Patient Case Study – Replacing Stained Composite Bonding • Improving Tooth Shape • Widening the Smile

A Beautiful Smile Makeover with 10 Veneers

Patient Goals

My patient broke her front teeth a few years ago in an accident. At the time, she had composite bonding placed to repair them. Over the years, she kept needing the bonding replaced and was never fully happy with how her teeth looked. The shape wasn’t quite right and the bonding would stain over time.

She finally decided she was ready for a full smile makeover. Her main goals were to have a bigger, wider smile and improve the shape of her teeth so they matched her face better.

Smile Analysis

There were several things that needed to be addressed to achieve her goals:

  • Her two front teeth were very triangular in shape and short relative to her smile and facial proportions.
  • The composite bonding had become very stained, and you could clearly see the color difference between the bonding and the natural tooth.
  • Her teeth overall were small for the size of her mouth, lips, and face.
  • There was general staining and discoloration across the smile.

Before
After

Treatment Plan

10 upper porcelain veneers:

  • 10 veneers were needed to properly achieve her smile goals. If we only treated 2 or 4 teeth, the new teeth would stand out compared to the rest of her smile. We also would not have been able to improve the overall shape, shade, or widen the smile properly.
  • Treating 10 teeth allowed us to create a much more balanced and symmetrical smile while blending everything naturally.
  • Porcelain veneers are also a much more long-term solution compared to composite bonding. Porcelain does not stain the way bonding does, it is stronger, and it allows much more control over the final shape, shade, and overall aesthetics.

Final Result

The results are absolutely beautiful. My patient is ecstatic about her new smile and can’t stop showing it off.

With 10 veneers we were able to increase the size of her teeth, improve the triangular shape by making the teeth slightly longer and more rounded (giving a softer, more feminine look), brighten the shade while still keeping it very natural and tooth-like, and create a more symmetrical and wider smile that flows better with her face.

One of the most interesting things from this case is that because she now loves her smile so much, she no longer feels the need to do lip filler. In the final photo you can see her lips are completely natural and they now look very proportional to her teeth and smile.

Treatments

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Dr. Olivia Moran, DDS
Dentist & Practice Owner
Me Dental, San Francisco
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