth.
The teeth were in malposition in the arch. They also had uneven gingival margins as well as inadequate crown proportions.
We recommended orthodontic treatment for proper teeth alignment. Followed by cosmetic crown lengthening for establishment of adequate crown proportions. Finally, prosthetic rehabilitation with full ceramic veneers and crowns.
The patient declined ortho treatment. Patient understood that esthetic results may be compromised without ortho treatment and more invasive teeth preparation might be needed.
Diagnostic wax-up was performed and a direct mock-up was done in the patient mouth.
Based on the mock-up, cosmetic crown lengthening was performed.
Final restorations were cemented 3 months later.
At 6 months follow up, stable results are appreciated.
Surgery: Ioannis Vergoullis, DDS, MS
Restorative treatment: Marieta Kalogirou, DDS
