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  Mitchell Pohl DDS
     Missing Teeth
  2900 N. Military Trail
        Suite 105
  South Florida 33431
    561-368-3440

Photo Gallery Palm Beach Dentistry

Congenital Missing Incisors Reconstructive Tooth Replacement Procedures

This patient never had lateral incisors, hence congenitally missing. His canine teeth moved in to replace the missing laterals creating an awkward juvenile type of appearance.

He also had a cystic tumor on his lower lip for which he has had repeated surgeries to correct. Now he reached the point in his life where he felt the tumor was no longer an important issue and wanted to correct his smile. A comprehensive examination including photos, full mouth x-rays and a diagnostic wax-up were performed.

Gum Lift Before Makeover Picture

Framing the Teeth

The challenge was to make his existing canines look like lateral incisors and his first bicuspids to look like canines. As you can see in the photo, the gingival margin of the bicuspid is lower than his canine (adjacent gumlines are uneven).

To esthetically frame the gum tissue around the teeth, the gum line on a canine should be at the same height as the central incisor.

Gum Lift Post Operative Procedure Picture Makeover

Gum Lift Post Operative Procedure Picture Makeover

Laser Gum Reshaping - Gum Lift

A laser gum lift was performed utilizing the Waterlase laser to remove excess gum tissue on both the first and second bicuspids.

Notice how the gum line of the first bicuspid is now level with the canine and the increase in length of the second bicuspid. We allowed the tissue heal for three weeks and then prepared his teeth for porcelain veneers and porcelain onlays.

During the interim, he had temporaries that were fabricated from the diagnostic wax-up that closely resembled the final restorations.

Gum Lift Makeover Profile Picture

Successful Gum Reshaping and Contouring

In this profile photo, note that the gum tissue that was trimmed by the laser procedure has healed nicely.

We were able to proportion the size of his new laterals and canines and obtain a more balanced and esthetically appearing gum line.

Reconstructive Makeover Result

Successful Makeover Treatment Congenitally Missing Teeth

This photo is two weeks after the veneers were bonded. His lower lip is still healing from an additional surgery.

The patient now has a mature, well balance, attractive smile that has tremendously affected his self- confidence and esteem.

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Palm Beach Cosmetic Dentistry
Mitchell Pohl, DDS
2900 N. Military Trail, Suite 105
Florida Coast FL 33431
561-368-3440
West Palm Bch County
Dental Consultant at