Many times, your smile is the first thing people notice about you. Whether personally or professionally, a great smile improves your self-confidence and creates an image of youth, health, and vitality.
We love to make our patients smile. Below is a series of before and after photos highlighting a few of the smiles we’ve improved.
This patient was unhappy with the appearance of the front teeth because they were different colours, sizes, and shapes. She was ready for change. We started by removing and replacing the old discoloured fillings then shaping the teeth to be fitted for crowns. Porcelain crowns were then placed on tooth #14, #13, #12, #11, #24; and a bridge on tooth numbers #21, #22, and #23.
This patient was concerned about the appearance of the receding gums, the looseness of the front tooth, and the length of the front tooth in comparison to the neighbouring teeth. The cause of the recession and looseness was determined to be the result of a "bad bite", meaning the teeth on the top and bottom did not fit together in harmony. When teeth do not bite together favourably it can cause gum recession, looseness and even crack/ break. The recession and looseness of tooth #21 and #22 could not be reversed so removal was required. The remaining front teeth were then prepared for a porcelain bridge with pink porcelain added along the gum line to camouflage the areas of recession.
This patient had a significant amount of wear across all of the lower teeth. The patient felt his age was a factor in deciding how much he was willing to spend on restoring the teeth, but he was very concerned about preventing the wear from worsening because it could lead to losing the worn teeth. To be cost effective a plastic dental composite crown was used to restore the 3 most badly worn teeth, and white filling material was used to restore the edges of the remaining worn teeth. The longevity of the plastic dental composite crowns placed on tooth #42, #31, #32 is less ideal but was a fair compromise to best suit the patient's requests.
This patient presented to the clinic with her existing crown from tooth number #11 having come loose due to a fracture in the root. Unfortunately, the crown was unable to be fixed and cemented back into place and the tooth required extraction. After discussing the treatment options the patient elected to have a bridge placed rather than an implant. By placing the bridge, the space between #11 and #21 was able to be closed. The existing crown on tooth #22 was also replaced to better match the bridge and cover up the exposed root of the tooth.
This patient wanted new crowns placed on the front teeth because the existing crowns were staining and very dull in appearance. To give the teeth a more natural appearance, the old crowns were removed and porcelain crowns were placed on teeth #11, #21 and #22. White plastic dental composite fillings were placed on teeth #12, #13 and #23 to change to shade to better match the new crowns.
This patient had been missing his lower front tooth #32 for a long period of time that resulted in the neighbouring teeth #42, #41 and #31 shifting and opening up spaces next to the canine teeth. He wanted to fill the spaces and whiten the teeth in order to achieve a fuller and more youthful smile. Two of the front teeth had a lot of gum recession and required removal, so a bridge was placed to span across all of the lower front teeth #43, #42, #41, #31, #32 and #33.
This patient was concerned about the appearance of the existing bridges across the front teeth. Not only was one of the bridge's loose and had fallen out on multiple occasions, but tooth #11 of the bridge had also chipped and was previously repaired with a white filling material. The repair on #11 of the bridge did not match the colour, it was also starting to chip and there was a dark line along the gums that was not aesthetically pleasing. By removing the existing bridges and replacing them with new porcelain bridges it gave the teeth a more natural appearance.
This patient wanted a new smile. The fillings on the front teeth were different colours than the neighbouring teeth, there were spaces where teeth #23 and #25 had been removed, and the gums were irritated and easily bled due to poorly fitting crowns on teeth #21 and #22. After a comprehensive examination and discussion, the patient elected to restore all of the upper teeth with crowns and a bridge. Considering the patient did not have any habits like tooth grinding, tooth clenching or nail biting, porcelain only crowns were placed to achieve a more natural look. Crowns were placed on teeth #15, #14, #13, #12, and #11, and a bridge that restored teeth #21, #22, #23, #24, #25, and #26. The patient chose to have a bridge placed instead of implants in the spaces where the teeth had previously been removed.
This patient had recently finished orthodontics (braces). Due to the size and shape of the front teeth, the orthodontist was unable to close the spaces without compromising the bite. The spaces between teeth #12, #11, #21, #22 were closed by layering white dental composite fillings over the teeth. This type of treatment did not require removal of any tooth structure and involves simply adding material on top.
This patient had a partial upper denture to fill the spaces of the missing teeth #21 and #22. She was tired of taking the partial denture in and out and it did not look like her real teeth. The teeth had been missing for a significant period of time, and the bone and gum tissue had started to "shrink". By placing a porcelain bridge from tooth #12, #11, #21, #22, and #23, with pink porcelain along the gum line, the dark space was filled in where the gums had receded away.
This patient had a particularly difficult case. The patient was unhappy with the colour of the front teeth, and with how thin the front teeth appeared. There were also uneven gum tissue levels and the teeth were quite short. Additionally, the upper teeth completely overlapped the lower teeth. The teeth would have benefitted from having a gum shortening procedure to make the teeth appear longer and more proportionate without interfering with the bite overlap, and to level the gum tissues. The patient decided that she only wanted crowns placed and was satisfied with the uneven gum levels. Crowns were placed on teeth #12, #11, #21, #22 and a white plastic dental composite filling on tooth #13. Overall the patient was very pleased with the results and that is what matters most!
This patient has a porcelain bridge spanning across all of the front teeth. At some point a piece of the porcelain fractured off one of the edges and was rebuilt with white filling material by a previous dentist. Over time the filling material began to stain around the edges resulting with the patient being unhappy with the color difference. Structurally the bridge was in excellent condition and clinically didn't require complete removal for replacement. Dr. Champney and the patient elected for a more conservative approach by preparing just the one tooth on the existing bridge, allowing for replacement of the front facing porcelain only.
This patient reported having a past history of nail biting, clenching and smoking which resulted in uneven edges and discoloration of the upper front teeth. The patient was offered two options, Option 1: Porcelain Veneers and Option 2: Plastic Bonding (white filling material) Veneers. The Plastic Bonding Veneers option was chosen and completed across all of the front teeth from canine to canine. The bonding allowed for the teeth to be built to a more ideal size and proportion.
This patient had a defect in the enamel (protective outer structure of the tooth) when it developed as a child. The enamel defect resulted in premature breakdown of the tooth and risk for further damage to the remaining healthy structure. The tooth was prepared conservatively for a 3/4 porcelain crown to cover only the defective area of the tooth.
These are photographs of Dr. Champney's patients and treatments. Photographs are for informational purposes only; individual treatment results will vary from patient to patient. Some patients may not be candidates for treatment.