Case #3

For optimum esthetic and clinical results in veneer cases, it may be necessary for substantially misaligned teeth to be straightened with braces before the actual veneers are inserted. The biting surfaces of each tooth needs to make sound and stable contact with the opposing teeth and each neighboring tooth needs to align properly for healthy bone, gums, and teeth. Without this ideal environment dentitions may deteriorate over time and evidence will begin to appear frequently in the form of bad breath, decay, receding and/or inflamed gums and periodontal disease.

This patient received orthodontic treatment to align her bite and teeth for a uniform emergence profile (the line that is created at the base of each tooth where it meets the gum and that is revealed by how it emerges up around the root of the tooth and the base of the crown). Each tooth has it’s own emergence profile, however: if it is incorrect and esthetically displeasing Dr. Singer will repair the profile(s) using parameters that are known by cosmetic and orthodontic dental clinicians before he actually places any porcelain restorations. This way, once the restorations are placed there is a solid foundation of tooth extending from the gum line correctly and allowing for a flawless bond of any new restorations. With a proper emergence profile and a nicely prepared foundation under an all porcelain restoration gingiva can be visibly healthy, natural and esthetically pleasing to the eye. This level of expertise and attention to detail is often overlooked or poorly executed in many cosmetic restoration cases performed elsewhere.

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