A 40-year-old male presented for the first time with the chief complaint of a previously restored, repeatedly broken lower front tooth. The misaligned upper teeth prevented full restoration of the lower front tooth to a normal size because of worsening bite interference. Using a multidisciplinary approach, we aligned all of the patient’s teeth in six months with clear braces. Once a properly aligned bite would allow the space, we restored the broken incisors with simple one-visit composite restorations.
A common problem with old crowns is recession of the gum tissue, which allows metal in the base of the crowns to show. This can happen years after crowns are placed, even if they looked good initially. A 50-year-old male presented with numerous restorations suffering from this phenomenon. These crowns can be removed and replaced with all-porcelain crowns that will restore a more natural look. Here, we removed all defective crowns and composite filling restorations at once, and placed porcelain crowns to achieve a more esthetic, uniform look to the teeth. Old defective restorations can be fixed!
A 40-year-old female presented with crowded front teeth and an upper lateral incisor locked out of the arch palatally into a crossbite. Because the patient was happy with the bite on her back teeth, we applied 6 Month Smiles braces, resolving both the crossbite and crowding in six months. Adult patients wanting their front teeth aligned can usually have their chief complaints resolved in about six months either with clear aligners or a fixed- appliance braces system.