Do You Have a Patient Like This?

Case Study: Dental Veneers to Fix Spaces

Patient Jane (not her real name) was referred to me by another dental professional in the area who was busy with their patient load, and Jane’s needs were more complex than they wanted to take on.

I met with Jane for a Comprehensive Examination, then for a Diagnostic Records Appointment, which was then followed by a Consultation Appointment.

Jane was embarrassed by the appearance of her teeth and told me that her Chief Complaint was “I am about finished with ortho and I have spaces with my front teeth.”

As a prosthodontist, I have experience planning multi-stage treatment plans over several months (sometimes years), and can coordinate with other dental specialists.  For Jane, this specialized planning took place after two separate consultations:

Consult #1 Treatment Plan

  • Finish Treatment with an Orthodontist
    • Equal spacing with maxillary anterior teeth # 6-11
  • Remove orthodontic appliances and fabricate retainers
  • Patient to decide if she wants bonding in the anterior area or wait until growth is complete.
    • Then veneers will be placed at # 7, 8, 9, 10
    • She was informed that esthetic crown lengthening may be necessary prior to definitive treatment

Consult #2 Treatment Plan

  • 3rd molar extractions with an Oral Surgeon
  • Diagnostic equilibration and wax-up for #s 7, 8, 9, 10
  • Full mouth equilibration and prep and provisionalize #s 7, 8, 9, 10
  • Crown lengthening max anterior are #s 6-11 with a Periodontist
  • Place definitive crowns #s 7, 8, 9, 10
  • Maxillary BP

When the treatment plan was completed, Jane was pleased with the outcome.