Beauty Is in the Details ?

This patient came to our office seeking a second opinion after completing orthodontic treatment and having cosmetic bonding performed elsewhere to close the "black triangles" between her teeth. Although the spaces had been closed, she was unhappy with the overall appearance of her smile.

After a comprehensive examination, photographs, and radiographs, we carefully analyzed not only the teeth but also the harmony between the teeth and the surrounding gums.

From an esthetic perspective, we identified several concerns:

• Lack of ideal tooth proportions

• Absence of central dominance

• Teeth that appeared too square

• Uneven incisal edges

• Poorly defined incisal embrasures

• Lack of symmetry between teeth #8 and #9, and #7 and #10

• Rough composite surfaces that required refinement and polishing

From a periodontal perspective, the excess composite created overhangs that trapped plaque, resulting in inflamed, bleeding gums. The tissue around tooth #9 was so inflamed that it bled with minimal manipulation.

Instead of replacing all of the existing bonding, we chose the most conservative approach possible.

Our treatment consisted of:

? Careful polishing and recontouring of the existing composite restorations.

? Laser gingivectomy around teeth #8 and #9 to improve gingival symmetry and create proper central dominance.

No new veneers. No unnecessary removal of healthy tooth structure. Just thoughtful diagnosis, meticulous finishing, and attention to the smallest details.

In aesthetic dentistry, beautiful smiles are not created by doing more—they are created by understanding proportion, symmetry, biology, and facial harmony.

The final result was a healthier, more balanced smile, and most importantly, a very happy patient.

??Orlando Advanced Dentists

?? Dr. Patricia Nino de Guzman Roach, Master in Aesthetic Dentistry