Full ceramic bridge and porcelain crowns

Doris: Doris came to us desiring to address some very common issues for many baby-boomers today, older restorations that are not only causing esthetic issues but also and most importantly, causing functional problems like decay or infections. Doris was quite impressed with our approach to treatment planning because Dr. Canto truly listened and designed a treatment plan that fit Doris’s desires. She wanted the old work replaced and also wanted her smile to look better but she did not want to remove any additional tooth structure unless absolutely necessary. Doris had an existing older, porcelain over metal bridge that created those commonly seen and unwanted “black lines” at the top of the teeth, due to the metal inside the bridge. The bridge also had deficient contours and shapes of teeth giving her a very asymmetrical or uneven appearance of the teeth from right to left. Doris had ground her teeth and caused them to be shorter and flatter in the front than they should be causing a more aged appearance to her smile. She also showed some old, ugly silver mercury fillings that definitely needed replacement. With the combination of all of these issues and a desire to keep as much existing tooth structure as possible, Dr. Canto created a very conservative smile design for Doris which included functional as well as cosmetic solutions. Dr. Canto replaced the existing metal based bridge with a full ceramic bridge so as to never have to deal with those unsightly “black lines” and was able to correct the size and shape discrepancies. Because the mercury fillings were so large and broken down, the teeth on the back upper left required full porcelain crowns that blend right in to the smile. Dr. Canto then completed Doris’s smile rejuvenation with conservative direct bonding on the remaining upper front teeth and the lower front teeth. Doris is thrilled with her new youthful smile that certainly reflects her “go-getter” spirit!   Before After