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Inside Dentistry
November 2015
Volume 11, Issue 11
Peer-Reviewed
Patient presentation following orthodontic treatment. Note the gingival hypertrophy biofilm plaque white spot lesions.

Figure 1

High lip dynamics on maxillary and low smile line on mandibular—buccal corridor not developed.

Figure 2

Pre-treatment photograph before in-office whitening. Note the lack of hygiene compliance.

Figure 3

Post-treatment results of in-office whitening show color change from A2 to 020 bleach.

Figure 4

Stump shade photo shows different color and subgingival preparation.

Figure 5

Pre-surgery: gingival recession and lack of attached gingiva.

Figure 6

Connective tissue graft being pulled into the tunnel.

Figure 7

Post-surgery: connective tissue graft was successful and root coverage was attained.

Figure 8

Flowable composite was added to attain desired facial fullness.

Figure 9

Slice preparation respecting midline and width of centrals.

Figure 10

Minimal preparation was not possible due to deep interproximal carious lesions.

Figure 11

The porcelain lateral incisor was duplicated in wax followed by fabrication of IPS e.max canine crown.

Figure 12

IPS e.max carried to the lingual for resistance form on contralateral canine.

Figure 13

Excellent tooth form, shape, color gradation, and gingival esthetics.

Figure 14

Final result with buccal corridor developed in maximum intercuspation.

Figure 15

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