cronicaskaterbinas

Now things are beginning to take shape and the first of many spontaneous smiles !! Those are real narrow ridges, considering that they never carried teeth before....... can they even be called alveolar bone? Narrow ridges with limited budget and desire to smile asap and certainly no inclination for bone grafts and the like ......... MINIS THE BEST BET ?

Having made it my stated purpose as.... "to make him smile easily and spontaneously",  I proceeded to cosmetically bond and reshape his two "draculas" into more innocently looking incisors. With growing inspiration, I orthodontically began approximating them.

First thing I decided was to raise the bite with over crowns on whatever posterior grinders he had been alloted due to his condition. Ah......that would moderate down his pouting lips and make him less like wanting to kiss you.

Took the appropriate xrays and even did a cephalometric study of his face. What are his expectations and budget ? What is his oral and general condition ? What is my experience and knowledge that I can apply here ? What is the precise diagnosis of his dental condition and what then is an appropriate treatment plan......taking all these into consideration ?

This 20 year old young man seldom smiles for obvious reasons. I wrote him a referral letter to a dental school...... however he came back. So.......I decided to treat him........ maybe I can help him to smile again..... I said to myself...... not really believing it.