This young lady from China wants her teeth straightened fast and without braces. It’s with some trepidation that we decided to take on this challenging case. So far, things have been going well.

You don’t need to be a dentist to tell that this is a challenging case. We marked her 2 canines for extraction. We’ll also need to do some gum surgery on her laterals. Her incisors on the left side will also need to be “moved” to close the gap after the canine has been extracted.

Another look at how difficult this case is. Apart from extractions and gum surgery, we also need to do root canal on the incisors on the left side.

 Extraction just done on the right side. There is hardly any gap between the lateral and the first premolar. This will be the easy side.

 The other canine has also been extracted. Gum surgery done, exposing more crown height for the lateral incisors and the premolars. The gap on the right side is more significant.

Here’s the patient’s left side. There is a gap about half a tooth wide. We have already done root canal on the left incisors. We will later cut them off and rebuild with post crowns to close the gap.

4th day after surgery. Check out the healing.

 The teeth have been trimmed down and temporary plastic crowns placed.

We will wait 2 months for the gums to stabilise, then we’ll place emax crowns over them.

 Emax crowns fitted.

Case completed.

This middle aged lady had a couple of discoloured and root canal treated front teeth. She wanted the aesthetics to be improved.

Time to do scaling and a new denture for her back teeth.

A young and attractive childcare teacher cum part-time model turned up at our clinic with an interesting problem. Her main complaint was tilted right incisor. She could not put on braces as it would affect her modelling assignments.

 Apart from a tilted incisor on the right side, she also has a retained baby tooth in the canine position.

 The tilted tooth affects her smile very significant.

An xray solves the mystery. The patient’s permanent canine decided to lodge itself in the upper jaw bone directly above the right incisor. The “hidden dragon” pushed the root of the incisor backwards (palatally), tilting the crown of the same tooth forward (labially).

 An xray solves the mystery. The patient’s permanent canine decided to lodge itself in the upper jaw bone directly above the right incisor. The “hidden dragon” pushed the root of the incisor backwards (palatally), tilting the crown of the same tooth forward (labially).

 The “hidden dragon” was surgically removed and the defect was filled with bone graft.

The patient was pain free from the second day after surgery. We proceeded to do a root canal on the tilted tooth.

 Here’s the tooth with fibre post and composite core built up.

 Shade matching was a challenge. We didn’t want to follow the colour of her other teeth too closely as she may want to do something about the unsightly spots soon.

She may also wish to extract her baby tooth and replace it with an implant.

 And here is the temporary crown.

 Stay tuned to see our emax crown when it’s ready.

This young actress chipped her front tooth. Even though there was no nerve exposure, she decided to do root canal treatment followed by an emax crown. We explained the options to her. Both bonding and veneers will increase the bulk of the tooth and make it look even more protruding. By doing root canal, cutting back the tooth and then rebuilding it, we can effectively reposition the tooth and make it look straight.

 The right central incisor looks short because it is protruding. it is also chipped at the corner.

 The lateral incisor was a little instanding. As the patient has budget constraints. We did a little bonding to bring out the lateral incisor. Root canal is done on the protruding incisor.

 Another view. The left central incisor was also bondedso that all 3 teeth will look harmonised when the protruding tooth is crowned.

 An emax crown has been fitted. Check the alignment.

 She’ll look even better if the 2 adjacent teeth are laminated with Empress veneers. bonding has its limitations.

 As the finishing for the emax and bonding can be quite different, the patient is advised to have veneers on her other 2 teeth.