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Smile Transformation – Composite Bonding and Contouring

Here is a case that I absolutely loved to do. This patient wanted a smile makeover before her wedding, we had quite a short timeframe and thankfully she had beautiful straight teeth and realistic goals, so we were confident in delivering the results desired in time for her big day.

She first visited us requesting enamel contouring to reduce the bumps on the edges of her front teeth. These small bumps, called “mamelons” are a developmental feature of adult incisors that are most noticeable when the teeth first erupt in childhood. They normally wear down in the first few years, however, sometimes they do not, particularly if the front teeth don’t contact each other, as in this case.

I am particularly fond of mamelons, and regretfully agreed to reduce them for the patient, but not before we had discussed some other enhancements that I thought would add to her smile. She wasn’t keen on the “pointiness” of the teeth, so I suggested we carried out a “trial smile”, mocking up how it would look to alter the shape of the lateral incisors and canines. After the patient approved this, the final treatment plan was decided for tooth whitening to lighten and brighten the teeth, contouring of upper central incisors and lower four incisors, and composite bonding for four teeth, upper lateral incisors and canines.

I would have loved to have kept a hint of mamelon, but it of course it wasn’t about me, and the patient was delighted with the final result.

View the photographs below of pre and post treatment that highlight the small changes can have a big impact on your smile.

Before Treatment

before composite bonding consultation southampton

Patient’s Original Presentation

The patients original presentation showing mamelons (bumps on the edges of incisor teeth) and pointed canines.

composite bonding mockup after initial consultation southampton

Composite Bonding Mock-Up

At the initial consultation, we carried out a trial smile, adding composite material temporarily to her canines and lateral incisors to get an idea of the results that can be realised with composite bonding.

upper close up before composite bonding southampton

Upper Close-Up

Upper close-up before treatment

lower close up before composite bonding southampton

Lower

Lower before treatment

upper teeth before composite bonding southampton

Upper

Upper before treatment

retracted view before composite bonding southampton

Retracted Front View

Retracted front view before treatment

After Treatment
final front view after composite bonding southampton

Final Smile

Final smiling view showing reduction of mamelons by enamel contouring, and composite bonding to four upper teeth

retracted view after composite bonding southampton

Retracted Front View

Retracted front view after treatment

upper teeth after composite bonding southampton

Upper

Upper after treatment

upper closeup after composite bonding southampton

Upper Close-Up

Upper close-up after treatment

lower teeth after composite bonding southampton

Lower

Lower after treatment

If you would like to know more information about composite bonding, contouring or wedding smile makeovers please call 02380 868833 or send an email to info@bridgeways.dental to book an appointment with Dr Casey Carnall.