Armchair diagnosis and cosmetic dentistry treatment plan.
- History: This person is missing a front tooth. The tooth that is missing should lie between teeth #1 and #2 and should be similar in shape and size to tooth #4. This person does not want to undergo orthodontic treatment.
- Cosmetic dentistry treatment plan: The goal will be to create a smile which is more regular and homogenous in appearance, so it is less obvious that this person is missing a tooth.
- Step 1: Periodontal surgery (gum surgery). The height of the gum line on teeth #'s 1 and 2 is lower than that found on the teeth of the left side, thus creating an asymmetry. Periodontal surgery can be used as a means to reposition the gum line on these teeth.
- Step 2: Make the biting edge of tooth #3 more even and regular. This might be accomplished by just trimming this tooth, or else the placement of dental bonding or a porcelain veneer might be required.
- Step 3: Create a dental crown for tooth #2, establishing its biting edge in line with tooth #3.
- Step 4: Create a dental crown for tooth #1, but make this tooth's biting edge straighter and less pointed than it was originally.
- Step 5: Trim the biting edge of tooth #5 so it is more straight across rather than pointed.
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