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My first Invisalign ® case involved a simple spacing case https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/c3a4363f-d449-4754-beaf-282999edfec0/JLfinal.JPG Smile Gallery - Invisalign Invisalign #1--After. The end result was extremely gratifying for my first foray into the world of clear aligner therapy https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/058461da-4989-4e77-b5e4-46db2f50ab32/AHintiial.jpg Smile Gallery - Invisalign Invisalign #2--Before. This patient wanted to million dollar smile for her upcoming nuptials. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/3114d0f5-a997-4bbd-8122-dea5ed755094/AHfinal.jpg Smile Gallery - Invisalign Invisalign #2--After. Every time I see her wedding photos and in person, I can't help but marvel at the transformation. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/30942675-cfff-4e46-884c-6ce1e436b9ee/TDinitial.JPG Smile Gallery - Invisalign Invisalign #3--Before. This was an early case that really got me excited about the possibilities of Invisalign. He was a handsome guy who had some crowded lower teeth and accompanying gum issues. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/94651363-0001-454b-a555-5a3424c70164/TDfinal2.JPG Smile Gallery - Invisalign Invisalign #3--After. Not only does he now have a million dollar smile after more than 10 years, the gum issue also resolved with the straightening of his teeth. One of my proudest moments for sure! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/fd0b6db2-b09a-4009-941e-7b468a967795/SFinitialupper.jpg Smile Gallery - Invisalign Invisalign #4--Before What this patient hated the most about her teeth was the lower incisor that pointed inward and cast a shadow whenever she smiled. What she didn't notice was the "omega" shaped upper arch where the front of the arch is pointy and the outside edges of the canines are flared out. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/727ef70d-7950-421b-9a5a-1d7a70ed4a66/SFinitiallower.jpg Smile Gallery - Invisalign https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/67d3ad5a-a7cd-477a-aae8-a271e762de2c/SFfinalupper.jpg Smile Gallery - Invisalign Invisalign #4--After This patient not only had her pesky lower incisor moved back into the arch, her upper arch is now much more rounded, resulting in a wider and fuller smile. This is why whenever a patient asks me if they can only fix one arch, I always tell them that treating both arches will give them a better result, even if it's not as noticeably misaligned at first. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/c01aeb75-0dcf-4694-8a56-30a9275955bb/SFfinallower.jpg Smile Gallery - Invisalign https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/e4896e60-1183-42c3-9480-ef8c38d0731a/MLinitial.jpg Smile Gallery - Invisalign Invisalign #5--Before. This patient was always self conscious of her smile due to the rotated central incisors. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/84d886f4-3e16-4b98-87a7-3817ded7ff31/MLfinal.jpg Smile Gallery - Invisalign Invisalign #5--After. She was initially given a comprehensive orthodontic plan, but ultimately decided what mattered most to her was how her front teeth looked. In the end, even with limited treatment, the result improved her alignment significantly, and she is over the moon about being able to smile confidently now. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/d2bdc5a4-8e56-4065-a21d-248636e90145/Invisalign+Provider+Logo-RGB.png https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/824f5f5f-1b47-4ac1-a00c-ad7e056d7971/iteroDigitalPractice-digital-horizontal-white-noBackground.png https://www.leslievilledentistry.com/smilegallery/project-three-sng7y-ztdh5-t56ab monthly 0.5 2024-09-07 https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/d11be0bd-917e-4ce4-813b-b1821298b450/SBinitial.JPG Smile Gallery - Porcelain Crowns and Veneers Veneers #1--Before. This patient had worn teeth, black triangles, and mismatched shade of his natural teeth compared to the crowns adjacent to them. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/3feac562-24f0-4b73-b4f6-a08f3f5a0699/SBfinal.JPG Smile Gallery - Porcelain Crowns and Veneers Veneers #1--After. Porcelain veneers were used to harmonize the contours and shade of the teeth, restore length and width, and block out the black triangles. His comment afterwards: "I wish I had done this a lot sooner!" https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/d36f365a-a768-4ee1-ad1d-d6febc70c9a8/ABinitial.JPG Smile Gallery - Porcelain Crowns and Veneers Crowns #2--Before. This patient had a patchwork of fillings and worn edges that she wanted to see improved. The debate is always whether to crown four or six teeth. In this case, we agreed to do four for now. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/b61bc72b-d668-4157-ab1b-e5c92b676700/ABfinal.JPG Smile Gallery - Porcelain Crowns and Veneers Crowns #2--After. She received four porcelain crowns and now is able to smile confidently. She has received many compliments about how natural they look! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/8f927653-9e2d-40d0-955a-c7e97930b8d5/RSupperinitial.JPG Smile Gallery - Porcelain Crowns and Veneers Crowns #3--Before. This is one of my FAVOURITE cases of all time, as it combines Invisalign, Porcelain Crowns and Cosmetic Bonding to restore this patient's smile. This patient only had tooth-to-tooth contact on three of his front teeth for fifty plus years because his front teeth were tilted inward and prevented contact on his back teeth. The severe wear was evident on those three pairs of upper and lower front teeth. It did not take much convincing on my part that his bite could be improved drastically to allow use of all of his teeth for the rest of his life. This photo shows the results at the end of his Invisalign treatment. See the corresponding BONDING post to see the before and after photos on his lower teeth! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/5eae8cc4-b956-4603-9d54-5ed9b31528a6/RSupperfinal2.jpg Smile Gallery - Porcelain Crowns and Veneers Crowns #3--After. Normally we would do four crowns for symmetry, but his left lateral incisor was pristine and we agreed that we could achieve high esthetics just with three crowns. In his wife's words, "You are his new BFF!" See the corresponding BONDING post to see the before and after photos on his lower teeth! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/726ea78f-fb78-49cc-8e90-d76c7f74699d/DLinitial.JPG Smile Gallery - Porcelain Crowns and Veneers Crowns #4--Before. The crowns had unsightly dark margins due to the older material used for the crowns. The shapes were also not harmonious with the surrounding teeth, and the shade and opacity were too much of a contrast. Lastly, bacterial accumulation at the crown margins caused the gums to be chronically inflamed. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/121ee52e-0e1d-4924-a075-09bcd514c379/DLfinal.JPG Smile Gallery - Porcelain Crowns and Veneers Crowns #4--After. The improvement is drastic with a more natural looking material, a better matched shade and shape, and the gums are in better health because the margins are properly sealed. https://www.leslievilledentistry.com/smilegallery/project-three-sng7y-ztdh5-t56ab-3am65 monthly 0.5 2024-09-07 https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/5496242e-53c5-47db-9183-9857b2864706/MGinitial.JPG Smile Gallery - Bonding Bonding #1--Before. Undersized teeth, midline gap and uneven arch contour. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/1725661908121-SASUPTRS06WBTWNHDWER/MGfinal.jpg Smile Gallery - Bonding Bonding #1--After. I used cosmetic bonding to increase the size of the lateral teeth and to close the midline gap between the central teeth. By increasing the thickness of the lateral teeth as well, it improved the arch contour. In the end, we re-introduced a smaller midline gap because the patient saw it as being truer to how she saw herself, and that was easy to do with the bonding. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/053652f8-ae70-429c-9cd1-ab8ab1ca2eb4/TVinitial.jpg Smile Gallery - Bonding Bonding #2--Before. Gappy smile due to narrow central and lateral incisors. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/d0f6a28a-8bc9-4cae-9f5d-b7d7cd73e27e/TVfinal.jpg Smile Gallery - Bonding Bonding #2--After. Bonding was used to add to the length and width of all four incisors for a more even smile. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/b39018e3-a49c-488a-a8b5-42cb006b38bc/EMinitial.JPG Smile Gallery - Bonding Bonding #3--Before. This patient had just finished orthodontic treatment but due to a mismatch in jaw size to tooth widths, there were residual gaps that needed to be filled. She also had chipped edges and disharmonious tooth lengths. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/8c752ca9-0f5b-4592-bfa9-a179183bef51/EMfinal2.JPG Smile Gallery - Bonding Bonding #3--After. Cosmetic bonding was used to fill all the gaps, to harmonize the lengths, and ultimately to make her smile more esthetically appealing. With the teeth now touching, there is much more lateral stability. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/7b22afc7-c76b-411a-9a46-e09e6397a603/RSlowerinitial.JPG Smile Gallery - Bonding Bonding #4--Before. This is one of my FAVOURITE cases of all time, as it combines Invisalign, Porcelain Crowns and Cosmetic Bonding to restore this patient's smile. This patient only had tooth-to-tooth contact on three of his front teeth for fifty plus years because his front teeth were tilted inward and prevented contact on his back teeth. The severe wear was evident on those three pairs of upper and lower front teeth. It did not take much convincing on my part that his bite could be improved drastically to allow use of all of his teeth for the rest of his life. This photo shows the results at the end of his Invisalign treatment. See the corresponding CROWN post to see the before and after photos on his upper teeth! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/64a65706-92b4-4eae-8d99-41e45fd4cac0/RSlowerfinal.JPG Smile Gallery - Bonding Bonding #4--After. We whitened the teeth first, and then used cosmetic bonding to repair the chipped edges and to resurface two of the lower incisors. This also set the reference points for the upper crowns which we did immediately after. See the corresponding CROWN post to see the before and after photos on his upper teeth! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/cab25a65-cb28-4d88-9a28-3c80d8f628b4/FCinitial.jpg Smile Gallery - Bonding Bonding #5-Before. A peg lateral is an undersized lateral incisor that is conical and pointy. Sometimes it can be unilateral, leading to an asymmetric smile. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/eccf2f6c-1c08-477a-a2c5-c55dcf8e24e8/FCfinal.jpg Smile Gallery - Bonding Bonding # 5- After. Although there was little that could be done to increase the width of the tooth significantly, the result from bonding still yielded a much more harmonious and esthetically pleasing tooth. Stay tuned for the second half of her smile transformation! https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/010f5a49-df32-4672-86b2-89f25abccd62/VKinitial.JPG Smile Gallery - Bonding Bonding #6--Before. This patient lived with her chipped front tooth for years. When she was offered an opportunity to fix the chip, with the added benefit of addressing the exposed root and mismatched gumlines, she decided to take a leap of faith. https://images.squarespace-cdn.com/content/v1/63c427664fcafc28f5e1d6ba/d8924539-40d7-4eed-9755-778f6e687268/VKfinal.JPG Smile Gallery - Bonding Bonding #6--After. With proper symmetry in the proportion of the teeth and harmony with the gums, this patient couldn't be happier with the final result.