Wednesday, November 12, 2008

A good result in a tough case

Many times a dentist is forced to make the best decision in a difficult case for which his options are limited by the patient him/herself.
Maria’s case is a good example. She came to us after having searched a long time for a solution in other clinics. But not one of them seemed acceptable to her, and rightly so (it was even proposed to her to have the teeth extracted and bridges placed).
We initially proposed the ideal treatment, beginning with the orthodontic rehabilitation (replacing the teeth in the correct position) but she wasn’t ready to wear brackets. So, within the limitations imposed by the patient, the fastest, cheapest and the most conservative solution was the placing of porcelain veneers to improve the aesthetic appearance of the teeth.
The initial situation of the patient was the following:








Due to the large space between her teeth, at first we placed trial veneers allowing her to anticipate the result and take her decision without hurry. She nevertheless decided to go ahead the same day. Porcelain veneers are a very good solution for the closing of the spaces between teeth and bettering their aesthetics.
In order to improve the veneers’ adaptation we had to minimally remodel the gums’ outline (another solution would have been enlarging the hight of the dental crown, but Maria didn’t accept this either).
This was the final result:



The adaptation of the gums around the porcelain is wonderful and gives an agreeable sensation of naturality.



The change is important and Maria is satisfied. As he walked from the clinic, she said:
“I’m very pleased, it was well worth the waiting”. Maria’s satisfaction is our motivation to keep searching for the best solutions.