Presenting Clinical Problem

A patient from the Notting Hill area presented with structural and aesthetic concerns affecting the upper anterior dentition.

• Tooth Wear: Several upper teeth showed progressive incisal wear and uneven edges.
• Enamel Chipping: Localised fractures reduced tooth strength and surface integrity.
• Tooth Loss: A missing upper tooth disrupted the balance of the smile and occlusion.
• Functional Limitation: The patient required a restorative solution that improved both function and aesthetics.

The primary clinical objective was to restore tooth form and symmetry, replace the missing tooth, and provide a predictable long-term solution.

Treatment Plan & Clinical Process

A tailored treatment plan was developed to address both function and appearance.

• Phase 1: Diagnostic & Planning
  Digital Smile Design was used to assess facial proportions and simulate the proposed outcome. A “smile test drive” provided a preview of the planned veneer shapes and overall aesthetic changes.
• Phase 2: Tooth Preparation
  Minimal enamel reduction was performed to preserve natural structure while creating space for veneer bonding. Gingival margins were reviewed to ensure proper fit and alignment of restorations.
• Phase 3: Definitive Restorations
  • Porcelain Veneers: Six veneers were fabricated to restore shape, balance, and alignment of the anterior teeth.
  • Zirconia Bridge: A bridge was placed to replace the missing upper tooth, ensuring both stability and integration with the adjacent dentition.

The treatment was completed across five visits over three weeks, supported by provisional restorations during fabrication.

Clinical Outcome

The final restorations successfully met the treatment goals.

• Porcelain veneers re-established incisal length and corrected asymmetry.
• Enamel fractures were reinforced with durable ceramic coverage.
• The zirconia bridge provided a functional replacement for the missing tooth.
• A balanced and natural anterior smile line was achieved, blending seamlessly with existing teeth.

This case illustrates how a combined restorative approach can address multiple concerns, including wear, chipping, and tooth loss, within a short treatment timeframe.