Minimal-Reduction Front Veneers for a Protruding Mouth and Buck Teeth
Hello. I'm Park Jonguk, director of Dream Dental Clinic.
Treating protruding teeth is
one of the most challenging parts of cosmetic dental treatment.
It depends on what's causing the protrusion,
but since a good number of cases stem from skeletal issues,
a range of treatments, including orthodontics and surgery, are often needed.
In severe cases, orthodontic treatment often has to be combined with surgery.
If it isn't severe, orthodontics alone can be enough.
If the protrusion isn't severe and the shape of the teeth also isn't ideal,
front veneers can be used to treat it.
Cases of protruding or buck teeth that can be treated with veneers like this
are fairly limited,
so whether it's possible can only be determined after a diagnosis.
First, looking at a few things about the state of the front teeth,
there are gaps between the teeth, and the teeth are quite small.
The shape of each tooth varies, so even with orthodontics,
veneers would still be needed to make the shape look attractive.
The problem is that, seen from the side, the teeth protrude.
When there's protrusion like this, no-prep veneers aren't possible.
The three conditions for no-prep veneers are
that the teeth be small, the alignment be good, and there be no protrusion,
and the third condition isn't met here.
First, the current proportions of the teeth are measured.
Because there are gaps,
it's hard to precisely check the proportions between teeth,
but it's still necessary to decide how to distribute the spacing.
The gumline is also markedly asymmetrical,
so correcting the gumline is needed as well.
This is called gum contouring.
It's harmless to the health of the teeth and gums, so there's no need to worry.
The gumline needs to be reshaped,
and a plan is made for how to improve the degree of protrusion when viewed from the side.
The amount of tooth reduction is estimated, and in relation to this,
the patient is informed beforehand of roughly how much tooth structure will be removed.
One of the features of our clinic, Dream Dental, is that
we build a precise treatment plan before treatment begins
so that how much of the tooth will be reduced
can be explained to the patient in advance.
This is a wax-up result that lets us preview the outcome beforehand.
By building a preview of the tooth outcome in wax like this,
we can determine the amount of tooth reduction
and check the changes in tooth proportion and size.
This process is called precision wax-up diagnosis.
At Dream Dental Clinic, we carry out this kind of careful, precise diagnosis for every case.
The teeth were reduced as planned,
and using the wax-up tooth model,
temporary teeth were made,
so the shape and proportions of the teeth could be discussed with the patient.
This process directly simulates the treatment outcome inside the mouth,
so it's an especially important step.
This is how the case was completed.
The teeth are bright and clear, while also
clearly showing a natural feel.
A hallmark of our veneers at Dream Dental Clinic is
that they look natural and beautiful.
They don't have that awkward, stuck-on look, like a piece of xylitol gum.
Even seen from other angles,
they remain natural and beautiful, with plenty of dimension.
The harmony with the gums is also good,
which lowers the likelihood of gum inflammation developing.
You can see how clearly the protrusion has improved, can't you?
By reshaping the teeth naturally and beautifully like this,
the tooth proportions and protrusion were fully corrected.
Natural beauty
Since 2006, Dream Dental Clinic
This article is a clinical note written by Dr. Park Jonguk of Dream Dental Clinic, Gangnam; the original was published on his blog. The photographs shown are real cases he treated. Results vary with each patient’s condition, and every procedure carries the possibility of individual variation and side effects.