CDE0211

14 I I case report _ veneers _This banking executive was an existing patient who wished to improve his smile. His first treatment arose from a desire to reduce the prominence and pointedness of his upper canines (Figs. 1 & 2). We recommended he try orthodontics and whitening first, and then possibly some cosmetic treatment thereafter, depending on the desired result. The patient was adamant about not having orthodontics,sowedidamock-uponhiscanines to see if he liked the way it would look if we bondedhisteethsansorthodontictreatment.He loved the look and was immediately motivated to have his teeth whitened and bonded. His teeth were deep bleached and the mesial surfaces of the canines were bonded to dimin- ish the pointedness of his canines. He loved the more natural and harmonious look created by the bonding (Fig. 3). That was about three years ago. More recently, he came in for his routine pro- phylaxis appointment and wished to improve his smile a little more. This time, he wanted to see whether we could better align his teeth, again without the aid of orthodontics. He enquired whetherporcelainveneersforallhisteethwould be a feasible option. Closer clinical examination revealed several cosmetic issues, including but not limited to: 1. palatally inclined lateral incisors; 2. prominent and mesially rotated canines; 3. tooth #9 was slightly more retroclined than tooth #8; 4. an uneven gumline due mainly to a large cervicaldivotontooth#8withassociatedgin- gival overgrowth; 5. anterior crowding; and 6. retruded premolars that caused the smile to end at the canines in a narrow arch form (Fig. 3). We discussed all these issues with the patient and then, as before, cre- ated a mock-up of teeth #7 to 10 to show the patient what he would look like with four resin veneers (Figs. 4 & 5). cosmeticdentistry 2_2011 Abanker’s bond: When less is moreAuthor_ Dr Sarah Kong, USA Fig. 1_Full face pre-op. Fig. 2_Pre-op close-up, retracted. Fig. 3_Pre-op close-up, after canines were bonded. Fig. 1 Fig. 3 Fig. 2